A woman visits her physician with a complaint of polyuria an…

A woman visits her physician with a complaint of polyuria and polydipsia. She has a family history of type 2 diabetes mellitus and is concerned that she is developing the disease. The physician notes that her previous hemoglobin A1c (Hb A1c) value was 6% (considered within healthy reference interval in the physician’s practice) with a fasting plasma glucose of 95 mg/dL. At this visit, her Hb A1c value is 8.5%. Why would the physician be correct to order an oral glucose tolerance test (OGTT) for this individual?

A 6-year-old girl has complained about painful urination and…

A 6-year-old girl has complained about painful urination and is taken to her pediatrician. There is NO family history of CHD or any lipid abnormalities. After a fasting blood specimen and urine specimen are obtained, laboratory findings are as follows (healthy reference intervals are in parentheses): serum albumin 1.8 g/dL (3.5–5.5 g/dL), total serum cholesterol 215 mg/dL, LDL cholesterol 130 mg/dL, serum triglyceride 250 mg/dL, serum blood urea nitrogen (BUN) 23 mg/dL, heavy urine protein (normal is negative), and 1+ urine blood (normal is negative). All other laboratory values were normal. These findings are most compatible with

A physician asks your laboratory to begin performing thyroid…

A physician asks your laboratory to begin performing thyroid-stimulating hormone (TSH) analyses on all specimens that have a free thyroxine (FT4) analysis ordered, a practice that your laboratory currently does not perform. Your laboratory typically performs TSH only on those FT4 specimens that are outside the population-based reference interval. The physician suggests using subject-based reference intervals, claiming that population-based intervals are clinically insensitive. What is the basis of this claim?