Specific gravity of urine is decreased in (A) Diabetes mellitus (B) Acute glomerulonephritis (C) Diarrhoea (D) Chronic glomerulonephritis

Specific gravity of urine is decreased in (A) Diabetes mellitus (B) Acute glomerulonephritis (C) Diarrhoea (D) Chronic glomerulonephritis
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Specific gravity of urine increases in (A) Diabetes mellitus (B) Chronic glomerulonephritis (C) Compulsive polydypsia (D) Hypercalcemia

Description : Specific gravity of urine increases in (A) Diabetes mellitus (B) Chronic glomerulonephritis (C) Compulsive polydypsia (D) Hypercalcemia

Last Answer : A

Specific gravity of urine is raised in all of the following except (A) Diabetes mellitus (B) Diabetes insipidus (C) Dehydration (D) Acute glomerulonephritis

Description : Specific gravity of urine is raised in all of the following except (A) Diabetes mellitus (B) Diabetes insipidus (C) Dehydration (D) Acute glomerulonephritis

Last Answer : D

Polyuria can occur in (A) Diabetes mellitus (B) Diarrhoea (C) Acute glomerulonephritis (D) High fever

Description : Polyuria can occur in (A) Diabetes mellitus (B) Diarrhoea (C) Acute glomerulonephritis (D) High fever

Last Answer : B

Oliguria can occur in (A) Diabetes mellitus (B) Diabetes insipidus (C) Acute glomerulonephritis (D) Chronic glomerulonephritis

Description : Oliguria can occur in (A) Diabetes mellitus (B) Diabetes insipidus (C) Acute glomerulonephritis (D) Chronic glomerulonephritis

Last Answer : Answer : A

Fixation of specific gravity of urine to 1.010 is found in (A) Diabetes insipidus (B) Compulsive polydypsia (C) Cystinosis (D) Chronic glomerulonephritis

Description : Fixation of specific gravity of urine to 1.010 is found in (A) Diabetes insipidus (B) Compulsive polydypsia (C) Cystinosis (D) Chronic glomerulonephritis

Last Answer : D

Urine examination (Benedict’s test) of a 40 yr old obese male showed a brick red precipitate. This can result from all except Options: 1) Diabetes Mellitus 2) Drugs 3) Acute post-streptococcal glomerulonephritis 4) Cushing’s syndrome

Description : Urine examination (Benedict’s test) of a 40 yr old obese male showed a brick red precipitate. This can result from all except Options: 1) Diabetes Mellitus 2) Drugs 3) Acute post-streptococcal glomerulonephritis 4) Cushing’s syndrome

Last Answer : Correct Answer: 3) Acute post-streptococcal glomerulonephritis

Urinary water loss is increased in (A) Diabetes mellitus (B) Diabetes insipidus (C) Chronic glomerulonephritis (D) All of these

Description : Urinary water loss is increased in (A) Diabetes mellitus (B) Diabetes insipidus (C) Chronic glomerulonephritis (D) All of these

Last Answer : Answer : D

Filtration fraction is increased in (A) Acute glomerulonephritis (B) Chronic glomerulonephritis (C) Hypertension (D) Hypotension

Description : Filtration fraction is increased in (A) Acute glomerulonephritis (B) Chronic glomerulonephritis (C) Hypertension (D) Hypotension

Last Answer : Answer : A

What are the chronic complications of diabetes mellitus?

Description : What are the chronic complications of diabetes mellitus?

Last Answer : Thrombosis, paralysis, gangrene, micro-angiopathy, nephrosclerosis, cataract, peripheral neuropathy.

Serum lipase level increases in (A) Paget’s disease (B) Gaucher’s disease (C) Acute pancreatitis (D) Diabetes mellitus

Description : Serum lipase level increases in (A) Paget’s disease (B) Gaucher’s disease (C) Acute pancreatitis (D) Diabetes mellitus

Last Answer : Answer : C

What are the acute complications of diabetes mellitus?

Description : What are the acute complications of diabetes mellitus?

Last Answer : Keto acidosis, hyperosmolar non-ketotic coma, lactic acidosis.

The following metabolic abnormalities occur in Diabetes mellitus except (A) Increased plasma FFA (B) Increased pyruvate carboxylase activate (C) Decreased lipogenesis (D) Decreased gluconeogenesis

Description : The following metabolic abnormalities occur in Diabetes mellitus except (A) Increased plasma FFA (B) Increased pyruvate carboxylase activate (C) Decreased lipogenesis (D) Decreased gluconeogenesis

Last Answer : B

Glucose tolerance is decreased in (A) Diabetes mellitus (B) Hypopituitarisme (C) Addison’s disease (D) Hypothyroidism

Description : Glucose tolerance is decreased in (A) Diabetes mellitus (B) Hypopituitarisme (C) Addison’s disease (D) Hypothyroidism

Last Answer : A

Renal threshold for glucose is decreased in (A) Diabetes mellitus (B) Insulinoma (C) Renal glycosuria (D) Alimentary glycosuria

Description : Renal threshold for glucose is decreased in (A) Diabetes mellitus (B) Insulinoma (C) Renal glycosuria (D) Alimentary glycosuria

Last Answer : C

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)

Bence Jones proteins may be excreted in urine of patients suffering from (A) Tuberculosis (B) Diabetes mellitus (C) Multiple myeloma (D) Hyperthyroidism

Description : Bence Jones proteins may be excreted in urine of patients suffering from (A) Tuberculosis (B) Diabetes mellitus (C) Multiple myeloma (D) Hyperthyroidism

Last Answer : Answer : C

The filtration factor is increased in (A) Glomerulonephritis (B) Malignant phase of hypertension (C) Early essential hypertension (D) Acute nephritis

Description : The filtration factor is increased in (A) Glomerulonephritis (B) Malignant phase of hypertension (C) Early essential hypertension (D) Acute nephritis

Last Answer : Answer : B

The filtration factor tends to be normal in (A) Early essential hypertension (B) Malignant phase of hypertension (C) Glomerulonephritis (D) Acute nephritis

Description : The filtration factor tends to be normal in (A) Early essential hypertension (B) Malignant phase of hypertension (C) Glomerulonephritis (D) Acute nephritis

Last Answer : Answer : A

Creatinine clearance is deceased in (A) Acute tubular necrosis (B) Acute glomerulonephritis (C) Hypertension (D) Myopathies

Description : Creatinine clearance is deceased in (A) Acute tubular necrosis (B) Acute glomerulonephritis (C) Hypertension (D) Myopathies

Last Answer : Answer : D

Haematuria can occur in all of the following except (A) Acute glomerulonephritis (B) Cancer of urinary tract (C) Stone in urinary tract (D) Mismatched blood transfusion

Description : Haematuria can occur in all of the following except (A) Acute glomerulonephritis (B) Cancer of urinary tract (C) Stone in urinary tract (D) Mismatched blood transfusion

Last Answer : Answer : D

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

Which of the following factors can be associated with impaired wound healing? a. Chemotherapy b. Chronic steroid use c. Peripheral vascular disease d. Radiation therapy e. Diabetes mellitus

Description : Which of the following factors can be associated with impaired wound healing? a. Chemotherapy b. Chronic steroid use c. Peripheral vascular disease d. Radiation therapy e. Diabetes mellitus

Last Answer : Answer: a, b, c, d, e Bone marrow suppression, a common consequence of chemotherapy, is detrimental to wound healing. Quantitative and qualitative lymphocyte and monocyte deficiency impairs cellular ... be a primary cause of impaired healing, and may be also a cofactor with other conditions

Which of the following is/are not associated with increased likelihood of infection after major elective surgery? A. Age over 70 years. B. Chronic malnutrition. C. Controlled diabetes mellitus. D. Long-term steroid use. E. Infection at a remote body site.

Description : Which of the following is/are not associated with increased likelihood of infection after major elective surgery? A. Age over 70 years. B. Chronic malnutrition. C. Controlled diabetes mellitus. D. Long-term steroid use. E. Infection at a remote body site.

Last Answer : Answer: C DISCUSSION: Controlled diabetes mellitus has been shown repeatedly not to be associated with increased likelihood of incisional infection provided one avoids operations on body parts ... site-are well-recognized adverse predictive factors and are identified in tables within the chapter

Which of the following is not likely to be the cause of failure of antimicrobial therapy of an acute infection: A. Improper selection of drug and dose B. Acquisition of resistance during treatment C. Failure to drain the pus D. Uncontrolled diabetes mellitus

Description : Which of the following is not likely to be the cause of failure of antimicrobial therapy of an acute infection: A. Improper selection of drug and dose B. Acquisition of resistance during treatment C. Failure to drain the pus D. Uncontrolled diabetes mellitus

Last Answer : B. Acquisition of resistance during treatment

The filtration factor is decreased in (A) Glomerulonephritis (B) Early essential hypertension (C) Malignant phase of hypertension (D) Starvation

Description : The filtration factor is decreased in (A) Glomerulonephritis (B) Early essential hypertension (C) Malignant phase of hypertension (D) Starvation

Last Answer : Answer : A

The following occur in untreated insulin dependent diabetes mellitus: a. diuresis b. decreased plasma amino acid c. increased plasma fatty acid d. ketonuria

Description : The following occur in untreated insulin dependent diabetes mellitus: a. diuresis b. decreased plasma amino acid c. increased plasma fatty acid d. ketonuria

Last Answer : ketonuria

Which of the following is a reversible cause of urinary incontinence in the older adult? a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other reversible causes include acute urinary tract infection, infection elsewhere in the body, decreased fluid intake, a change in a chronic disease pattern, and decreased estrogen levels in the menopausal women.

Description : Which of the following is a reversible cause of urinary incontinence in the older adult? a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other ... level in the menopausal woman is a reversible cause of urinary incontinence in the older woman.

Last Answer : a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other reversible causes include acute urinary tract infection, infection elsewhere in the body, decreased ... a change in a chronic disease pattern, and decreased estrogen levels in the menopausal women.

Assertion : The failure of secretion of hormone vasopressin causes diabetes mellitus in the patient. Reason : Vasopression reduces the volume of urine

Description : Assertion : The failure of secretion of hormone vasopressin causes diabetes mellitus in the patient. Reason : Vasopression reduces the volume of urine

Last Answer : Assertion : The failure of secretion of hormone vasopressin causes diabetes mellitus in the patient. ... . If both Assertion and Reason are false.

A patient of diabetes mellitus excreted glucose in urine even when he was kept in a carhbohydrate-free diet. It is because

Description : A patient of diabetes mellitus excreted glucose in urine even when he was kept in a carhbohydrate-free diet. It is because

Last Answer : A patient of diabetes mellitus excreted glucose in urine even when he was kept in a ... muscles are discharged in blood stream from liver

When urine is passed out several -fold more than in a normal subject, the condition is referred to as (a) Diabetes mellitus (b) Diabetes insipidus (c) Diabetes aqua (d) Diabetes polydipsia

Description : When urine is passed out several -fold more than in a normal subject, the condition is referred to as (a) Diabetes mellitus (b) Diabetes insipidus (c) Diabetes aqua (d) Diabetes polydipsia

Last Answer : Ans:(c)

Presence of which of the following conditions in urine are indicative of diabetes mellitus? (a) Uremia and Ketonuria (b) Uremia and Renal Calculi (c) Ketonuria and Glycosuria (d) Renal calculi and Hyperglycaemia

Description : Presence of which of the following conditions in urine are indicative of diabetes mellitus? (a) Uremia and Ketonuria (b) Uremia and Renal Calculi (c) Ketonuria and Glycosuria (d) Renal calculi and Hyperglycaemia

Last Answer : (c) Ketonuria and Glycosuria

Which of the following statements is NOT true about diabetes mellitus? A) Type II diabetes is much more common than type I. B) Insulin injections are required in both type I and type II diabetes. C) Type I diabetes occurs as a result of destruction of the insulin-producing cells. D) One method of treating type II diabetes is exercise and a low-fat, low-sugar diet. E) Symptoms of diabetes include excessive thirst, frequent urination, and glucose in the urine.

Description : Which of the following statements is NOT true about diabetes mellitus? A) Type II diabetes is much more common than type I. B) Insulin injections are required in both type I and type II ... -sugar diet. E) Symptoms of diabetes include excessive thirst, frequent urination, and glucose in the urine.

Last Answer : B) Insulin injections are required in both type I and type II diabetes.

Which of the following symptoms is NOT characteristic of diabetes mellitus? A) cells unable to take up glucose B) increased breakdown of fats and protein C) frequent urination D) sugar in the urine E) bronzing of the skin

Description : Which of the following symptoms is NOT characteristic of diabetes mellitus? A) cells unable to take up glucose B) increased breakdown of fats and protein C) frequent urination D) sugar in the urine E) bronzing of the skin

Last Answer : E) bronzing of the skin

Hyponatraemia occurs in the following condition: (A) Addison’s disease (B) Chronic renal failure (C) Severe diarrhoea (D) All of these

Description : Hyponatraemia occurs in the following condition: (A) Addison’s disease (B) Chronic renal failure (C) Severe diarrhoea (D) All of these

Last Answer : Answer : D

The term used to describe total urine output of less than 400 mL in 24 hours is a) oliguria. Oliguria is associated with acute and chronic renal failure.

Description : The term used to describe total urine output of less than 400 mL in 24 hours is a) oliguria. Oliguria is associated with acute and chronic renal failure. b) anuria. Anuria is used to ... Nocturia refers to awakening at night to urinate. d) dysuria. Dysuria refers to painful or difficult urination.

Last Answer : a) oliguria. Oliguria is associated with acute and chronic renal failure.

Which of the following statements about the presence of gallstones in diabetes patients is/are correct? A. Gallstones occur with the same frequency in diabetes patients as in the healthy population. B. The presence of gallstones, regardless of the presence of symptoms, is an indication for cholecystectomy in a diabetes patient. C. Diabetes patients with gallstones and chronic biliary pain should be managed nonoperatively with chemical dissolution and/or lithotripsy because of severe complicating medical conditions and a high operative risk. D. The presence of diabetes and gallstones places the patient at high risk for pancreatic cancer. E. Diabetes patients with symptomatic gallstones should have prompt elective cholecystectomy, to avoid the complications of acute cholecystitis and g

Description : Which of the following statements about the presence of gallstones in diabetes patients is/are correct? A. Gallstones occur with the same frequency in diabetes patients as in the ... have prompt elective cholecystectomy, to avoid the complications of acute cholecystitis and gallbladder necrosis.

Last Answer : Answer: E DISCUSSION: Gallstones have been found to be very prevalent in patients with type II (non-insulin-dependent) diabetes mellitus, perhaps related to the dyslipoproteinemia in ... added mortality associated with it. There is no causal relationship between diabetes and pancreatic cancer

All the following changes in blood chemistry can occur in severe diarrhoea except (A) Decreased pH (B) Decreased bicarbonate (C) Increased pCO2 (D) Increased chloride WATER AND ELECTROLYTE BALANCE 287

Description : All the following changes in blood chemistry can occur in severe diarrhoea except (A) Decreased pH (B) Decreased bicarbonate (C) Increased pCO2 (D) Increased chloride WATER AND ELECTROLYTE BALANCE 287

Last Answer : Answer : C

Which of the following condition is non-suppurativesequelae of Streptococcus pyogenA- Acute rheumatic fever B- Acute glomerulonephritis C- Erythema nodosum D- All of these

Description : Which of the following condition is non-suppurativesequelae of Streptococcus pyogen A- Acute rheumatic fever B- Acute glomerulonephritis C- Erythema nodosum D- All of these

Last Answer : All of these

A history of infection specifically caused by group A betahemolytic streptococci is associated with which of the following disorders? a) Acute glomerulonephritis Acute glomerulonephritis is also associated with varicella zoster virus, hepatitis B, and Epstein-Barr virus.

Description : A history of infection specifically caused by group A betahemolytic streptococci is associated with which of the following disorders? a) Acute glomerulonephritis Acute glomerulonephritis is ... chronic glomerulonephritis, systemic lupus erythematosus, multiple myeloma, and renal vein thrombosis.

Last Answer : a) Acute glomerulonephritis Acute glomerulonephritis is also associated with varicella zoster virus, hepatitis B, and Epstein-Barr virus.

Which of the following is not a specific indication for the more expensive monocomponent/human insulins: A. Insulin resistance B. Pregnant diabetic C. Sulfonylurea maintained diabetic posted for surgery D. Type 1 diabetes mellitus

Description : Which of the following is not a specific indication for the more expensive monocomponent/human insulins: A. Insulin resistance B. Pregnant diabetic C. Sulfonylurea maintained diabetic posted for surgery D. Type 1 diabetes mellitus

Last Answer : D. Type 1 diabetes mellitus

Nonadherence to therapeutic regimens is a significant problem for which of the following age groups? a) Adults 65 and over Elderly people frequently have one or more chronic illnesses that are managed with numerous medications and complicated by periodic acute episodes, making adherence difficult. b) Teenagers Problems of teenagers, generally, are time limited and specific, and require promoting adherence to treatment to return to health. c) Children In general, the compliance of children depends on the compliance of their parents. d) Middle-aged adults Middle-aged adults, in general, have fewer health problems, thus promoting adherence.

Description : Nonadherence to therapeutic regimens is a significant problem for which of the following age groups? a) Adults 65 and over Elderly people frequently have one or more chronic illnesses that are ... -aged adults Middle-aged adults, in general, have fewer health problems, thus promoting adherence.

Last Answer : a) Adults 65 and over Elderly people frequently have one or more chronic illnesses that are managed with numerous medications and complicated by periodic acute episodes, making adherence difficult.

Urine examination in secondary dehydration shows (A) Ketonuria (B) Low specific gravity (C) High specific gravity (D) Albuminuria

Description : Urine examination in secondary dehydration shows (A) Ketonuria (B) Low specific gravity (C) High specific gravity (D) Albuminuria

Last Answer : Answer : B

ADH (A) Reabsorbs water from renal tubules (B) Excretes water from renal tubules (C) Excretes hypotonic urine (D) Causes low specific gravity of urine 210 MCQs IN BIOCHEMISTRY

Description : ADH (A) Reabsorbs water from renal tubules (B) Excretes water from renal tubules (C) Excretes hypotonic urine (D) Causes low specific gravity of urine 210 MCQs IN BIOCHEMISTRY

Last Answer : Answer : A

Urine specific gravity of 1.054 indicates (A) Excellent renal function (B) Inappropriate secretion of ADH (C) Extreme dehydration (D) Presence of glucose or protein

Description : Urine specific gravity of 1.054 indicates (A) Excellent renal function (B) Inappropriate secretion of ADH (C) Extreme dehydration (D) Presence of glucose or protein

Last Answer : Answer : D

A simple way to assess tubular function is to withhold food and water for 12 hours and, then, measure (A) Serum urea (B) Serum creatinine (C) Urine output in one hour (D) Specific gravity of urine

Description : A simple way to assess tubular function is to withhold food and water for 12 hours and, then, measure (A) Serum urea (B) Serum creatinine (C) Urine output in one hour (D) Specific gravity of urine

Last Answer : Answer : D

Normal specific gravity of urine is (A) 1.000–1.010 (B) 1.012–1.024 (C) 1.025–1.034 (D) 1.035–1.045

Description : Normal specific gravity of urine is (A) 1.000–1.010 (B) 1.012–1.024 (C) 1.025–1.034 (D) 1.035–1.045

Last Answer : B

The specific gravity of urine normally ranges from (A) 0.900–0.999 (B) 1.003–1.030 (C) 1.000–1.001 (D) 1.101–1.120

Description : The specific gravity of urine normally ranges from (A) 0.900–0.999 (B) 1.003–1.030 (C) 1.000–1.001 (D) 1.101–1.120

Last Answer : B

ADH test is based on the measurement of (A) Specific gravity of urine (B) Concentration of urea in urine (C) Concentration of urea in blood (D) Volume of urine in ml/minute

Description : ADH test is based on the measurement of (A) Specific gravity of urine (B) Concentration of urea in urine (C) Concentration of urea in blood (D) Volume of urine in ml/minute

Last Answer : A

An adult patient of acute diarrhoea presents with abdominal pain, fever, mucus and blood in stools and is suspected to be suffering from Shigella enteritis. What antimicrobial treatment would be most appropriate: A. No antimicrobial treatment B. Metronidazole C. Norfloxacin D. Chloramphenicol

Description : An adult patient of acute diarrhoea presents with abdominal pain, fever, mucus and blood in stools and is suspected to be suffering from Shigella enteritis. What antimicrobial treatment would be most appropriate: A. No antimicrobial treatment B. Metronidazole C. Norfloxacin D. Chloramphenicol

Last Answer : C. Norfloxacin