Normal lab value: Pre-albumin 15 – 36 mg/dL; Retinol binding…
Normal lab value: Pre-albumin 15 – 36 mg/dL; Retinol binding protein 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 T < 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 lbsPre-albumin: 10 mg/dL; Alb: 2.8 g/dL; RBP: 1.8 mg/DL; Hgb: 15 g/dL; AST: 80 U/L; ALT: 78 U/L; BUN: 30 mg/dL; Creatinine: 2.9 mg/dL; FBG: 76 mg/dL; Osmolality: 286 mOsm/kg/H2O; Fe: 157 µg/dL; MCV: 91 µm3 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: 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
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