USMLE Laboratory Values

* Included in the Biochemical Profile (SMA-12)

BLOOD, PLASMA, SERUM

REFERENCE RANGE

SI REFERENCE
INTERVALS

* Alanine aminotransferase (ALT),

serum

820 U/L

820 U/L

Amylase, serum

25125 U/L

25125 U/L

* Aspartate aminotransferase (AST),

serum

820 U/L

820 U/L

Bilirubin, serum (adult) Total // Direct

0.11.0 mg/dL // 0.00.3 mg/dL

217 mol/L // 05 mol/L

* Calcium, serum (Ca )

8.410.2 mg/dL

2.12.8 mmol/L

* Cholesterol, serum

Rec:<200 mg/dL

<5.2 mmol/L

Cortisol, serum

0800 h: 523 g/dL // 1600 h: 315 138635 nmol/L // 82413

g/dL
nmol/L

2+

2000 h: < 50% of 0800 h

Fraction of 0800 h: < 0.50

Male: 2590 U/L

2590 U/L

Female: 1070 U/L

1070 U/L

0.61.2 mg/dL

53106 mol/L

136145 mEq/L

136145 mmol/L

3.55.0 mEq/L

3.55.0 mmol/L

95105 mEq/L

95105 mmol/L

2228 mEq/L

2228 mmol/L

1.52.0 mEq/L

0.751.0 mmol/L

2428 wks // 3236 wks

30170 ng/mL // 60280 ng/mL

104590 nmol/L // 208970

nmol/L

2832 wks // 3640 wks

40220 ng/mL // 80350 ng/mL

140760 nmol/L // 2801210

nmol/L

Male: 15200 ng/mL

15200 g/L

Female: 12150 ng/mL

12150 g/L

Male: 425 mIU/mL

425 U/L

Female: premenopause 430

mIU/mL

430 U/L

Creatine kinase, serum

* Creatinine, serum
Electrolytes, serum
Sodium (Na+)
+

* Potassium (K )
-

Chloride (Cl )
-

Bicarbonate (HCO3 )
2+

Magnesium (Mg )
Estriol, total, serum (in pregnancy)

Ferritin, serum
Follicle-stimulating hormone,
serum/plasma

midcycle peak 1090 mIU/mL

1090 U/L

postmenopause 40250 mIU/mL 40250 U/L

Gases, arterial blood (room air)

pH

7.357.45

[H+] 3644 nmol/L

PCO2

3345 mm Hg

4.45.9 kPa

PO2

75105 mm Hg

10.014.0 kPa

Fasting: 70110 mg/dL

3.86.1 mmol/L

2-h postprandial: < 120 mg/dL

< 6.6 mmol/L

Fasting: < 5 ng/mL

< 5 g/L

* Glucose, serum
Growth hormone - arginine stimulation

provocative stimuli: > 7 ng/mL

> 7 g/L

Immunoglobulins, serum
IgA

76-390 mg/dL

0.763.90 g/L

IgE

0380 IU/mL

0380 kIU/L

IgG

6501500 mg/dL

6.515 g/L

IgM

40345 mg/dL

0.43.45 g/L

Iron

50170 g/dL

930 mol/L

Lactate dehydrogenase, serum

4590 U/L

4590 U/L

Luteinizing hormone, serum/plasma

Male: 623 mIU/mL

623 U/L

Female: follicular phase 530

mIU/mL

530 U/L

midcycle 75150 mIU/mL

75150 U/L

postmenopause 30200 mIU/mL 30200 U/L

Osmolality, serum
Parathyroid hormone, serum, N-terminal

275295 mOsmol/kg H2O

275295 mOsmol/kg H2O

230630 pg/mL

230630 ng/L

* Phosphatase (alkaline), serum (p-NPP

2070 U/L
at 30C)

2070 U/L

* Phosphorus (inorganic), serum

3.04.5 mg/dL

1.01.5 mmol/L

Prolactin, serum (hPRL)

< 20 ng/mL

< 20 g/L

Total (recumbent)

6.07.8 g/dL

6078 g/L

Albumin

3.55.5 g/dL

3555 g/L

Globulin

2.33.5 g/dL

2335 g/L

* Proteins, serum

Thyroid-stimulating hormone, serum or

0.55.0 U/mL
plasma

0.55.0 mU/L

Thyroidal iodine (123I) uptake

8%30% of administered dose/24

0.080.30/24 h
h

Thyroxine (T4), serum

512 g/dL

64155 nmol/L

Triglycerides, serum

35160 mg/dL

0.41.81 mmol/L

Triiodothyronine (T3), serum (RIA)

115190 ng/dL

1.82.9 nmol/L

Triiodothyronine (T3) resin uptake

25%35%

0.250.35

* Urea nitrogen, serum

718 mg/dL

1.23.0 mmol/L

* Uric acid, serum

3.08.2 mg/dL

0.180.48 mmol/L

USMLE Laboratory Values

HEMATOLOGIC

REFERENCE RANGE

Bleeding time (template)

27 minutes

Erythrocyte count

SI REFERENCE INTERVALS
27 minutes

Male: 4.35.9 million/mm

4.35.9 x 1012/L

Female: 3.55.5 million/mm3

3.55.5 x 1012/L

Male: 015 mm/h

015 mm/h

Female: 020 mm/h

020 mm/h

Male: 41%53%

0.410.53

Female: 36%46%

0.360.46

Hemoglobin A1C

< 6%

< 0.06%

Hemoglobin, blood

Male: 13.517.5 g/dL

2.092.71 mmol/L

Female: 12.016.0 g/dL

1.862.48 mmol/L

14 mg/dL

0.160.62 mmol/L

Leukocyte count

450011,000/mm3

4.511.0 x 109/L

Segmented neutrophils

54%62%

0.540.62

Bands

3%5%

0.030.05

Eosinophils

1%3%

0.010.03

Basophils

0%0.75%

00.0075

Lymphocytes

25%33%

0.250.33

Monocytes

3%7%

0.030.07

Mean corpuscular hemoglobin

25.434.6 pg/cell

0.390.54 fmol/cell

Mean corpuscular hemoglobin

concentration

31%36% Hb/cell

4.815.58 mmol Hb/L

Mean corpuscular volume

80100 m3

80100 fL

Partial thromboplastin time (activated)

2540 seconds

Erythrocyte sedimentation rate

(Westergren)
Hematocrit

Hemoglobin, plasma
Leukocyte count and differential

2540 seconds
3

150400 x 109/L

Platelet count

150,000400,000/mm

Prothrombin time

1115 seconds

1115 seconds

Reticulocyte count

0.5%1.5%

0.0050.015

Thrombin time

<2 seconds deviation from

control

<2 seconds deviation from

control

Male: 2543 mL/kg

0.0250.043 L/kg

Female: 2845 mL/kg

0.0280.045 L/kg

Male: 2036 mL/kg

0.0200.036 L/kg

Female: 1931 mL/kg

0.0190.031 L/kg

Volume
Plasma
Red cell

USMLE Laboratory Values

CEREBROSPINAL FLUID

REFERENCE RANGE
3

SI REFERENCE INTERVALS
05 x 106/L

Cell count

05/mm

Chloride

118132 mEq/L

118132 mmol/L

Gamma globulin

3%12% total proteins

0.030.12

Glucose

4070 mg/dL

2.23.9 mmol/L

Pressure

70180 mm H2O

70180 mm H2O

Proteins, total

<40 mg/dL

<0.40 g/L

USMLE Laboratory Values

SWEAT

REFERENCE RANGE

SI REFERENCE INTERVALS

Chloride

035 mmol/L

035 mmol/L

Calcium

100300 mg/24 h

2.57.5 mmol/24 h

Chloride

Varies with intake

Varies with intake

Creatinine clearance

Male: 97137 mL/min

URINE

Female: 88128 mL/min

Estriol, total (in pregnancy)
30 wks

618 mg/24 h

2162 mol/24 h

35 wks

928 mg/24 h

3197 mol/24 h

40 wks

1342 mg/24 h

45146 mol/24 h

Male: 3.010.0 mg/24 h

8.227.6 mol/24 h

Female: 2.08.0 mg/24 h

5.522.0 mol/24 h

Male: 820 mg/24 h

2870 mol/24 h

Female: 615 mg/24 h

2152 mol/24 h

17-Hydroxycorticosteroids
17-Ketosteroids, total
Osmolality

501400 mOsmol/kg H2O

Oxalate

840 g/mL

90445 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

BODY MASS INDEX (BMI)

Adult: 1925 kg/m2

Source: Fred 1USMLE Step 1 Orientation Program

http://usmle.org/Orientation/2009/menu.html