Phlebotomy: Chapter 6 & 7 Test

Alkaline phosphate (ALP)

Bone metabolism marker

Anticitrullinated protein (Rheumatoid factor, or RF)

Rheumatoid arthritis (RA)

Calcium

Mineral calcium imbalance

Erythrocyte sedimentation rate (ESR)

General inflammation test

Fluorescent antinuclear antibody (ANA)

Systemic lupus erythematosus (SLE)

Magnesium

Mineral magnesium imbalance

Synovial fluid analysis

Arthritis

Uric acid

Gout

Amylase, lipase

Pancreatitis

Carotene

Steatorrhea (malabsorption syndrome causing fatty stools)

Complete blood count (CBC)

Appendicitis

Gastrin

Gastric malignancy

Liver test, Alkaline phosphatase (ALP), Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), y-Glutamyltransferase (GUT), Bilirubin, Hepatitis B surface antigen (HBsAG), Hepatitis C antibody, patitis C virus by polymerase chain reaction, Ammo

Liver disease

Occult blood

Gastrointestinal bleeding

Ova and parasites (O & P)

Parasitic infection

Stool culture

Stool pathogens

Calcium

Parathyroid function

Catecholamines (epinephrine, norepinephrine)

Adrenal function

Cortisol

Adrenal cortex function and Addison's disease

Fasting glucose or fasting blood sugar (FBS)

Diabetes mellitus

Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), Testosterone

Infertility

Growth hormone (GH)

Pituitary function

Parathyroid hormone (PTH), Phosphorus, Vitamin D

Parathyroid function

T3, T4, and thyroid-stimulating hormone (TSH)

Graves' disease and Hashimoto's thyroiditis

Thyroid function studies

Thyroid disorder

Culture and sensitivity (C&S)

Bacterial or fungal infection

Potassium hydroxide (KOH) prep

Fungal infection

Skin biopsy

Malignancy

Aldolase, Aspartate aminotransferase (AST), Creatine kinase (CK-MM)

Muscle disease

CK isoenzymes (Ck-MM, CK-MB), Lactate dehydrogenase

Cardiac muscle disease

Myoglobin

Muscle damage

Cell count and differential, cerebrospinal fluid (CSF) analysis

Meningitis, other neurologic disorders

Creatine kinase CK isoenzymes (CK-BB), Culture and Gram's stain, Protein and glucose

Brain damage (causes elevations)

Culture and sensitivity (C & S)

Microbial infection

Estradiol

Assess ovarian or placental function

Estrogen

Assess ovarian function

Fluorescent treponemal antibody absorption test (FTA-ABS), Rapid plasma reagin (RPR)

Syphilis

Human chorionic gonadotropin (HCG)

Assess for pregnancy or ectopic pregnancy

Pap smear

Cervical or vaginal carcinoma

Prostate-specific antigen (PSA)

Prostate cancer

Semen analysis

Infertility; assess effectiveness of vasectomy

Testosterone

Evaluation of testicular function

Arterial blood gases (ABGs): pH (acidity), Po2 (oxygen), Pco2 (carbon dioxide)

Most respiratory disorders; assess lung function

Cold agglutinims (test for antibodies that react with red blood cells at cold temperatures)

Atypical pneumonia

Electrolytes

Impaired gas exchange

Microbiologic test, Cultures, Throat swabs, Bronchial washings

Microbial infection--pneumonia or pharyngitis

Purified protein derivative (PPD)

Skin test for tuberculosis

Respiratory syncytial virus (RSV)

Viral pneumonia

Blood urea nitrogen (BUN), Creatinine

Kidney disease

Creatinine clearance

Glomerular filtration

Culture and sensitivity (C & S)

Urinary tract infection (UTI)

Electrolytes, Osmolality

Fluid balance

Protein/microalbumin

Kidney disorders

Renin/angiotensin-converting enzyme (ACE)

Hypertension

Routine urinalysis

Screening for renal or metabolic disorders

Hemophilias

APTT (Activated partial thromboplastin time) or prothrombin time (PT) and clotting factor activity (factor VIII activity)

Disseminated intravascular coagulation (DVT)

Fibrin degradation product (FDP), D-Dimer, Fibrinogen

Thrombocytopenia, Thrombosis or deep vein thrombosis (DVT)

CBC, Protein C, Protein S

Anemia

Reticulocyte count, Iron studies - ferritin and total iron-binding capacity(TIBC), Vitamin B12 and folate levels, CBC

Polycythemia

CBC

Sickle cell disease

Sickle cell solubility, Hemoglobin electrophoresis, CBC

Thalassemia

Hemoglobin electrophoresis, CBC

Bacterial Infection

CBC with differential, Bacterial cultures

HIV (Human immunodeficiency virus) infection

Anti-HIV antibody, Western blot, T-cell count - CD3, CD4 & CD8

Leukemia

CBC with differential, Cell marker studies

Mononucleosis

CBC, Monospot or heterophile antibody

homeostasis

maintenance of a constant internal environment (a steady state of good health)

hemostasis

process by which the body stops blood from leaking out of a wound

The functional unit of the nervous system is

neuron

ATP is found in which part of the cell?

mitrochondria

Which type of muscle tissue is involved in hemostasis?

smooth

Blood is considered to be which type of tissue?

connective

In which system does hematopoiesis occur?

skeletal

Which is not a lab test that assesses for disorders of the integumentary system?

BUN

Hepatitis involves the

liver

Which lab test is not useful in the assessment of liver problems?

AST, GGT, ALP

____ promotes the breakdown of glycogen back to glucose.

glucagon

Pancreatitis can be screened for by performing which lab test?

amylase

The functional unit of the kidney is known as the

nephron

Microbiology may perform the following lab test for urologic disorders:

C&S

ABGs typically test for

respiratory disorders

The hormone that regulates the amount of calcium and phosphorus in the circulation is

parathyroid hormone

Which hormone regulates water reabsorption by the kidney?

ADH

The hormone that can be detected by early pregnancy tests is

HCG

Thyroxine is otherwise known as

T4

Hormones are produced by which body system

endocrine

Four basic types of tissues that compose the human body

Epithelial (lining of gut, surface of the eye)
Muscle (Heart)
Nerve (Neurons, spinal cord)
Connective (Bone, blood)

Nucleus

contains DNA

Plasma membrane

regulates the flow of materials in and out of the cell

Mitochondria

power plants" of the cell

Cytoplasm

cellular material

Describe the anatomical position

it is when the body is erect, facing forward, arms at the sides and palms foward

What are body cavities?

body cavities are spaces within the body that contain major organs

_____ is a bone infection that can be caused by improper phlebotomy technique.

Osteomyelitis

What are the divisions of the CNS?

the brain and the spinal cord

What does the endocrine system do?

It maintains homeostasis in conjunction with the nervous system by producing hormones.

In the circulatory system, gas exchange occurs in the

capillaries

Which blood vessels are a single cell in thickness?

capillaries

Veins and arteries are composed of how many layers?

3

A characteristic of arteries is

they have a thick muscle layer lining the lumen

An average adult has ____ L of blood.

5 to 6

Plasma constitutes ____ % of total blood volume.

55

Another name for a WBC is

leukocyte

The main function of leukocytes is to

protect the body against infection

Which leukocyte is known as a phagocyte?

neutrophil

Platelets remain in the circulation for

9 to 12 days

Which cellular component is responsible for the transport of hemoglobin?

RBCs

Which lab test does not assist in diagnosing HIV infection?

APTT

A group of inherited disorders marked by increased bleeding times is known as a

helphilias

Which organ is not included in the lymphatic system?

liver

Helper T cells are needed to make

antibodies

Describe the different functions of the circulatory system.

The circulatory system transports blood containing oxygen and nutrients throughout the body and picks up metabolic waste products for disposal.

Discuss the difference between pulmonary and systemic circulation

Pulmonary circulation carries blood between the heart and the lungs for gas exchange, whereas systemic circulation carries blood between the heart and the rest of the body.

Explain the functional difference between veins and arteries

Veins carry blood toward the heart; arteries carry blood away from the heart.

Name the four valves of the heart

atrioventricular, pulmonary semilunar, bicuspid and aortic semilunar

Contraction of the heart is known as _____, and relaxation is known as _____.

systole, diastole

Name the three surrounding layers surrounding the lumen of veins and arteries

tunica adventitia, media and intima

The yellow liquid portion of whole blood, containing fibrinogen, is known as _____.

plasma

The formed elements constitute ____ % of blood volume.

45%

What is the role of a phagocyte?

It attacks and digests bacteria

Which type of lymphocyte produces antibodies?

B cells

Describe the two pathways of coagulation cascade.

The extrinsic pathway begins with the release of tissue factor by endothelial cells. The intrinsic pathway begins when the plasma coagulation factors contact materials exposed when blood vessels are damaged.

Define and give examples of autoimmunity?

Autoimmunity is an attack by the immune system on the body's own tissues. (Rheumatoid arthritis, systemic lupus erythematosus, myasthenia gravis, and multiple sclerosis)

Describe the lymph organs and their functions. Give one lymphatic system disorder and explain the due process

The lymph organs include lymphatic vessels, lymph nodes, the spleen, the thymus and the thoracic and right lymphatic ducts. Lymphedema is one lymphatic disorder; it constitutes an accumulation of fluid blocking a lymphatic vessel. Lymphoma is another diso

Name the types of immunity, how they differ and how they are similar.

Nonspecific and specific immunity. Nonspecific immunity refers to the defense against infectious agents independent of the specific chemical markers on their surfaces. Nonspecific immunity encourages inflammation and phagocytosis. Specific immunity involv

Explain the function of enzymes in the coagulation process.

In the coagulation process, enzymes enter the common pathway, reacting with factors X and V to convert circulating inactive prothrombin to active thrombin.