HEALTH ASSESSMENT EXAMINATION:
COMPREHENSIVE QUESTIONS AND ANSWERS
GRADED A+
◉ thrombocytosis what is it and what causes it. Answer: high
platelets due to: leukemia, inflammation, acute blood loss, iron
deficit, hyposplenism, polycythemia vera
◉ secondary/reactive thrombocytosis. Answer: due to underlying
issue
◉ primary thrombocytosis. Answer: due to serious bleed or clot :
less common
◉ what is the Mean platelet volume. Answer: MPV - average volume
of platelets increases with production of platelets.
◉ possible causes of increased MPV. Answer: ITP, prelampsia
◉ possible causes of decreased MPV. Answer: aplastic anemia,
chemo, viral infections.
if rbc decrease what happens to hgb. Answer: hgb decreases as
well
,◉
◉ Transient erythroblastopenia of childhood (TEC). Answer:
transient severe anemia in young children could be due to
viral infection (usually paro virus) shows up around 6m to
4years of age no cure : wait and heal over months
Symptoms: lethargic, fatigue, pallor, anemia symptoms
◉ Congenital erythroid aplasia ( Diamond-Blackfan anemia).
Answer: a rare, inherited blood disorder characterized by the bone
marrow's inability to produce sufficient red blood cells, leading to
anemia.
presents at birth, can lead to cancer, 1/3 remit in 1st decade,
marrow transplant is only cure
◉ How to determine what antibiotic to use. Answer: Culture and
sensitivity: takes 1-3 days for results
◉ what type of antibiotic to use until c &s results. Answer: empiric
antibiotic: educated guess based on community broad spectrum
usually
CFU (colony forming units). Answer: estimates # of bacteria in
sample
, ◉
◉ What is the normal CFU cap in lab for reporting. Answer: 100,000
or 10^5
◉ what is a sensitivity table. Answer: shows sensitivity to that
bacteria or resistance
◉ urine diptest elevated leukocytes and nitrites. Answer:
Leukoctyes: kidney/urine infection nitrite: UTI
◉ urine dip test elevated urobilinogen and bilirubin. Answer:
possible liver damage for both
◉ protein elevated on urine diptest. Answer: possible kidney
disease
◉ ph elevated on urine dip test. Answer: urine acidity level issue due
to food or kidney disease
◉ blood found on urine diptest. Answer: could be menstraul, kidney
or bladder disease
specific gravity measures what. Answer: concentration of urine by
kidneys found on urine diptest remember
glucose can elevate it