Special Laboratory Tests
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| Pregnancy testing is based on detection of what hormone? | hCG
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| Does a positive reaction to any pregnancy test always indicate a normal pregnancy? | No
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| What abnormal conditions can the detection of hCG indicate? | Ectopic pregnancy, hydatiform mole of the uterus, choriocarcinoma, cancer of the lung, stomach, pancreas, colon, or breast
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| What is the preferred specimen for pregnancy testing and why? | First morning void because it will have the highest concentratioin of hCG.
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| What are some different types of pregnancy tests and what kind of specimen is required. | Blood specimen- serum, agglutination inhibition, and enzyme immunoassay Urine- over the counter
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| What does hCG stand for? | human chorionic gonadotropin
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| What is infectious mononucleosis? | Contagious disease that may have vague clinical symptoms and mimic other diseases.
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| What is a common nickname for IM? | the kissing disease or mono
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| What is IM a result of? | infection of lymphocytes by the Epstein-Barr Virus
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| How is EBV IM primarily transmitted? | Saliva
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| What other ways can EBV be spread? | Sharing drinking glasses, blood transfusions
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| What is the best way to prevent transmission of EBV? | Careful handwashing
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| What is the average incubation period for IM? | 7-14 days
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| In what age group is IM most often observed? | 15-25 years old
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| What are the initial symptoms of IM and how long do they last? | Fever and swollen glands for 3-5 days
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| IM in younger children is usually asymptomatic or has minor symptoms such as___ _____ _____ ______? | pharyngitis, otitis media, bronchitis, and other upper respiratory discomforts
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| After fever and swollen glands what symptoms may develop over the next 7-20 days with IM? | Headache, malaise, chest pain, cough, tonsillitis, rash, soft swollen lymph nodes, swollen spleen.
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| Why might a patient with IM be advised to refrain from contact sports and rough activities? | To prevent rupture of the spleen.
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| Are there any drugs that are effective against EBV IM? | No
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| What must the physician consider to properly diagnose IM? | Blood and serology tests along with patient's symptoms.
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| What does PT test for? | Bloods clotting ability
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| What kind of medication would a patient be on if they are having a PT? | An anticoagulant such as Coumadin (warfarin)
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| What are the desired levels of INR? | 2.0 - 3.0
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