USMLE Step 2 CK Laboratory Values

BLOOD, PLASMA, SERUM

* Alanine aminotransferase (ALT), serum............... 8-20 U/L ................................................. 8-20 U/L
Amylase, serum................................................... 25-125 U/L.............................................. 25-125 U/L
* Aspartate aminotransferase (AST), serum............. 8-20 U/L.................................................. 8-20 U/L
Bilirubin, serum (adult) Total // Direct.................. 0.1-1.0 mg/dL // 0.0-0.3 mg/dL ............... 2-17 mol/L // 0-5 mol/L
* Calcium, serum (Ca2+).......................................... 8.4-10.2 mg/dL........................................ 2.1-2.8 mmol/L
* Cholesterol, serum............................................... Rec:<200 mg/dL ..................................... <5.2 mmol/L
Cortisol, serum..................................................... 0800 h: 5-23 g/dL // 1600 h: 3-15 g/dL 138-635 nmol/L // 82-413 nmol/L
2000 h: < 50% of 0800 h.......................... Fraction of 0800 h: < 0.50
Creatine kinase, serum......................................... Male: 25-90 U/L ..................................... 25-90 U/L
Female: 10-70 U/L .................................. 10-70 U/L
* Creatinine, serum................................................. 0.6-1.2 mg/dL ......................................... 53-106 mol/L
Electrolytes, serum
Sodium (Na+)..................................................... 136-145 mEq/L........................................ 136-145 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
Magnesium (Mg2+)............................................. 1.5-2.0 mEq/L ......................................... 0.75-1.0 mmol/L
Estriol, total, serum (in pregnancy)
24-28 wks // 32-36 wks ...................................... 30-170 ng/mL // 60-280 ng/mL ............... 104-590 nmol/L // 208-970 nmol/L
28-32 wks // 36-40 wks ...................................... 40-220 ng/mL // 80-350 ng/mL ............... 140-760 nmol/L // 280-1210 nmol/L
Ferritin, serum ..................................................... Male: 15-200 ng/mL ............................... 15-200 g/L
Female: 12-150 ng/mL ............................ 12-150 g/L
Follicle-stimulating hormone, serum/plasma ........ Male: 4-25 mIU/mL ................................ 4-25 U/L
Female: premenopause 4-30 mIU/mL ...... 4-30 U/L
midcycle peak 10-90 mIU/mL .............. 10-90 U/L
postmenopause 40-250 mIU/mL ........... 40-250 U/L
Gases, arterial blood (room air)
pH .................................................................... 7.35-7.45 ................................................ [H+] 36-44 nmol/L
PCO2 .................................................................. 33-45 mm Hg .......................................... 4.4-5.9 kPa
PO2 .................................................................... 75-105 mm Hg ........................................ 10.0-14.0 kPa
* Glucose, serum .................................................... Fasting: 70-110 mg/dL ............................ 3.8-6.1 mmol/L
2-h postprandial: < 120 mg/dL ............... < 6.6 mmol/L
Growth hormone - arginine stimulation ................ Fasting: < 5 ng/mL .................................. < 5 g/L
provocative stimuli: > 7 ng/mL ............. > 7 g/L
Immunoglobulins, serum
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 g/L
IgM ................................................................... 40-345 mg/dL ......................................... 0.4-3.45 g/L
Iron ..................................................................... 50-170 g/dL .......................................... 9-30 mol/L
Lactate dehydrogenase, serum.............................. 45-90 U/L................................................ 45-90 U/L
Luteinizing hormone, serum/plasma .................... Male: 6-23 mIU/mL ................................ 6-23 U/L
Female: follicular phase 5-30 mIU/mL .... 5-30 U/L
midcycle 75-150 mIU/mL..................... 75-150 U/L
postmenopause 30-200 mIU/mL ........... 30-200 U/L
Osmolality, serum................................................ 275-295 mOsmol/kg H2O......................... 275-295 mOsmol/kg H2O
Parathyroid hormone, serum, N-terminal ............. 230-630 pg/mL ....................................... 230-630 ng/L
* Phosphatase (alkaline), serum (p-NPP at 30EC) ... 20-70 U/L ............................................... 20-70 U/L
* Phosphorus (inorganic), serum............................. 3.0-4.5 mg/dL ......................................... 1.0-1.5 mmol/L
Prolactin, serum (hPRL) ...................................... < 20 ng/mL ............................................. < 20 g/L
* Proteins, serum
Total (recumbent) .............................................. 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
Thyroid-stimulating hormone, serum or plasma .... 0.5-5.0 U/mL ........................................ 0.5-5.0 mU/L
Thyroidal iodine (123I) uptake ............................... 8%-30% of administered dose/24 h .......... 0.08-0.30/24 h
Thyroxine (T4), serum.......................................... 5-12 g/dL .............................................. 64-155 nmol/L
Triglycerides, serum............................................. 35-160 mg/dL.......................................... 0.4-1.81 mmol/L
Triiodothyronine (T3), serum (RIA) ..................... 115-190 ng/dL ........................................ 1.8-2.9 nmol/L
Triiodothyronine (T3) resin uptake........................ 25%-35% ................................................ 0.25-0.35
* Urea nitrogen, serum ........................................... 7-18 mg/dL ............................................. 1.2-3.0 mmol/L
* Uric acid, serum................................................... 3.0-8.2 mg/dL ......................................... 0.18-0.48 mmol/L
BODY MASS INDEX (BMI)

Body mass index....................................................Adult: 19-25 kg/m2

CEREBROSPINAL FLUID
Cell count .............................................................. 0-5/mm3..........................................................0-5 x 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
Bleeding time (template) ....................................... 2-7 minutes.....................................................2-7 minutes
Erythrocyte count...................................................Male: 4.3-5.9 million/mm3 ..............................4.3-5.9 x 1012/L
Female: 3.5-5.5 million/mm3 ...........................3.5-5.5 x 1012/L
Erythrocyte sedimentation rate (Westergren) ..........Male: 0-15 mm/h ...........................................0-15 mm/h
Female: 0-20 mm/h.........................................0-20 mm/h
Hematocrit ............................................................Male: 41%-53% .............................................0.41-0.53
Female: 36%-46%...........................................0.36-0.46
Hemoglobin A1c..................................................... < 6%...............................................................< 0.06
Hemoglobin, blood ................................................Male: 13.5-17.5 g/dL ......................................2.09-2.71 mmol/L
Female: 12.0-16.0 g/dL...................................1.86-2.48 mmol/L
Hemoglobin, plasma .............................................. 1-4 mg/dL.......................................................0.16-0.62 mmol/L
Leukocyte count and differential
Leukocyte count................................................... 4500-11,000/mm3 ...........................................4.5-11.0 x 109/L
Segmented neutrophils ....................................... 54%-62% .......................................................0.54-0.62
Bands................................................................. 3%-5% ...........................................................0.03-0.05
Eosinophils ....................................................... 1%-3% ...........................................................0.01-0.03
Basophils ........................................................... 0%-0.75%.......................................................0-0.0075
Lymphocytes ..................................................... 25%-33%........................................................0.25-0.33
Monocytes ........................................................ 3%-7% ...........................................................0.03-0.07
Mean corpuscular hemoglobin................................ 25.4-34.6 pg/cell ............................................0.39-0.54 fmol/cell
Mean corpuscular hemoglobin concentration ......... 31%-36% Hb/cell ...........................................4.81-5.58 mmol Hb/L
Mean corpuscular volume ..................................... 80-100 m3 .....................................................80-100 fL
Partial thromboplastin time (activated) .................. 25-40 seconds .................................................25-40 seconds
Platelet count ......................................................... 150,000-400,000/mm3.....................................150-400 x 109/L
Prothrombin time................................................... 11-15 seconds .................................................11-15 seconds
Reticulocyte count ................................................. 0.5%-1.5%......................................................0.005-0.015
Thrombin time.................................... <2 seconds deviation from control ................<2 seconds deviation from control
Volume
Plasma ................................................................Male: 25-43 mL/kg .........................................0.025-0.043 L/kg
Female: 28-45 mL/kg......................................0.028-0.045 L/kg
Red cell ...............................................................Male: 20-36 mL/kg ........................................0.020-0.036 L/kg
Female: 19-31 mL/kg .....................................0.019-0.031 L/kg
SWEAT
Chloride................................................................. 0-35 mmol/L ..................................................0-35 mmol/L
URINE
Calcium ................................................................ 100-300 mg/24 h.............................................2.5-7.5 mmol/24 h
Chloride.................................................................Varies with intake ...........................................Varies with intake
Creatinine clearance...............................................Male: 97-137 mL/min
Female: 88-128 mL/min
Estriol, total (in pregnancy)
30 wks ................................................................. 6-18 mg/24 h...................................................21-62 mol/24 h
35 wks ................................................................. 9-28 mg/24 h...................................................31-97 mol/24 h
40 wks ................................................................. 13-42 mg/24 h.................................................45-146 mol/24 h
17-Hydroxycorticosteroids ....................................Male: 3.0-10.0 mg/24 h ...................................8.2-27.6 mol/24 h
Female: 2.0-8.0 mg/24 h..................................5.5-22.0 mol/24 h
17-Ketosteroids, total .............................................Male: 8-20 mg/24 h.........................................28-70 mol/24 h
Female: 6-15 mg/24 h .....................................21-52 mol/24 h
Osmolality ............................................................ 50-1400 mOsmol/kg H2O
Oxalate .................................................................. 8-40 g/mL ....................................................90-445 mol/L
Potassium .............................................................Varies with diet...............................................Varies with diet
Proteins, total ........................................................ <150 mg/24 h .................................................<0.15 g/24 h
Sodium .................................................................Varies with diet...............................................Varies with diet
Uric acid................................................................Varies with diet...............................................Varies with diet