ScribeAmerica Final Exam Review - Emergency Department Course
Questions & Answers
Three types of laboratory Blood, Urine and Cultures
Studies
Complete Blood Count (CBC) White Blood Cells(WBC), Hemoglobin(Hgb), Hematocrit (Hct),
components Platelets (Plt)
Significance of high WBC Infection
Significance of low Hgb and Anemia
Hct
Significance of low Plt Prone to bleeding
CBC with Differential Complete Blood Count (CBC), Band Cells (Bands),
Components Segmented Neutrophils (Segs), Lymphocytes (Lymphs),
Monocytes (Monos), Eosinophils (Eos)
High bands serious infection
High Segs Acute Infection
High Lymphs Viral infection
High Monos Bacterial Infection
High Eos Parasitic infection
High and Low Sodium Hypernatremia and Hyponatremia (causes dehydration)
High Potasssium Hyperkalemia (Poor kidney function)
BUN Blood Urea Nitrogen
Creat Creatinine
High BUN and Creat Renal Insufficiency or failure
High Glucose (Gluc) Hyperglycemia - high blood sugar
High bicarbonate (HCO3) Hypercarbia - possible respiratory disease
High Chloride Hyperchloremia - possible dehydration
CMP (Comprehensive BMP+LFT (Liver Function test)
Metabolic Panel) assesses
LFT Components Aspartate Transaminase (AST), Alanine Transaminase (ALT),
Alkaline Phosphatase (Alk Phos)
High AST, ALT, Alk Phos Liver Damage
High Trop, CK, CK-MB, CK-RI, Heart Damage
Myo
, High CK Heart Damage or Rhabdomyolysis
High D-Dimer must rule out PE with CTA Chest or VQ Scan
CTA Computerized Topography Angiogram
VQ scan Ventilation perfusion
D-Dimer a protein that is excreted by clots of blood, detects blood clot
BNP B-Type Natriuretic Peptide
high BNP Congestive Heart Failure
ABG, VBG Arterial Blood Gas, Venous Blood Gas
High/low HCO3 Metabolic problem
High/low pCO2 Respiratory Problems
Cardiac Order set order placed for almost every adult patient complaining of
chest pain - CBC, BMP, CK, CK-MB, Troponin, EKG,
CXR
High CSF Prot, >3 in Tube 4 CSF Possible Meningitis
WBC
Low CSF Gluc/Positive Possible/likely bacterial meningitis
Bacteria in CSF Gram Stain
>0 in Tube 4 in CSF RBC Subarachnoid Hemorrhage
Normal INR 1
PT Prothrombin Time
INR International Normalized Ratio
PTT Partial Thromboplastin Time
High PT, High PTT Blood is too thin
3.0 Supertherapeutic, <2.0 Too much coumadin, not enough Coumadin
Subtherapeutic
Positive Rapid Strep Test (Strep) Strep throat
Positive Mononucleosis test Mononucleosis
(Monospot)
Positive Influenza A+B The Flu
Positive Respiratory Syncytial likely bronchiolitis
Virus (RSV)
High Lipase Specific to pancreatitis
Low Triidothyronine (T3), low Hypothyroidism
thyroxine (T4)
High Thyroid Stimulating Possible Hypothyroidism
Hormone (TSH)
CRP C-Reactive protein
ESR or Sed Rate Erythrocyte Sedimentation Rate
Questions & Answers
Three types of laboratory Blood, Urine and Cultures
Studies
Complete Blood Count (CBC) White Blood Cells(WBC), Hemoglobin(Hgb), Hematocrit (Hct),
components Platelets (Plt)
Significance of high WBC Infection
Significance of low Hgb and Anemia
Hct
Significance of low Plt Prone to bleeding
CBC with Differential Complete Blood Count (CBC), Band Cells (Bands),
Components Segmented Neutrophils (Segs), Lymphocytes (Lymphs),
Monocytes (Monos), Eosinophils (Eos)
High bands serious infection
High Segs Acute Infection
High Lymphs Viral infection
High Monos Bacterial Infection
High Eos Parasitic infection
High and Low Sodium Hypernatremia and Hyponatremia (causes dehydration)
High Potasssium Hyperkalemia (Poor kidney function)
BUN Blood Urea Nitrogen
Creat Creatinine
High BUN and Creat Renal Insufficiency or failure
High Glucose (Gluc) Hyperglycemia - high blood sugar
High bicarbonate (HCO3) Hypercarbia - possible respiratory disease
High Chloride Hyperchloremia - possible dehydration
CMP (Comprehensive BMP+LFT (Liver Function test)
Metabolic Panel) assesses
LFT Components Aspartate Transaminase (AST), Alanine Transaminase (ALT),
Alkaline Phosphatase (Alk Phos)
High AST, ALT, Alk Phos Liver Damage
High Trop, CK, CK-MB, CK-RI, Heart Damage
Myo
, High CK Heart Damage or Rhabdomyolysis
High D-Dimer must rule out PE with CTA Chest or VQ Scan
CTA Computerized Topography Angiogram
VQ scan Ventilation perfusion
D-Dimer a protein that is excreted by clots of blood, detects blood clot
BNP B-Type Natriuretic Peptide
high BNP Congestive Heart Failure
ABG, VBG Arterial Blood Gas, Venous Blood Gas
High/low HCO3 Metabolic problem
High/low pCO2 Respiratory Problems
Cardiac Order set order placed for almost every adult patient complaining of
chest pain - CBC, BMP, CK, CK-MB, Troponin, EKG,
CXR
High CSF Prot, >3 in Tube 4 CSF Possible Meningitis
WBC
Low CSF Gluc/Positive Possible/likely bacterial meningitis
Bacteria in CSF Gram Stain
>0 in Tube 4 in CSF RBC Subarachnoid Hemorrhage
Normal INR 1
PT Prothrombin Time
INR International Normalized Ratio
PTT Partial Thromboplastin Time
High PT, High PTT Blood is too thin
3.0 Supertherapeutic, <2.0 Too much coumadin, not enough Coumadin
Subtherapeutic
Positive Rapid Strep Test (Strep) Strep throat
Positive Mononucleosis test Mononucleosis
(Monospot)
Positive Influenza A+B The Flu
Positive Respiratory Syncytial likely bronchiolitis
Virus (RSV)
High Lipase Specific to pancreatitis
Low Triidothyronine (T3), low Hypothyroidism
thyroxine (T4)
High Thyroid Stimulating Possible Hypothyroidism
Hormone (TSH)
CRP C-Reactive protein
ESR or Sed Rate Erythrocyte Sedimentation Rate
