BOC study guide 5th edition Section 2 Chemistry Problems 1.

Problem 5 pp76: A healthy person with a blood glucose of 80mg/dL would have a simultaneously determined cerebrospinal fluid glucose of a. 25mg/dL b. 50mg/dL c. 100mg/dL d. 150mg/dL CSF glucose to plasma Glucos ratio is 60:100

ANSWER: b 2. Problem 43 pp81:What is the osmolality? Na+ :140mEq/L + K : 4.0mEq/L Glucose : 95mg/dL BUN : 10mg/dL a. 188 b. 204 c. 270 d. 390

ANSWER: c 3. Problem 52 pp 82: The anion gap is useful for quality control of laboratory results for a. Amino acids and proteins b. Blood gas analyses c. Sodium, potassium, chloride and total CO2 d. Carbonic acid ( ) ( )

 Indicates Alkalosis Indicates Acidosis: MUDPILES ANSWER: c 4. Problem 73 pp85 : In a pleural Effusion caused by Streptococcus pneumoniae, the protein value of the pleural fluid compared to the serum value would probably be: a. Decreased by 2 b. Decreased by c. Increased by d. Equal Pleural Effusion can either be Exudate or Transudate Transudates: Exudates: noninflammatory eg Chronic heart failure, hepatic cirrhosis inflammatory eg infection, damage Ratio <0.5 Ratio>0.5 Methanol Uremia Diabetic ketoacidosis Propylene Glycol Isoniazid Lactic acidosis Ethylene glycol Salicylates

S pneumoniae, inflammatory infection classifying effusion as exudate

ANSWER: b 5. Problem 86 pp87: The following data was obtained from a cellulose acetate protein electrophoresis scan: Albumin area: 75units Gamma globulin area: 30units Total area: 180units Total protein: 6.5g/dL What is the gamma globulin content in g/dL a. 1.1g/dL b. 2.7g/dL c. 3.8g/dL d. 4.9g/dL

ANSWER: a 6. s