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Procainamide -
Answer--Answer: NAPA
-p. 86-Ant antiarrhythmic drug that has a metabolite with the same drug action
-Procainamide is metabolized to N-Acetylprocainamide (NAPA)
- Must quantify both. Although they have the same drug affect, difference in half- life may cause NAPA
to accumulate in the blood and produce toxic affects even at therapeutic levels of procainamide.
loose clusters of small spherical microconidia, positive urease -
Answer--Answer: Trichophyton mentagrophytes -Trichophyton is the only Dermatophyte with two colony
types : macroconidia and microconidia. - T. mentagrophytes characteristically produce "grapelike
clusters" of microconidia. - Positive in the hair perforation test.
Beta -HCG tumor marker -
Answer-: chorocarcinoma
-The are are 2 forms of hCG Alpha (common form) and Beta (unique form)
5HIAA 5-hydroxyindoleacetic acid -
Answer--Answer: carcinoid tumors -5HIAA: primary metabolite of serotonin, a chemical substance
(neurotransmitter) that transmits messages between nerve cells. -Large quantities of serotonin and 5-
HIAA may be produced by some carcinoid tumors.- Carcinoid tumors are slow-growing noncancerous or
cancerous neuroendocrine masses that can form in the GI tract, especially in the appendix, and in the
lungs.
Proteus vulgaris vs P. mirabilis indole test -
Answer-P. vulgaris is indole pos. P. mirabilis is indole neg
Hydatid cyst fluid -
Answer-used to neutralize Anti-P1 antibody
Antacid overdose -
Answer-Check pH
,Prolonged PT, PTT, and thrombin after collecting from catheter -
Answer-heparin contamination
, mixing study that was performed with a prolonged PTT that couldn't be corrected -
Answer-DRVVT (Dilute Russell Viper Venom Test)
two pt's ran in duplicate (PT and PTT). The PTT seemed to always be prolonged but PT looked ok -
Answer-check the CaCl/phospholipid reagent delivery
Patient is on coumadin therapy, what will be affected -
Answer-Decreased protein C
Lot's of stomatocytes -
Answer-Liver disease
Burr cells -
Answer-Uremia
Picture of target cells with hemoglobin C crystals. The white count was high on instrument 1, so a
second instrument was used with a stronger lysing agent, and the white count was corrected -
Answer-anti-lysing target cells are what increased the white count? Erythrocytes containing
hemoglobin C do not lyse normally (sickle cell diseases)
A sodium citrate tube was drawn for a HCT on a pt but the hematocrit was abnormal -
Answer-recollect with decreased anticoagulant. high hct (>55%) causes low plasma so you need less
anticoagulant
Question that gives a red blood cells count, HGB, and HCT. I did the rule of 3 and found that the HGB
didn't meet the rule of 3 because it was too high -
Answer-check for lipemia (elevates HGB)
PBS with an elevated reticulocyte count and howell jolly bodies in the RBC's -
Answer--Answer: howell jolly bodies= DNA= Wright Stain
-Peppenheimer- Prussian blue stain
-which is not taken up by reticulocytes