A 75 year old man presents with a long history of shortness of breath and ankle oedema. His serum biochemistry shows sodium 122 mmols/l and potassium of 2.9 mmols/l. He now complains of weakness.Which of the following is likely to explain the above biochemical picture? 1) Addison's Disease 2) Nephrotic syndrome 3) Primary hyperaldosteronism 4) SIADH 5) Diuretic therapy

A 75 year old man presents with a long history of shortness of breath and ankle oedema. His serum biochemistry shows sodium 122 mmols/l and potassium of 2.9 mmols/l. He now complains of weakness.Which of the following is likely to explain the above biochemical picture? 1) Addison's Disease 2) Nephrotic syndrome 3) Primary hyperaldosteronism 4) SIADH 5) Diuretic therapy
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Answers-5 The long history of his symptoms and serum biochemistry suggests that his condition is due to treatment with frusemide for CCF.
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A 15-year-old girl was seen by her family physician because of increasing lethargy. She had a recent history of the "flu". Biochemistry tests show that she has renal impairement. serum sodium 140 mmol/L (137 - 144) serum potassium 4.2 mmol/L (3.5 - 4.9) serum urea 28 mol/L (2.5 - 7.5) serum creatinine 280 µmol/L (60 - 110) Her condition does not improve after several weeks on corticosteroid therapy, so a renal biopsy is performed. The biopsy demonstrates the presence of segmental sclerosis of 3 of 10 glomeruli identified in the biopsy specimen. Immunofluorescence studies and electron microscopy do not reveal evidence for immune deposits. What is the most appropriate advice to give regarding her condition? 1) She has an underlying malignancy 2) She may require a renal transplant in 10 years

Description : A 15-year-old girl was seen by her family physician because of increasing lethargy. She had a recent history of the "flu". Biochemistry tests show that she has renal impairement. ... will likely develop a restrictive lung disease 5) She will probably improve with additional corticosteroid therapy

Last Answer : Answers-2 The findings point to focal segmental glomerulosclerosis (FSGS), which leads to chronic renal failure in half of cases. The lack of resolution with corticosteroid therapy and the progression to chronic renal failure is what sets FSGS apart from minimal change disease.

A 68-year-old male who underwent a repair of an abdominal aortic aneurysm 5 days ago, develops tachycardia, tachypnea, hypotension with cool, pale, mottled cyanotic extremities. He is agitated and complains of shortness of breath. Which of the following statement(s) is/ are correct concerning his diagnosis and management? a. Myocardial ischemia secondary to preexisting coronary artery disease is most likely the underlying cause of this problem b. Invasive hemodynamic monitoring with a Swan-Gantz catheter will demonstrate a low cardiac output, a high systemic vascular resistance, and elevated cardiac filling pressures c. The use of morphine sulphate and nitrates should be part of the initial management d. The primary pharmacologic treatment involves the use of moderate doses of inotropic ag

Description : A 68-year-old male who underwent a repair of an abdominal aortic aneurysm 5 days ago, develops tachycardia, tachypnea, hypotension with cool, pale, mottled cyanotic extremities. He ... use of moderate doses of inotropic agents e. Afterload reduction with nitroprusside is absolutely contraindicated

Last Answer : Answer: a, b, d Intrinsic cardiogenic shock results from failure of the heart as an effective pump. Coronary artery disease is the most common cause of myocardial ... hemodynamic monitoring. Infusion of afterload-reducing agents can be administered in conjunction with inotropic support

A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks modest quantities of alcohol. He takes no prescribed medications. Examination reveals a BMI of 33.5 kg/2 but nil else. The following detail his investigations: Serum sodium 146 mmol/l (NR 133-145) Serum potassium 3.2 mmol/l (NR 3.5 - 5) Urinary potassium excretion 42 mmol/l (NR less than 30) What is the likely diagnosis? 1) Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Description : A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks ... Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Last Answer : Answers-1 This patient is most likely to have Conn's syndrome as reflected by the hypokalaemic hypertension. Liquorice ingestion or Liddle's syndrome are again possible causes of ... hypertension (often diastolic hypertension), muscular weakness, paresthesias, headache, polyuria, and polydipsia."

a 20 year old medical student presents with five years history of weight gain, irregular periods and worsening fascial hair. What is the most likely diagnosis? a) Polycystic ovarian disease. b) Hypothyroidism. c) Obesity. d) Cushing’s Syndrome. e) Nephrotic Syndrome.

Description : a 20 year old medical student presents with five years history of weight gain, irregular periods and worsening fascial hair. What is the most likely diagnosis? a) Polycystic ovarian disease. b) Hypothyroidism. c) Obesity. d) Cushing’s Syndrome. e) Nephrotic Syndrome.

Last Answer : a) Polycystic ovarian disease.

Serum biochemistry of a 60 year old man revealed calcium of 1.98 mmol/l and phosphate of 0.55 mmol/l with an alkaline phosphatase of 450 IU/l.Which among the following mosts suits with the above serum biochemistry? 1) Osteoporosis 2) Osteomalacia 3) Pagets Disease 4) Secondary Hyperparathyroidism 5) Renal failure

Description : Serum biochemistry of a 60 year old man revealed calcium of 1.98 mmol/l and phosphate of 0.55 mmol/l with an alkaline phosphatase of 450 IU/l.Which among the following mosts suits ... biochemistry? 1) Osteoporosis 2) Osteomalacia 3) Pagets Disease 4) Secondary Hyperparathyroidism 5) Renal failure

Last Answer : Answers-2 Osteomalacia is associated with low calcium and phosphate with raised alkaline phosphatase. Serum biochemistry is normal in osteoporosis. Pagets disease is associated with normal ... renal failure when tertiary hyperparathyroidism sets in there is low calcium with raised phosphate.

A 19 year-old female is referred following a visit to the dentist where marked erosion of her teeth was noted. She was entirely asymptomatic and her only medication was the oral contraceptive pill. On examination her blood pressure was 110/70 mmHg and her body mass index was 21.5 kg/m2 (18 - 25). Investigations sodium 135 mmol/l potassium 2.1 mmol/l bicarbonate 42 mmol/l urea 2.6 mol/L corrected calcium 2.08 mmol/ alkaline phosphatase 201 iu/l (50-110) What is the most likely diagnosis? 1) Bulimia nervosa 2) Conn's syndrome 3) Laxative abuse 4) Pregnancy 5) Primary hypoparathyroidism

Description : A 19 year-old female is referred following a visit to the dentist where marked erosion of her teeth was noted. She was entirely asymptomatic and her only medication was the oral contraceptive pill ... ) Bulimia nervosa 2) Conn's syndrome 3) Laxative abuse 4) Pregnancy 5) Primary hypoparathyroidism

Last Answer : Answers-5 This patient has tooth erosion associated with hypokalaemic metabolic alkalosis and hypocalcaemia. This suggests a diagnosis of hypoparathyroidism. Conn's is unlikely in this age group, is ... raised alkaline phosphatase would not be expected. Early pregnancy would not fit this picture.

A 35 year old male presents with weakness and tiredness. He is noted to be hyertensive. Electrolytes show a hypokalaemia and a hypomagnesaemia. What investigation would you select for this patient? 1) Colonoscopy 2) Plasma renin toaldosterone ratio 3) Serum amylase 4) Serum calcium 5) Oral glucose tolerance test

Description : A 35 year old male presents with weakness and tiredness. He is noted to be hyertensive. Electrolytes show a hypokalaemia and a hypomagnesaemia. What investigation would you select for this patient? ... Plasma renin toaldosterone ratio 3) Serum amylase 4) Serum calcium 5) Oral glucose tolerance test

Last Answer : Answers-2 The hypokalaemic hypertension with hypomagnesaemia suggests primary hyperaldosteronism. The most reliable assessment for this would be renin to aldosterone ratio.

A 16 year old male with a day history of malaise, weakness and vomiting. He was diagnosed with Insulin dependent diabetes mellitus 3 years prviously. Which ONE of the following supports a diagnosis of diabetic ketoacidosis: 1) Abdominal pain at onset 2) A serum bicarbonate of 10 mmol/l 3) A serum glucose 14 mmol/l 4) Decreased appetite in the past few days 5) Shallow respirations

Description : A 16 year old male with a day history of malaise, weakness and vomiting. He was diagnosed with Insulin dependent diabetes mellitus 3 years prviously. Which ONE of the following supports a diagnosis of ... serum glucose 14 mmol/l 4) Decreased appetite in the past few days 5) Shallow respirations

Last Answer : Answers-2 a-An unusual but recognised feature particularly in children. However does not support a diagnosis of DKA. b-Suggests metabolic acidosis. c-'Normoglycaemic DKA' can occur and a glucose ... anorexia. e-Respiratory compensation leads to rapid deep (Kussmaul's) breathing. (Dr Mike Mulcahy)

A 75-year-old man had been receiving gentamicin (an aminoglycoside antibiotic) to treat an urinary tract infection. After three months of therapy patient's serum creatinine levels were 10 mg/dL ( normal 0.5-1.2) and serum gentamicin concentrations obtained just before the last dose were 9 mg/dL (normal < 2). Which of the following is the most likely adverse drug reaction the patient was suffering from? a) Type II allergic reaction b)Type III allergic reaction c) Pseudo allergic reaction d) Overdose toxicity

Description : A 75-year-old man had been receiving gentamicin (an aminoglycoside antibiotic) to treat an urinary tract infection. After three months of therapy patient's serum creatinine levels were 10 mg/ ... Type II allergic reaction b)Type III allergic reaction c) Pseudo allergic reaction d) Overdose toxicity

Last Answer : d) Overdose toxicity 

The oedema of nephrotic syndrome is best classified as C A. Hypovolemic B. Obstructive C. Oncotic D. viraemic

Description : The oedema of nephrotic syndrome is best classified as C A. Hypovolemic B. Obstructive C. Oncotic D. viraemic

Last Answer : Oncotic

Serum potassium level decreases in (A) Familial periodic paralysis (B) Addison’s disease (C) Renal failure (D) All of these

Description : Serum potassium level decreases in (A) Familial periodic paralysis (B) Addison’s disease (C) Renal failure (D) All of these

Last Answer : Answer : A

Which of the following features would be expected on lipid analysis in a 57 year old female with two year history of primary biliary cirrhosis? 1) A lipaemic appearance of the serum would be expected. 2) is treated with clofibrate therapy 3) is characteristically associated with tendon xanthomas 4) is characteristically associated with palmar xanthomas 5) No evidence of a dyslipidaemia would be expected with this short a duration of disease

Description : Which of the following features would be expected on lipid analysis in a 57 year old female with two year history of primary biliary cirrhosis? 1) A lipaemic appearance of the serum would be ... xanthomas 5) No evidence of a dyslipidaemia would be expected with this short a duration of disease

Last Answer : Answers-4 In prolonged cholestasis features include: increased serum cholesterol, a moderate increase in triglyceride, the serum is not lipaemic, and reduced HDL levels. Clinical features include: ... persisted for more than 3 months sometimes fat deposits may involve bone and peripheral nerves.

A 73-year-old man presents with an abrupt onset of double vision and left leg weakness. Examination shows weakness of abduction of the right eye, right-sided facial weakness affecting upper and lower parts of the face. He also has a left hemiparesis. Where is the lesion? A. left frontal lobe B. left lateral medulla C. right corpus striatum D. right midbrain E. right pons

Description : A 73-year-old man presents with an abrupt onset of double vision and left leg weakness. Examination shows weakness of abduction of the right eye, right-sided facial weakness affecting upper and lower ... frontal lobe B. left lateral medulla C. right corpus striatum D. right midbrain E. right pons

Last Answer : Ans: E

A patient presents with long time history of knee pain suggestive of osteoarthritis. Now he complains of unilateral lower limb swelling and on examination there is +ve pedal & tibial pitting edema. What is the next appropriate investigation? a. CXR b. ECG c. Echocardiography d. Duplex ultrasound of lower limb

Description : A patient presents with long time history of knee pain suggestive of osteoarthritis. Now he complains of unilateral lower limb swelling and on examination there is +ve pedal & tibial pitting edema ... appropriate investigation? a. CXR b. ECG c. Echocardiography d. Duplex ultrasound of lower limb

Last Answer : d. Duplex ultrasound of lower limb

A 12 years-old girl complains of sore mouth, she has painful cervical lymphadenitis and a temperature of 39°c, oral examination shows numerous yellow grey lesions. What is the MOST LIKELY diagnosis: A. Measles (koplick spots are present next to the molars usually) B. Erythema multiform se da general mentor hombres mas de 20 años en labios C. Herpetic gingivostomatitis D. Stevens-Johnson syndrome

Description : A 12 years-old girl complains of sore mouth, she has painful cervical lymphadenitis and a temperature of 39°c, oral examination shows numerous yellow grey lesions. What is the MOST LIKELY ... mentor hombres mas de 20 años en labios C. Herpetic gingivostomatitis D. Stevens-Johnson syndrome

Last Answer : C. Herpetic gingivostomatitis

A 28 year old patient complains of amenorrhea after having dilatation and curettage. The most likely diagnosis is: a) Kallman’s Syndrome. b) Turner’s Syndrome. c) Asherman’s Syndrome. d) Pelvic inflammatory disease. e) Anorexia nervosa.

Description : A 28 year old patient complains of amenorrhea after having dilatation and curettage. The most likely diagnosis is: a) Kallman’s Syndrome. b) Turner’s Syndrome. c) Asherman’s Syndrome. d) Pelvic inflammatory disease. e) Anorexia nervosa.

Last Answer : c) Asherman’s Syndrome.

In Addison’s disease, there is excessive retention of (A) Potassium (B) Sodium (C) Chloride (D) Water

Description : In Addison’s disease, there is excessive retention of (A) Potassium (B) Sodium (C) Chloride (D) Water

Last Answer : Answer : A

A 70-year-old patient presented with weakness, tiredness and muscle cramps. The ECG showed Q-T prolongation, flattening of T wave and occasional A-V block. His serum K+ was low (2.8 mEq/L). He admitted taking a laxative every day for the past several months. Which laxative could be responsible for the above condition: A. Bisacodyl B. Liquid paraffin C. Methylcellulose D. Bran

Description : A 70-year-old patient presented with weakness, tiredness and muscle cramps. The ECG showed Q-T prolongation, flattening of T wave and occasional A-V block. His serum K+ was low (2.8 mEq ... could be responsible for the above condition: A. Bisacodyl B. Liquid paraffin C. Methylcellulose D. Bran

Last Answer : A. Bisacodyl

In increase in α2-Globulin with loss of albumin in urine suggests (A) Primary immune deficiency (B) Nephrotic syndrome (C) Cirrhosis of liver (D) Multiple myeloma

Description : In increase in α2-Globulin with loss of albumin in urine suggests (A) Primary immune deficiency (B) Nephrotic syndrome (C) Cirrhosis of liver (D) Multiple myeloma

Last Answer : Answer : B

Which of the following patients are at the highest risk of suffering from an adverse drug reaction? a) An 8 month year old infant receiving a prescription for an antibiotic. b) A 22 year old patient with asthma receiving prescriptions for inhalers to relieve and prevent their asthma. c) A 48 year old patient who has hypertension and receives a prescription for an ACE Inhibitor. d) A 68 year old patient who has oedema receiving a prescription for a diuretic.

Description : Which of the following patients are at the highest risk of suffering from an adverse drug reaction? a) An 8 month year old infant receiving a prescription for an antibiotic. b) A 22 year old patient ... ACE Inhibitor. d) A 68 year old patient who has oedema receiving a prescription for a diuretic. 

Last Answer : d) A 68 year old patient who has oedema receiving a prescription for a diuretic. 

A 55-year-old patient currently receiving other drugs for another condition is to be started on diuretic therapy for mild heart failure. Thiazides are known to reduce the excretion of (a) Diazepam (b) Fluoxetine (c) Imipramine (d) Lithium (e) Potassium

Description : A 55-year-old patient currently receiving other drugs for another condition is to be started on diuretic therapy for mild heart failure. Thiazides are known to reduce the excretion of (a) Diazepam (b) Fluoxetine (c) Imipramine (d) Lithium (e) Potassium

Last Answer : Ans: D

A 55 year-old female complaining of vague tiredness is found to have a serum corrected calcium concentration of 2.9 mmol/l. Examination was unremarkable. Which of the following results confirms the suspected diagnosis of primary hyperparathyroidism? 1) High normal 1,25-dihydroxyvitamin D concentration 2) High normal 24 hour urinary calcium concentration 3) High normal plasma parathyroid hormone concentration 4) Low normal plasma phosphate concentration 5) Low normal serum 25-hydroxyvitamin D concentration

Description : A 55 year-old female complaining of vague tiredness is found to have a serum corrected calcium concentration of 2.9 mmol/l. Examination was unremarkable. Which of the following results ... 4) Low normal plasma phosphate concentration 5) Low normal serum 25-hydroxyvitamin D concentration

Last Answer : Answers-3 Bit too easy really. A high or even normal PTH concentration in the presence of hypercalcaemia would support the diagnosis of hyperparathyroidism. A high urinary Calcium concentration may ... but neither confirm the diagnosis. Elevated 1,25 VitD suggests a diagnosis of hypervitaminosis D.

Normal serum free testosterone in adult men varies between (A) 1–5 ng/dl (B) 6–9 ng/dl (C) 10–30 ng/dl (D) 50–100 ng/dl 214 MCQs IN BIOCHEMISTRY

Description : Normal serum free testosterone in adult men varies between (A) 1–5 ng/dl (B) 6–9 ng/dl (C) 10–30 ng/dl (D) 50–100 ng/dl 214 MCQs IN BIOCHEMISTRY

Last Answer : Answer : C

One of the symptoms of low serum potassium concentration includes (A) Muscle weakness (B) Confusion (C) Numbness (D) Tingling of extremities WATER AND ELECTROLYTE BALANCE 283

Description : One of the symptoms of low serum potassium concentration includes (A) Muscle weakness (B) Confusion (C) Numbness (D) Tingling of extremities WATER AND ELECTROLYTE BALANCE 283

Last Answer : Answer : A

Mineralocorticoids increase the tubular reabsorption of (A) Sodium and calcium (B) Sodium and potassium (C) Sodium and chloride (D) Potassium and chloride 224 MCQs IN BIOCHEMISTRY

Description : Mineralocorticoids increase the tubular reabsorption of (A) Sodium and calcium (B) Sodium and potassium (C) Sodium and chloride (D) Potassium and chloride 224 MCQs IN BIOCHEMISTRY

Last Answer : Answer : C

he following is true of nifedipine except: A. It can aggravate urine voiding difficulty in elderly males with prostatic hypertrophy B. It promotes Na+ retention by a renal tubular action to cause ankle oedema as side effect C. It can inhibit insulin release from pancreas D. At high doses it can paradoxically increase the frequency of angina pectori

Description : he following is true of nifedipine except: A. It can aggravate urine voiding difficulty in elderly males with prostatic hypertrophy B. It promotes Na+ retention by a renal tubular action to ... release from pancreas D. At high doses it can paradoxically increase the frequency of angina pectori

Last Answer : B. It promotes Na+ retention by a renal tubular action to cause ankle oedema as side effect

Normal range of serum potassium is (A) 2.1-3.4 mEq/L (B) 3.5-5.3 mEq/L (C) 5.4–7.4 mEq/L (D) 7.5–9.5 mEq/L

Description : Normal range of serum potassium is (A) 2.1-3.4 mEq/L (B) 3.5-5.3 mEq/L (C) 5.4–7.4 mEq/L (D) 7.5–9.5 mEq/L

Last Answer : Answer : B

Hypokalemia with an accompanying hypochloremic alkalosis may be observed in (A) Cushing’s syndrome(B) Addison’s disease (C) Hyptothyroidism (D) Malnutrition

Description : Hypokalemia with an accompanying hypochloremic alkalosis may be observed in (A) Cushing’s syndrome(B) Addison’s disease (C) Hyptothyroidism (D) Malnutrition

Last Answer : Answer : A

Hypokalemia occurs in (A) Cushing’s syndrome (B) Addison’s disease (C) Renal failure (D) Advanced dehydration

Description : Hypokalemia occurs in (A) Cushing’s syndrome (B) Addison’s disease (C) Renal failure (D) Advanced dehydration

Last Answer : Answer : A

Secretion of catecholamines is increased in (A) Cushing’s syndrome (B) Addison’s disease (C) Phaeochromocytoma (D) Simmond’s disease

Description : Secretion of catecholamines is increased in (A) Cushing’s syndrome (B) Addison’s disease (C) Phaeochromocytoma (D) Simmond’s disease

Last Answer : Answer : C

Excessive secretion of ACTH causes (A) Cushing’s syndrome (B) Addison’s disease (C) Myxoedema (D) Thyrotoxicosis

Description : Excessive secretion of ACTH causes (A) Cushing’s syndrome (B) Addison’s disease (C) Myxoedema (D) Thyrotoxicosis

Last Answer : Answer : A

B.M.R. is subnormal in (A) Addison’s disease (B) Adrenal tumour (C) Cushing’s syndrome (D) Fever

Description : B.M.R. is subnormal in (A) Addison’s disease (B) Adrenal tumour (C) Cushing’s syndrome (D) Fever

Last Answer : Answer : A

A female patient is diagnosed with Addison’s disease. Which of the following does not confirm this: A. Weakness, lassitude B. Anorexia, nauseas, fatigue C. Hypotension D. Bony expansion E. Amenorrhea

Description : A female patient is diagnosed with Addison’s disease. Which of the following does not confirm this: A. Weakness, lassitude B. Anorexia, nauseas, fatigue C. Hypotension D. Bony expansion E. Amenorrhea

Last Answer : D. Bony expansion

An Afro-Carribean male aged 48 years presents with gradual onset of exertional dyspnoea, non productive cough, malaise, weight loss and polyarthralgia. Schirmers test indicates a dry eye. X-ray of the hand shows punched out osteopenic lesions. Which of the following investigation is unlikely to be helpful in establishing the diagnosis of this condition: 1) Serum calcium 2) Serum phosphorus 3) Urea and electrolytes 4) Thallium Scan 5) Quantitative Immunoglobulins.

Description : An Afro-Carribean male aged 48 years presents with gradual onset of exertional dyspnoea, non productive cough, malaise, weight loss and polyarthralgia. Schirmers test indicates a dry eye. X-ray ... 2) Serum phosphorus 3) Urea and electrolytes 4) Thallium Scan 5) Quantitative Immunoglobulins.

Last Answer : Answers-4 This condition is sarcoidosis. Serum calcium, Serum phosphorus, Chem7 and Chem 20 and Quantitative Immunoglobulins are all used in establishing the diagnosis. Gallium scan is helpful in ... areas of poor perfusion. It is particularly used in cardiology to detect areas of ischaemia.

The normal serum value for potassium is a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias. b) 135-145 mEq/L. Normal serum sodium is 135-145 mEq/L. c) 96-106 mEq/L. Normal serum chloride is 96-106 mEq/L. d) 8.5-10.5 mg/dL. Normal total serum calcium is 8.5-10.5mg/dL.

Description : The normal serum value for potassium is a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias. b) 135-145 mEq/L. Normal serum sodium is 135-145 mEq/L. c) 96-106 mEq/L. ... is 96-106 mEq/L. d) 8.5-10.5 mg/dL. Normal total serum calcium is 8.5-10.5mg/dL.

Last Answer : a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias.

A child presented with polyuria, weakness and fever. On the basis of investigations he was labelled to be suffering from Fancony syndrome. A history of taking some old left over antibiotic capsules was obtained. What could have been the antibiotic: A. Tetracycline B. Chloramphenicol C. Ampicillin D. Cephalexi

Description : A child presented with polyuria, weakness and fever. On the basis of investigations he was labelled to be suffering from Fancony syndrome. A history of taking some old left over antibiotic ... What could have been the antibiotic: A. Tetracycline B. Chloramphenicol C. Ampicillin D. Cephalexi

Last Answer : A. Tetracycline

Hypercalcaemia can occur in all the following except (A) Hyperparathyroidism (B) Hypervitaminosis D (C) Milk alkali syndrome (D) Nephrotic syndrome

Description : Hypercalcaemia can occur in all the following except (A) Hyperparathyroidism (B) Hypervitaminosis D (C) Milk alkali syndrome (D) Nephrotic syndrome

Last Answer : Answer : D

Hypocholesterolemia is found in (A) Thyrotoxicosis (B) Diabetes mellitus (C) Obstructive jaundice (D) Nephrotic syndrome

Description : Hypocholesterolemia is found in (A) Thyrotoxicosis (B) Diabetes mellitus (C) Obstructive jaundice (D) Nephrotic syndrome

Last Answer : Answer : A

Hypocholesterolaemia can occur in (A) Hyperthyroidism (B) Nephrotic syndrome (C) Obstructive jaundice (D) Diabetes mellitus FATS AND FATTY ACID METABOLISM 89

Description : Hypocholesterolaemia can occur in (A) Hyperthyroidism (B) Nephrotic syndrome (C) Obstructive jaundice (D) Diabetes mellitus FATS AND FATTY ACID METABOLISM 89

Last Answer : Answer : A

A decrease in albumin with increased production of other unidentified proteins which migrate in β, γ region suggests (A) Cirrhosis of liver (B) Nephrotic syndrome (C) Infection (D) Chronic lymphatic leukemia

Description : A decrease in albumin with increased production of other unidentified proteins which migrate in β, γ region suggests (A) Cirrhosis of liver (B) Nephrotic syndrome (C) Infection (D) Chronic lymphatic leukemia

Last Answer : Answer : A

Heavy proteinuria occurs in (A) Acute glomerulonephritis (B) Acute pyelonephritis (C) Nephrosclerosis (D) Nephrotic syndrome

Description : Heavy proteinuria occurs in (A) Acute glomerulonephritis (B) Acute pyelonephritis (C) Nephrosclerosis (D) Nephrotic syndrome

Last Answer : B

A high serum potassium, accompanied by a high intracellular potassium occurs in (A) Adrenal insufficiency (B) Any illness (C) Gastrointestinal losses (D) Cushing’s syndrome

Description : A high serum potassium, accompanied by a high intracellular potassium occurs in (A) Adrenal insufficiency (B) Any illness (C) Gastrointestinal losses (D) Cushing’s syndrome

Last Answer : Answer : A

When the patient who has experienced trauma to an extremity complains of severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse recognizes that the patient is likely demonstrating signs of a) reflex sympathetic dystrophy syndrome. RSD is frequently chronic and occurs most often in women.

Description : When the patient who has experienced trauma to an extremity complains of severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse ... heterotrophic ossification. Heterotrophic ossification causes muscular pain and limited muscular contraction and movement.

Last Answer : a) reflex sympathetic dystrophy syndrome. RSD is frequently chronic and occurs most often in women.

An 16-year-old man presents with polyuria and polydipsia. Which of the following may confirm the diagnosis of diabetes mellitus? 1) A random plasma glucose of >7.5 mmol/L 2) A finding of 3+ ketonuria 3) An HbA1c of 7.0% 4) A fasting plasma glucose of 7.5 mmol/L 5) An abnormal glucose tolerance test

Description : An 16-year-old man presents with polyuria and polydipsia. Which of the following may confirm the diagnosis of diabetes mellitus? 1) A random plasma glucose of >7.5 mmol/L 2) A finding of 3+ ketonuria 3) An HbA1c of 7.0% 4) A fasting plasma glucose of 7.5 mmol/L 5) An abnormal glucose tolerance test

Last Answer : Answers-4 The diagnosis is usually relatively easy to confirm in a symptomatic subject. A random glucose of >11.1 mmol/L or a fasting glucose of >7.0 mmol/L would be regarded as ... haemoglobin (HbA1c) is also highly suggestive but not diagnostic. A glucose tolerance test is rarely needed.

Restriction of sodium intake is commonly advised in (A) Addison’s disease (B) Diarrhoea (C) Hypertension (D) None of these

Description : Restriction of sodium intake is commonly advised in (A) Addison’s disease (B) Diarrhoea (C) Hypertension (D) None of these

Last Answer : Answer : C

Signs and symptoms that commonly suggest cardiac failure in a patient being assessed for oral surgery are, A. Elevated temperature and nausea B. Palpitations and malaise C. Ankle oedema and dyspnoea D. Erythema and pain E. Pallor and tremor

Description : Signs and symptoms that commonly suggest cardiac failure in a patient being assessed for oral surgery are, A. Elevated temperature and nausea B. Palpitations and malaise C. Ankle oedema and dyspnoea D. Erythema and pain E. Pallor and tremor

Last Answer : C. Ankle oedema and dyspnoea

Hyperaldosteronism - primary and secondary?

Description : Hyperaldosteronism - primary and secondary?

Last Answer : DefinitionPrimary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone.Alternative NamesConn syndromeCauses, incidence, and risk factorsPersons with ... gland. The condition is common in people ages 30 - 50.Secondary hyperaldoste

Which disease results when the adrenal cortex produces too much hormone? A) diabetes insipidus B) diabetes mellitus C) Cushing's syndrome D) Addison's disease E) myxedema

Description : Which disease results when the adrenal cortex produces too much hormone? A) diabetes insipidus B) diabetes mellitus C) Cushing's syndrome D) Addison's disease E) myxedema

Last Answer : C) Cushing's syndrome

The condition that results when there is an increased production of human growth hormone in an adult is termed A) Cushing's syndrome. B) Addison's disease. C) gigantism. D) dwarfism. E) acromegaly.

Description : The condition that results when there is an increased production of human growth hormone in an adult is termed A) Cushing's syndrome. B) Addison's disease. C) gigantism. D) dwarfism. E) acromegaly.

Last Answer : E) acromegaly.