Blood Chem Lab #1

  IDEXX

IDEXX Lab Request

Clinical Path Results

 

1. What is the average RPM and time to centrifuge a whole blood

 sample to separate plasma from the cells?

 

                        ______________RPM                    ______________Minutes

 

2.Identify the mode of action of each of the listed anticoagulants:

  Vacutainer Tubes

            Anticoagulant                         Action

 

            Heparin                                              ____________________________________

 

            EDTA                                                 ____________________________________

 

            Oxalate                                               ____________________________________

 

            Fluoride                                              ____________________________________

 

3. Explain enzyme action and how enzymes are measured in the

 laboratory?

      

4. List the species specificity for the following liver enzyme assays?

 

            Assay             Species

 

            ALT                 ____________________

 

            AST                  ____________________

 

            SD                     ____________________

 

            GD                      ____________________

 

            AP                       ____________________

 

            GGT                    ____________________

 

5. Which liver function test measures the conjugated products from

 hemoglobin breakdown?  ________________________________

 

6. After observing the IDEXX demonstration method of BUN

             determination, record the results below:

 

            ____________________________ mg/dl

 

7. Answer the following questions:

 

       1. Which process results in testing outside the body the blood

         chemistries to obtain diagnostic results of disease?

        A) in vivo

        B) in vitro

        C) exogenous

        D) endogenous

 

       2. What is room temperature in celsius degrees?

        A) 10

        B) 20

        C) 30

        D) 40

 

       3. Blood samples should be centrifuged at what PRM and 

            time for plasma  separation?

        A) 20 min at 1500 RPM

        B) 10 min at 1500 RPM

        C) 20 min at 4000 RPM

        D) 10 min at 2000 RPM

 

        4. Which of the following anticoagulants will eventually break

          down and clotting will  occur within a few hours at room

          temperature?

        A) EDTA

        B) citrate

        C) fluoride

        D) heparin

 

       5. Serum is plasma with which component missing?

        A) albumin

        B) globulin

        C) fibrinogen

        D) calcium

 

        6. Serum samples are collected with which type of blood

             collecting tube?

        A) heparinized

        B) EDTA added

        C) citrate added

        D) no anticoagulant

 

       7. What procedure is recommended to allow blood to clot

             following collection?

        A) shake thoroughly to mix well

        B) store at refrigerated temperature until clotted

        C) allow blood to remain at room temperature until clotted

        D) centrifuge immediately and collect serum

 

 

       8. Which is the  anticoagulant of choice for blood chemistries?

        A) EDTA

        B) calcium

        C) heparin

        D) citrate

 

      9. What concentration of heparin is recommended to prevent

             clotting?

        A) 5 units/ml

        B) 10 units/ml

        C) 20 units/ml

        D) 100 units/ml

 

     10. Which anticoagulant will alter cell morphology the least?

        A) heparin

        B) citrate

        C) fluoride

        D) EDTA

 

      11. Which of the anticoagulants is best known for glucose

             preservation?

        A) oxalate

        B) citrate

        C) fluoride

        D) EDTA

 

      12. What is the amount of fluid yield from a normal canine 

            10 ml blood sample?

        A) 5 ml

        B) 7 ml

        C) 8 ml

        D) 2 ml

 

      13. What factors can cause hemolysis of a blood sample?

        A) moist syringe

        B) mixing too vigorously

        C) force transfer

        D) all the above

 

      14. What precaution is needed in collecting blood placed in 

            a previously used test  tube?

        A) must be sterile

        B) must be free of detergents or chemicals

        C) must be clear glass

        D) must be free of fingerprints

 

      15. What information is needed on the blood sample to be tested?

        A) name

        B) date

        C) patient

        D) all the above

 

      16. What condition will cause a blood sample to be lipemia  

            (turbid or cloudy)?

        A) 24 hour fast

        B) excessive water intake

        C) decreases exercise

        D) recent feeding

 

     17. Enzymes are composed of what biomolecule?

        A) proteins

        B) carbohydrate

        C) lipids

        D) nucleic acids

 

     18. An increase in serum enzymes will indicate what 

        likely occurrence within the body?

        A) dehydration

        B) starvation

        C) cell damage

        D) inflammation

 

      19. Which method is used to measure enzyme activity within 

            a chemical analysis?

        A) kinetic method

        B) chemical reaction

        C) end product weight

        D) heat produced

 

    

     20. Which factors inhibit enzyme activity?

        A) low temperature

        B) accelerated high temperature

        C) ultraviolet light

        D) all the above

 

      21. Most assays for enzyme activity are performed between 

            what two temperatures?

        A) 10‑20 C

        B) 20‑30 C

        C) 30‑40 C

        D) 40‑50 C

 

      22. What are the reportable units of enzyme activity?

        A) gm/dl

        B) mU/ml

        C) mg%

        D) calories

 

      23. Which enzyme test is used to support hepatocellular damage?

        A) BUN

        B) ALT

        C) glucose

        D) hemoglobin

 

 

     24. In what species is ALT a major source of enzyme to 

        determine tissue damage?

        A) dogs, cats, and horses

        B) dogs, pigs, horses

        C) cats, dogs, primates

        D) horses, cows, pigs

 

      25. AST analysis is previously known as what chemical 

            blood test?

        A) SGPT

        B) ALT

        C) SGOT

        D) AP  

 

        26. Which enzyme test is especially useful in diagnosing 

            large animal hepatocellular disease?

        A) ALT

        B) AST

        C) GD

        D) SD

     

        27. Which enzyme test will elevate with osteoblastic activity?

        A) ALT

        B) SD

        C) GGT

        D) AP

 

        28. What enzyme test is helpful in determining cholestasis 

                in cats?

        A) ALT

        B) AST

        C) SD

        D) AP

 

       29. Bilirubin is basically a chemical test for what organ system?

        A) kidney

        B) pancreas

        C) adrenal

        D) liver

    

      30. What is the parent compound which is degraded to 

            obtain bilirubin?

        A) cholesterol

        B) triglyceride

        C) hemoglobin

        D) gamma globulin

           

       31. What organ is responsible for the production of blood 

            urea nitrogen?

        A) kidney

        B) liver

        C) pancreas

        D) adrenal

 

       32. Blood urea nitrogen is the metabolic end product of what

          biomolecule?

        A) lipid

        B) carbohydrate

        C) protein

        D) nucleic acids

 

 

        33. What is another kidney function test other than BUN?

        A) glucose

        B) trypsin

        C) creatinine

        D) sorbitol

 

       34. Which blood chemistry tests are used to evaluated

             pancreas function?

        A) lipase, amylase, trypsin, glucose

        B) gastrin, pepsin, trypsin, BUN

        C) glucose, CCK, bilirubin, cholesterol

        D) amylase, sorbitol, pepsin, bile

 

     35. Which blood chemistry test can be used to evaluate damage

             to cardiac muscle?

        A) BUN

        B) amylase

        C) lactate dehydrogenase

        D) aspartate aminotransferase

 

    36. Which blood chemical is used to screen for hypothyroidism?

        A) LDH

        B) ALT

        C) CK

        D) cholesterol

           

    37. Plasma proteins are helpful in determining which condition 

            in the canine?

        A) obesity

        B) inflammation

        C) dehydration

        D) blood type

 

     38. Which blood component will bind with anesthetics?

        A) triglyceride

        B) plasma protein

        C) hemoglobin

        D) glucose

 

     39. What is a classic determination used to evaluated 

            plasma protein?

        A) biuret method

        B) Benedict's test

        C) coagulation method

        D) Lee‑White test

 

      40. What is a major role of albumin in the blood?

        A) provides toxin removal

        B) basis for osmotic pressure of blood

        C) relieves kidneys of glomerular filtrate

        D) antibody protection

 

      41. Alpha globulins are synthesized by what body organ?

        A) liver

        B) kidney

        C) stomach

        D) pancreas

           

      42. What is the primary function of alpha globulins?

        A) transfer iron

        B) produce antibodies

        C) transport and bind proteins

        D) electrolyte balance

 

     43. Which of the blood proteins a components of transferrin?

        A) alpha globulin

        B) beta globulin

        C) gamma globulin

        D) immunoglobulin

       

     44. Which of the protein groups are classified as HDL and VLDL?

        A) alpha proteins

        B) beta proteins

        C) gamma proteins

        D) immune proteins

 

      45. Which of the protein groups are immunoglobins?

        A) alpha

        B) beta

        C) gamma

        D) albumin

 

       46. What organ is responsible for the production of fibrinogen?

        A) kidney

        B) liver

        C) adrenal

        D) thyroid

           

       47. What are the electrolytes of the blood?

        A) proteins

        B) mineral

        C) vitamins

        D) hormones

 

       48. What is the major cation of the blood electrolytes?

        A) Ca

        B) Mg

        C) K

        D) Na

 

      49. Which is the major intracellular cation of the body?

        A) Na

        B) K

        C) P

        D) Ca

 

      50. What is the major anion of the blood electrolytes?

        A) sodium bicarbonate

        B) urea nitrogen

        C) chloride

        D) fluoride