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Exam Questions and Correct Answers/ ASCP
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1) Following overnight fasting, hypoglycemia in adults is define
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d as a glucose of:
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a. <70 mg/dL (<3.9 mmol/L)
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b. <60 mg/dL (<3.3mmol/L)
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c. <55 mg/dL (<3.0mmol/L)
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d. <45mg/dL (<2.5mmol/L)......ANSWER.......d (Diagnosis of hyp
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oglycemia in adults.) G G
3) The preparation of a patient for standard glucose tolerance
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testing should include: G G
a. a high carbohydrate diet for 3 days
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b. a low carbohydrate diet for 3 days
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c. fasting for 48 hrs. prior to testing
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d. bed rest for 3 days......ANSWER.......a (GTT diet preparation.)
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4) If a fasting glucose was 90 mg/dL, which of the following 2 h
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r. postprandial glucose result would most closely represent no
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rmal glucose metabolism?
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a. 55 mg/dL (3.0 mmol/L)
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b. 100 mg/dL (5.5 mmol/L)
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c. 180 mg/dL (9.9 mmol/L)
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d. 260 mg/dL (14.3 mmol/L)......ANSWER.......b (Normal 2 hour
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postprandial value.) G
5) A healthy person with a blood glucose of 80 mg/dL (4.4 mm
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ol/L) would have a simultaneously determined cerebrospinal fl
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uid glucose value of:
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a. 25 mg/dL (1.4 mmol/L)
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b. 50 mg/dL (2.3 mmol/L)
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c. 100 mg/dL (5.5 mmol/L)
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d. 150 mg/dL (8.3 mmol/L)......ANSWER.......b (Ratio of CSF gluc
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ose to blood glucose)
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6) A 25 yr. old man became nauseated and vomited 90 mins aft
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er receiving a standard 75 g carbohydrate dose for an oral gluc
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ose tolerance test. The best course of action is to:
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a. give the patient a glass of orange juice and continue the test
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b. start the test over immediately with a 50 g carbohydrate do
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se
c. draw blood for glucose and discontinue the test
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d. place the patient in a recumbent position, reassure him and
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continue the test.......ANSWER.......c (Use of partial GTT inform
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ation.)
7) Cerebrospinal fluid for glucose assay should be:
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a. refrigerated
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b. analyzed immediately
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c. heated to 56C
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d. stored at room temperature after centrifugation......ANSWE
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R.......b (Effect of glycolysis on glucose.)
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8) Which of the following 2 hr. postprandial glucose values de
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monstrates unequivocal hyperglycemia diagnostic for diabete
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s mellitus?
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a. 160 mg/dL (8.8 mmol/L)
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b. 170 mg/dL (9.4 mmol/L)
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c. 180 mg/dL (9.9 mmol/L)
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d. 200 mg/dL (11.0 mmol/L)......ANSWER.......d (Unequivocal dia
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gnosis of diabetes mellitus.)
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10) A 45 yr. old woman has a fasting serum glucose concentrati
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on of 95 mg/dL (5.2 mmol/L) and a 2 hr. postprandial glucose c
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oncentration of 105 mg/dL (5.8 mmol/L). The statement which
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best describes this patient's fasting serum glucose concentrati
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on is: G
a. normal; reflecting glycogen breakdown by the liver
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b. normal; reflecting glycogen breakdown by skeletal muscle
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c. abnormal; indication diabetes mellitus
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d. abnormal; indicating hypoglycemia......ANSWER.......a (Fact
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ors contributing to PBS.)
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9) Serum levels that define hypoglycemia in pre-
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term or low birth weight infants are:
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a. the same as adults
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b. lower than adults
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c. the same as a normal full-term infant
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d. higher than a normal full-
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term infant......ANSWER.......b (Age effect on glucose.)
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11) Pregnant women with symptoms of thirst, frequent urinati
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on or unexplained weight loos should have which of the follo
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wing tests performed?G G