Normal lab value: Pre-albumin 15 – 36 mg/dL; Retinol binding…

Questions

Nоrmаl lаb vаlue: Pre-albumin 15 - 36 mg/dL; Retinоl binding prоtein 2.6 - 7.6 mg/dL; CRP 1.0 mg/dL; Hgb 12 - 16 gm/dL; AST 14-20 U/L; ALT 10-40 U/L; Creatinine 0.5 - 1.1 mg/dL; MCV 80 - 95 µm3; BUN 10-20 mg/dL; Fe 60 - 160 µg/dL; Troponin < 0.2 ng/mL; Osmolality 285 - 295 mOsm/kg/H2O Meridian's medical profile is as follows: Age 49 years old Gender Female Height 5'10" Weight 140 lbs PAB 10 mg/dL Alb 2.8 gm/dL RBP 1.8 mg/dL Hgb 15 gm/dL AST 80 U/L ALT 78 U/L BUN 30 mg/dL Creatinine 2.9 mg/dL FBG 76 mg/dL MCV 91 µm3 Osmolality 289 mOsm/kg/H2O Serum Fe 157 µg/dL Which of the following laboratory tests indicate(s) protein status? [BLANK-1] a. prealbumin, albumin, RBP                                                                             b. RBP c. prealbumin                                                                                                       d. albumin Meridian's AST and ALT values suggest [BLANK-2] a. normal cardiac output                                                                                    b. abnormal liver function c. AST is elevated suggesting cardiac damage, but ALT is normal, suggesting normal liver status d. normal values Meridian's BUN, creatinine and osmolality suggest [BLANK-3] a. patient is eating a high protein diet                                                            b. overhydration c. renal insufficiency or inability to concentrate urine                                d. high alcohol intake Meridian's FBG suggests [BLANK-4] a. stress-induced or alcohol related hypoglycemia                                       b. uncontrolled diabetes c. stress-induced hyperglycemia                                                                      d. normal values Two days later Meridian is complaining of fatigue and malaise. Meridian's labs initially and today are: Initially Today AST 80 U/L 82 U/L ALT 78 U/L 80 U/L BUN 30 mg/dL 10 mg/dL FBG 76 mg/dL 279 mg/dL Troponin T 0.1 ng/mL CRP 1.5 mg/dL The change in AST suggests [BLANK-5] a. damage to the cardiac system                                                                      b. damage to the liver c. binge drinking of alcoholic beverages                                                         d. nothing medically significant The most recent fasting blood glucose suggests [BLANK-6] a. uncontrolled diabetes b. a significant physical stress causing the body to utilize triglycerides stores c. the patient is in liver failure and is experiencing glucose shifts d. the patient is probably eating food the staff is not aware of e. nothing medically significant

2x8=

5x6=

8x9=