5 Written Questions
5 Matching Questions
- hemolytic disease of newborn
- Good HDL level
- leukocytes primary function
- HIV patient with conductive hearing loss
- a Otitis externa, an infection of the cartilaginous portion of the external auditory canal, is another common cause of conductive hearing loss.
- b occurs when there is an incompatibility between the blood types of the mother and baby; deals with Rh factors and the incompatibility of this factor between mother and growing fetus; mothers body sees this difference in Rh factor as foreign and will attack it. mother -, and fetus +
- c should be higher than 40 mg/dL to help prevent heart disease by carrying bad cholesterol away from the arteries
- d involuntary, rapid movement of eyeball
- e To defend against infection. White blood cells or WBCs. Several different types of cells provide protection against the invasion of foreign material. Search out the foreign invaders (bacteria, virus, toxins), perform phagocytosis, fight infection, involved in inflammation response, create antibodies for immunity
5 Multiple Choice Questions
- most common cancer for men between 15 and 35; all young men over 15 should practice monthly self exams; check for swelling, tenderness, or lumps
A simple 3-minute self-examination once a month can detect one of the cancers most common among men aged 15 to 34. If detected early, testicular cancer is one of the most easily cured.
The best time to check yourself is in the shower or after a warm bath. Fingers glide over soapy skin making it easier to concentrate on the texture underneath. The heat causes the skin to relax making the exam easier.
1. Start by examining your testicles. Slowly roll the testicle between the thumb and fingers, applying slight pressure. Try to find hard, painless lumps.
2. Now examine your epididymis. This comma-shaped cord is behind each testicle. It may be tender to the touch. It's also the location of the most noncancerous problems.
3. Continue by examining the vas (sperm-carrying tube that runs up from your epididymis). The vas normally feels like a firm, movable smooth tube.
Now repeat the exam on the other side.
In the early stages testicular cancer may be symptomless.
When symptoms do occur they include:
lump on the testicle;
slight enlargement of one of the testicles;
heavy sensation in the testicles or groin;
dull ache in the lower abdomen or groin.
If you find any hard lumps or nodules, see your doctor promptly. Only your doctor can make a diagnosis.
This self-exam is not a substitute for periodic examinations by a qualified physician.
- loose connections on the vaccuum tube assembly: if the connection between the needle holder and the double-pointed needle or the syringe and needle is loose, air can enter the sample and cause frothing, ensure that all connections are tight before beginning the venipuncture
- prolonged tourniquet time: the tourniquet restricts blood flow, interstitial fluid can leak into veins hemolyzing red cells, adhere to the 1-minute rule for T application
- The basal state is the patient's state in early morning, about 12 hours after the last meal. Best blood samples are collected at this time. Especially for concentrations of glucose, electrolytes, proteins, triglycerides, cholesterol Pt. should have no coffee or food, water only that morning before blood draw. If they did eat but Dr. still wants test, write "non-fasting" on lab requisition.
- under 130 is desirable, 130-159 is borderline, 160 mg/dl and above is HIGH
5 True/False Questions
blood smear slide view → Red cell indices detect abnormalities in erythrocyte size, shape, color. 3 common are as follows: MCV (mean corpuscular volume index); MCH (mean corpuscular hemoglobin); MCHC (mean corpuscular hemoglobin concentration)
HIV patient with conductive hearing loss → 10-15 ㎛, nucleus shape:bilobed or band, coarse nucleus structure; abundant colorless to light pink cytoplasm; Inclusions: large rounder oval red to red-orange granules
irrigating ears → used to remove excessive or impacted cerumen; to remove a foreign body; or to treat the inflamed ear with an antiseptic solution; removes excess cerumen, Direct solution toward roof of canal; about 1:00 position, ear lavage
hordeola → a condition marked by the deficiency of RBCs
procedure for irrigating a child's (under age 3) ear: → MCH & MCV increased in megaloblastic anemia (B12, folate);acute blood loss anemia, chronic hemolytic anemia, aplastic anemia, hypothyroidism, liver disease. MCH & MCV decreased in hypochromic and microcytic anemias, iron deficiency anemia, thalassemias, sometimes in hyperthyroidism. MCHC increased in hereditary spherocytosis. Normal in microcytosis. MCHC decreased in iron deficiency anemia