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NBME Laboratory Reference Values

The document provides a comprehensive list of laboratory values, including reference ranges for various serum tests, hepatic function tests, lipid profiles, iron studies, endocrine markers, immunoglobulins, arterial blood gases, cerebrospinal fluid analysis, hematologic parameters, coagulation tests, and urine analysis. Each section includes normal reference ranges and SI reference intervals for both males and females where applicable. Additionally, it outlines the body mass index (BMI) reference for adults.

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0% found this document useful (0 votes)
86 views4 pages

NBME Laboratory Reference Values

The document provides a comprehensive list of laboratory values, including reference ranges for various serum tests, hepatic function tests, lipid profiles, iron studies, endocrine markers, immunoglobulins, arterial blood gases, cerebrospinal fluid analysis, hematologic parameters, coagulation tests, and urine analysis. Each section includes normal reference ranges and SI reference intervals for both males and females where applicable. Additionally, it outlines the body mass index (BMI) reference for adults.

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NIMISH
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© © All Rights Reserved
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Laboratory Values

Reference Range SI Reference Intervals

SERUM
General Chemistry:
Electrolytes
Sodium (Na+) 136–146 mEq/L 136–146 mmol/L
Potassium (K+) 3.5–5.0 mEq/L 3.5–5.0 mmol/L
Chloride (Cl–) 95–105 mEq/L 95–105 mmol/L
Bicarbonate (HCO3–) 22–28 mEq/L 22–28 mmol/L
Urea nitrogen 7–18 mg/dL 2.5–6.4 mmol/L
Creatinine 0.6–1.2 mg/dL 53–106 μmol/L
Fasting: 70–100 mg/dL 3.8–5.6 mmol/L
Glucose
Random, non-fasting: <140 mg/dL <7.77 mmol/L
Calcium 8.4–10.2 mg/dL 2.1–2.6 mmol/L
Magnesium (Mg2+) 1.5–2.0 mg/dL 0.75–1.0 mmol/L
Phosphorus (inorganic) 3.0–4.5 mg/dL 1.0–1.5 mmol/L

Hepatic:
Alanine aminotransferase (ALT) 10–40 U/L 10–40 U/L
Aspartate aminotransferase (AST) 12–38 U/L 12–38 U/L
Alkaline phosphatase 25–100 U/L 25–100 U/L
Bilirubin, total // direct 0.1–1.0 mg/dL // 0.0–0.3 mg/dL 2–17 μmol/L // 0–5 μmol/L
Proteins, total 6.0–7.8 g/dL 60–78 g/L
Albumin 3.5–5.5 g/dL 35–55 g/L
Globulin 2.3–3.5 g/dL 23–35 g/L

Other, serum:
Amylase 25–125 U/L 25–125 U/L
Lipase 13–60 U/L 13–60 U/L
Male: 97–137 mL/min 97–137 mL/min
Creatinine clearance
Female: 88–128 mL/min 88–128 mL/min
Male: 25–90 U/L 25–90 U/L
Creatine kinase
Female: 10–70 U/L 10–70 U/L
Lactate dehydrogenase 45–200 U/L 45–200 U/L
Osmolality 275–295 mOsmol/kg H2O 275–295 mOsmol/kg H2O
Troponin I ≤0.04 ng/mL ≤0.04 µg/L
Uric acid 3.0–8.2 mg/dL 0.18–0.48 mmol/L

1 | Laboratory Values
Laboratory Values (continued)
Reference Range SI Reference Intervals

Lipids:
Cholesterol
Total Normal: <200 mg/dL <5.2 mmol/L
High: >240 mg/dL >6.2 mmol/L
HDL 40–60 mg/dL 1.0–1.6 mmol/L
LDL <160 mg/dL <4.2 mmol/L
Normal: <150 mg/dL <1.70 mmol/L
Triglycerides
Borderline: 151–199 mg/dL 1.71–2.25 mmol/L

Iron Studies:
Male: 20–250 ng/mL 20–250 μg/L
Ferritin
Female: 10–120 ng/mL 10–120 μg/L
Male: 65–175 µg/dL 11.6–31.3 μmol/L
Iron
Female: 50–170 μg/dL 9.0–30.4 μmol/L
Total iron-binding capacity 250–400 µg/dL 44.8–71.6 μmol/L
Transferrin 200–360 mg/dL 2.0–3.6 g/L

Endocrine:
Male: 4–25 mIU/mL 4–25 IU/L
Female: premenopause 4–30 mIU/mL 4–30 IU/L
Follicle-stimulating hormone
midcycle peak 10–90 mIU/mL 10–90 IU/L
postmenopause 40–250 mIU/mL 40–250 IU/L
Male: 6–23 mIU/mL 6–23 IU/L
Female: follicular phase 5–30 mIU/mL 5–30 IU/L
Luteinizing hormone
midcycle 75–150 mIU/mL 75–150 IU/L
postmenopause 30–200 mIU/mL 30–200 IU/L
Fasting: <5 ng/mL <5 μg/L
Growth hormone - arginine stimulation
Provocative stimuli: >7 ng/mL >7 μg/L
Male: <17 ng/mL <17 μg/L
Prolactin (hPRL)
Female: <25 ng/mL <25 μg/L
0800 h: 5–23 μg/dL 138–635 nmol/L
Cortisol 1600 h: 3–15 μg/dL 82–413 nmol/L
2000 h: <50% of 0800 h Fraction of 0800 h: <0.50
TSH 0.4–4.0 μU/mL 0.4–4.0 mIU/L
Triiodothyronine (T3) (RIA) 100–200 ng/dL 1.5–3.1 nmol/L
Triiodothyronine (T3) resin uptake 25%–35% 0.25–0.35
Thyroxine (T4) 5–12 μg/dL 64–155 nmol/L
Free T4 0.9–1.7 ng/dL 12.0–21.9 pmol/L
Thyroidal iodine (123I) uptake 8%–30% of administered dose/24 h 0.08–0.30/24 h
Intact PTH 10–60 pg/mL 10–60 ng/L
Male: 3.0–10.0 mg/24 h 8.2–27.6 μmol/24 h
17-Hydroxycorticosteroids
Female: 2.0–8.0 mg/24 h 5.5–22.0 μmol/24 h
Male: 8–20 mg/24 h 28–70 μmol/24 h
17-Ketosteroids, total
Female: 6–15 mg/24 h 21–52 μmol/24 h

2 | Laboratory Values
Laboratory Values (continued)

Reference Range SI Reference Intervals

Immunoglobulins:
IgA 76–390 mg/dL 0.76–3.90 g/L
IgE 0–380 IU/mL 0–380 kIU/L
IgG 650–1500 mg/dL 6.5–15.0 g/L
IgM 50–300 mg/dL 0.5–3.0 g/L

GASES, ARTERIAL BLOOD (ROOM AIR)


Po2 75–105 mm Hg 10.0–14.0 kPa
Pco2 33–45 mm Hg 4.4–5.9 kPa
pH 7.35–7.45 [H+] 36–44 nmol/L

CEREBROSPINAL FLUID
Cell count 0–5/mm3 0–5 × 106/L
Chloride 118–132 mEq/L 118–132 mmol/L
Gamma globulin 3%–12% total proteins 0.03–0.12
Glucose 40–70 mg/dL 2.2–3.9 mmol/L
Pressure 70–180 mm H2O 70–180 mm H2O
Proteins, total <40 mg/dL <0.40 g/L

HEMATOLOGIC
Complete Blood Count:
Male: 41%–53% 0.41–0.53
Hematocrit
Female: 36%–46% 0.36–0.46
Male: 13.5–17.5 g/dL 135–175 g/L
Hemoglobin, blood
Female: 12.0–16.0 g/dL 120–160 g/L
Mean corpuscular hemoglobin (MCH) 25–35 pg/cell 0.39–0.54 fmol/cell
Mean corpuscular hemoglobin conc.
31%–36% Hb/cell 4.8–5.6 mmol Hb/L
(MCHC)
Mean corpuscular volume (MCV) 80–100 μm3 80–100 fL
Volume
Male: 25–43 mL/kg 0.025–0.043 L/kg
Plasma
Female: 28–45 mL/kg 0.028–0.045 L/kg
Male: 20–36 mL/kg 0.020–0.036 L/kg
Red cell
Female: 19–31 mL/kg 0.019–0.031 L/kg
Leukocyte count (WBC) 4500–11,000/mm3 4.5–11.0 × 109/L
Neutrophils, segmented 54%–62% 0.54–0.62
Neutrophils, bands 3%–5% 0.03–0.05
Lymphocytes 25%–33% 0.25–0.33
Monocytes 3%–7% 0.03–0.07
Eosinophils 1%–3% 0.01–0.03
Basophils 0%–0.75% 0.00–0.0075
Platelet count 150,000–400,000/mm3 150–400 × 109/L

3 | Laboratory Values
Laboratory Values (continued)
Reference Range SI Reference Intervals

Coagulation:
Partial thromboplastin time (PTT/aPTT)
25–40 seconds 25–40 seconds
(activated)
Prothrombin time (PT) 11–15 seconds 11–15 seconds
D-dimer ≤250 ng/mL ≤1.4 nmol/L

Other, Hematologic:
Reticulocyte count 0.5%–1.5% 0.005–0.015
Male: 4.3–5.9 million/mm3 4.3–5.9 × 1012/L
Erythrocyte count (RBC)
Female: 3.5–5.5 million/mm3 3.5–5.5 × 1012/L
Erythrocyte sedimentation rate Male: 0–15 mm/h 0–15 mm/h
(Westergren) Female: 0–20 mm/h 0–20 mm/h
CD4+ T-lymphocyte count ≥500/mm3 ≥0.5 × 109/L

Endocrine:
Hemoglobin A1c ≤6% ≤42 mmol/mol

URINE
Calcium 100–300 mg/24 h 2.5–7.5 mmol/24 h
Osmolality 50–1200 mOsmol/kg H2O 50–1200 mOsmol/kg H2O
Oxalate 8–40 μg/mL 90–445 μmol/L
Proteins, total <150 mg/24 h <0.15 g/24 h

BODY MASS INDEX (BMI) Adult: 19–25 kg/m2

4 | Laboratory Values

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