1|P age
CMN 548 MODULE 2 EXAM ACTUAL STUDY GUIDE
ACCURATE AND FREQUENTLY TESTED QUESTIONS
AND 100% CORRECT ANSWERS|| LATEST AND
COMPLETE UPDATE WITH EXPERT VERIFIED
SOLUTIONS|| SURE PASS
What is the most reliable indicator of a patients blood sugar status if they have
been taking a 2nd generation antipsychotic? - ANSWER: -Fasting blood glucose
levels and glycosylated hemoglobin levels (hemoglobin A1C)
-these medications can cause abnormal glucose tolerating and may lead to diabetes.
agents associated with abnormalities in serum glucose levels, including
development of diabetes melitus and hyperglycemia , monitoring levels on a
quarterly or semiannual basis - ANSWER: atypical antipsychotics
how often to monitor hemoglobin A1C, fasting blood glucose for 2nd generation
antipsychotics? - ANSWER: monitor at 12 weeks, 1 year, then annually
how long can alcohol be detected in urine? - ANSWER: 7-12 hours..table says 12
hours for light drinking
how long can marijuana be detected in urine? - ANSWER: 2-7 days - for single
use
..or 30-60 days- for chronic use
how long can benzodiazepines be detected in urine? - ANSWER: 3 days.-for short
acting benzodiazepines (ex: Xanax, Ativan)
..or up to 40 days-long-acting benzodiazepines (ex: librium, diazepam)
,2|P age
how long can amphetamines be detected in urine? - ANSWER: 48-72 hours (2-3
days)
what are some likely causes of a decrease in blood urea nitrogen (BUN)? -
ANSWER: 1. liver failure (severe liver disease) such as that resulting from
hepatitis, drugs, or poisoning
2. Acromegaly
3. Malnutrition, low-protein/high carb diets
4. Impaired absorption (celiac disease)
5. Nephrotic syndrome (occasional)
6. Syndrome of inappropriate antidiuretic hormone (SIADH)
Interfering factors for causes of decrease in blood urea nitrogen (BUN) -
ANSWER: -women and children because they have less muscle mass than adult
men
-overhydration (Exclusive IV feedings)
-late pregnancy r/t increased plasma volume (physiologic hydremia)
-many drugs
drug to increase BUN levels - ANSWER: lithium
antipsychotics
Elevated BUN indications: - ANSWER: Kidney dysfunction, and symptoms may
include fatigue, swelling (Edema), frequent urination, confusion, dry mouth and
excessive thirst, pale skin, and rapid heart rate as the body compensates for
reduced kidney function
,3|P age
Elevated BUN is common with - ANSWER: dehydration
psych drugs linked to elevated BUN - ANSWER: -lithium
-second gen (atypical) antipsychotics- olanzapine, quetiapine, and risperidone
-antidepressants-fluoxetine (prozac) and amitriptyline (elavil)
What do basophils do? - ANSWER: constitute a small percentage of the total
leukocyte count and are
considered phagocytic.
what do basophils contain? - ANSWER: heparin, histamines, and
serotonin.
what are tissue basophils called - ANSWER: mast cells and are similar to blood
basophils. Normally, mast cells are not found in peripheral blood and are rarely
seen in healthy bone marrow.
Basophil counts are used to study what? - ANSWER: chronic inflammation
basophil normal findings-absolute count: - ANSWER: 15 to 50/mm3 or 0.02 to
0.05 Å~ 10 9 /L
Normal findings: basophil differential: - ANSWER: 0% to 1.0% of total WBC
count
basophilia (>50) common associations: - ANSWER: granulocytic leukemia, acute
basophilic leukemia, myeloid
, 4|P age
metaplasia, meta proliferative disorders, Hodkin disease.
basophilia (>50) LESS common associations: - ANSWER: Inflammation, allergy,
sinusitis, polycythemia vera, chronic
hemolytic anemia, post-splenectomy, post-ionizing radiation, hypothyroidism,
infections
(TB, smallpox, chickenpox, influenza), foreign protein injection
Basopenia (<20, difficult to diagnose) - ANSWER: Acute phase of infection,
hyperthyroidism, stress reactions (pregnancy, MI), prolonged
steroid therapy, chemotherapy, radiation, hereditary absence, acute rheumatic fever
in
children
Identify what might create a false positive blood sugar value above 140? -
ANSWER: a. Steroids, diuretics, other drugs (see Appendix E)
b. Pregnancy (a slight blood glucose elevation normally occurs)
c. Surgical procedures, anesthesia, and hospitalization in intensive care unit (ICU)
d. Obesity or sedentary lifestyle
e. Parenteral glucose administration (e.g., from total parenteral nutrition)
f. Intravenous (IV) glucose (recent or current)
g. Heavy smoking
what is the dawn phenomenon occur in? - ANSWER: both non-insulin-dependent
and insulindependent
diabetes mellitus.
CMN 548 MODULE 2 EXAM ACTUAL STUDY GUIDE
ACCURATE AND FREQUENTLY TESTED QUESTIONS
AND 100% CORRECT ANSWERS|| LATEST AND
COMPLETE UPDATE WITH EXPERT VERIFIED
SOLUTIONS|| SURE PASS
What is the most reliable indicator of a patients blood sugar status if they have
been taking a 2nd generation antipsychotic? - ANSWER: -Fasting blood glucose
levels and glycosylated hemoglobin levels (hemoglobin A1C)
-these medications can cause abnormal glucose tolerating and may lead to diabetes.
agents associated with abnormalities in serum glucose levels, including
development of diabetes melitus and hyperglycemia , monitoring levels on a
quarterly or semiannual basis - ANSWER: atypical antipsychotics
how often to monitor hemoglobin A1C, fasting blood glucose for 2nd generation
antipsychotics? - ANSWER: monitor at 12 weeks, 1 year, then annually
how long can alcohol be detected in urine? - ANSWER: 7-12 hours..table says 12
hours for light drinking
how long can marijuana be detected in urine? - ANSWER: 2-7 days - for single
use
..or 30-60 days- for chronic use
how long can benzodiazepines be detected in urine? - ANSWER: 3 days.-for short
acting benzodiazepines (ex: Xanax, Ativan)
..or up to 40 days-long-acting benzodiazepines (ex: librium, diazepam)
,2|P age
how long can amphetamines be detected in urine? - ANSWER: 48-72 hours (2-3
days)
what are some likely causes of a decrease in blood urea nitrogen (BUN)? -
ANSWER: 1. liver failure (severe liver disease) such as that resulting from
hepatitis, drugs, or poisoning
2. Acromegaly
3. Malnutrition, low-protein/high carb diets
4. Impaired absorption (celiac disease)
5. Nephrotic syndrome (occasional)
6. Syndrome of inappropriate antidiuretic hormone (SIADH)
Interfering factors for causes of decrease in blood urea nitrogen (BUN) -
ANSWER: -women and children because they have less muscle mass than adult
men
-overhydration (Exclusive IV feedings)
-late pregnancy r/t increased plasma volume (physiologic hydremia)
-many drugs
drug to increase BUN levels - ANSWER: lithium
antipsychotics
Elevated BUN indications: - ANSWER: Kidney dysfunction, and symptoms may
include fatigue, swelling (Edema), frequent urination, confusion, dry mouth and
excessive thirst, pale skin, and rapid heart rate as the body compensates for
reduced kidney function
,3|P age
Elevated BUN is common with - ANSWER: dehydration
psych drugs linked to elevated BUN - ANSWER: -lithium
-second gen (atypical) antipsychotics- olanzapine, quetiapine, and risperidone
-antidepressants-fluoxetine (prozac) and amitriptyline (elavil)
What do basophils do? - ANSWER: constitute a small percentage of the total
leukocyte count and are
considered phagocytic.
what do basophils contain? - ANSWER: heparin, histamines, and
serotonin.
what are tissue basophils called - ANSWER: mast cells and are similar to blood
basophils. Normally, mast cells are not found in peripheral blood and are rarely
seen in healthy bone marrow.
Basophil counts are used to study what? - ANSWER: chronic inflammation
basophil normal findings-absolute count: - ANSWER: 15 to 50/mm3 or 0.02 to
0.05 Å~ 10 9 /L
Normal findings: basophil differential: - ANSWER: 0% to 1.0% of total WBC
count
basophilia (>50) common associations: - ANSWER: granulocytic leukemia, acute
basophilic leukemia, myeloid
, 4|P age
metaplasia, meta proliferative disorders, Hodkin disease.
basophilia (>50) LESS common associations: - ANSWER: Inflammation, allergy,
sinusitis, polycythemia vera, chronic
hemolytic anemia, post-splenectomy, post-ionizing radiation, hypothyroidism,
infections
(TB, smallpox, chickenpox, influenza), foreign protein injection
Basopenia (<20, difficult to diagnose) - ANSWER: Acute phase of infection,
hyperthyroidism, stress reactions (pregnancy, MI), prolonged
steroid therapy, chemotherapy, radiation, hereditary absence, acute rheumatic fever
in
children
Identify what might create a false positive blood sugar value above 140? -
ANSWER: a. Steroids, diuretics, other drugs (see Appendix E)
b. Pregnancy (a slight blood glucose elevation normally occurs)
c. Surgical procedures, anesthesia, and hospitalization in intensive care unit (ICU)
d. Obesity or sedentary lifestyle
e. Parenteral glucose administration (e.g., from total parenteral nutrition)
f. Intravenous (IV) glucose (recent or current)
g. Heavy smoking
what is the dawn phenomenon occur in? - ANSWER: both non-insulin-dependent
and insulindependent
diabetes mellitus.
