Description : The normal GPT activity ranges from (A) 60.0–250.0 IU/L (B) 4.0–17.0 IU/L (C) 3.0–15.0 IU/L (D) 0.1–14.0 IU/L
Last Answer : Answer : C
Description : The normal value of CPK in serum varies between (A) 4–60 IU/L (B) 60–250 IU/L (C) 4–17 IU/L (D) > 350 IU/L
Last Answer : Answer : A
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.
Description : The normal serum alkaline phosphatase activity ranges from (A) 1.0–5.0 KA units/100 ml (B) 5.0–13.0 KA units/100 ml (C) 0.8–2.3 KA units/100 ml (D) 13.0–21.0 KA units/100 ml
Last Answer : Answer : B
Description : The normal serum acid phosphatase activity ranges from (A) 5.0–13.0 KA units/100 ml (B) 1.0–5.0 KA units/100 ml (C) 13.0–18.0 KA units/100 ml (D) 0.2–0.8 KA units/100 ml
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.
Description : What is the normal level of K+ in the serum ? (A) 137–148 mEq/L (B) 120–160 mEq/L (C) 3.9–5.0 mEq/L (D) 0.3–0.59 mEq/L
Description : The normal serum concentration of vitamin A in mg/100 ml is (A) 5–10 (B) 15–60 (C) 100–150 (D) 0–5
Description : Normal range of serum creatinine is (A) 0.6–1.5 mg/dl (B) 9–11 mg/dl (C) 20–45 mg/dl (D) 60–100 mg/dl
Description : Normal range of serum urea is (A) 0.6–1.5 mg/dl (B) 9–11 mg/dl (C) 20–45 mg/dl (D) 60–100 mg/dl
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.
Description : Serum magnesium level ranges between (A) 2–3 mg/dl (B) 3–5 mg/dl (C) 6–8 mg/dl (D) 9–11 mg/dl
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
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.
Description : Normal total serum calcium level varies between (A) 4–5 mg (B) 9–11 mg (C) 15–20 mg (D) 50–100 mg WATER AND ELECTROLYTE BALANCE 281
Description : A 60-year-old man was diagnosed last year with adenocarcinoma of the lung, and a 4 cm mass lesion was treated with a right lower lobectomy. He now has an ... 2) Membranous glomerulonephritis 3) Minimal change glomerulonephritis 4) Nodular glomerulosclerosis 5) Rapidly progressive glomerulonephritis
Last Answer : Answers-2 Most cases of membranous GN are idiopathic, but in some patients there is a history of an infection or a malignancy (usually lung) with antigenemia.
Description : The normal serum concentration of 25-hydroxycholecalciferol in ng/ml is (A) 0–8 (B) 60–100 (C) 100–150 (D) 8–55
Last Answer : Answer : D
Description : The normal serum CO2 content is (A) 18–20 meq/L (B) 24–29 meq/L (C) 30–34 meq/L (D) 35–38 meq/L
Description : Normal range of serum chloride is (A) 24–27 mEq/L (B) 70–80 mEq/L (C) 100–106 mEq/L (D) 120–140 mEq/L
Description : Normal range of serum sodium is (A) 30–70 mEq/L (B) 70–110 mEq/L (C) 117–135 mEq/L (D) 136–145 mEq/L
Description : 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 ... ? 1) Addison's Disease 2) Nephrotic syndrome 3) Primary hyperaldosteronism 4) SIADH 5) Diuretic therapy
Last Answer : Answers-5 The long history of his symptoms and serum biochemistry suggests that his condition is due to treatment with frusemide for CCF.
Description : The normal serum concentration of 24,25- dihydroxycholecalciferol in ng/ml is (A) 8–20 (B) 25–50 (C) 1–5 (D) 60–100
Description : Normal haemoglobin level for male is _______ g/L a. 13.8 to 17 b. 12.8 to 15 c. 20 to 23 d. 16 to 19
Last Answer : a. 13.8 to 17
Description : Daily requirement of vitamin A in an adult man can be expressed as (A) 400 IU (B) 1,000 IU (C) 5,000 IU (D) 10,000 IU
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
Description : For a given activity, the optimistic time, pessimistic time and the most probable estimates are 5, 17 and 8 days respectively, The expected time is (A) 8 days (B) 9 days (C) 10 days (D) 15 days
Last Answer : (B) 9 days
Description : If the purchases made during the year were Rs. 60,000, the balance of stock in trade at the beginning and at the end of the year were Rs. 12,000 and Rs. 9,000 respectively and the gross profit on sales was 1/5th, when which ... year ? (A) Rs. 15,750 (B) Rs. 14,000 (C) Rs. 12,500 (D) Rs. 17,250
Last Answer : Answer: Rs. 12,500
Description : The serum estradiol level in men is (A) 0–5 pg/ml (B) 5–10 pg/ml (C) 24–68 pg/ml (D) 40–60 pg/ml
Description : The normal values of over flow rates for secondary sedimentation tanks, ranges between A. 25,000 to 35,000 litres/sqm/day B. 40,000 to 50,000 litres/sqm/day C. 50,000 to 60,000 litres/sqm/day D. 80,000 to 10,000 litres/sqm/day
Last Answer : ANS: A
Description : The normal value of over flow rates for plain primary sedimentation tanks, ranges between A. 25,000 to 35,000 litres/sqm/day B. 40,000 to 50,000 litres/sqm/day C. 50,000 to 60,000 litres/sqm/day D. 80,000 to 100,000 litres/sqm/day
Last Answer : ANS: B
Description : The normal values of over flow rates for sedimentation tanks using coagulant, ranges between A. 25,000 to 35,000 litres/sqm/day B. 40,000 to 50,000 litres/sqm/day C. 50,000 to 60,000 litres/sqm/day D. 80,000 to 100,000 litres/sqm/day
Last Answer : ANS: C
Description : In practice, the compression ratio of compression-ignition (CI) engine ranges from (A) 15 to 25 (B) 5 to 10 (C) 40 to 55 (D) 60 to 70
Last Answer : Option A
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.
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
Description : Normal range of plasma total phospholipids is (A) 0.2–0.6 mmol/L (B) 0.9–2.0 mmol/L (C) 1.8–5.8 mmol/L (D) 2.8–5.3 mmol/L
Description : Serum a lka l ine phosphatase leve l increases in (A) Hypothyroidism (B) Carcinoma of prostate (C) Hyperparathyroidism (D) Myocardial ischemia
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."
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)
Description : Parathyroid hormone (A) Is released when serum Ca++ is too high (B) Inactivates vitamin D (C) Is secreted when Ca++ is too low (D) Depends on vitamin K for adequate activity
Description : Serum AST activity is not characteristically elevated as the result of (A) Myocardial infarction (B) Passive congestion of liver (C) Muscular dystrophies (D) Peptic ulcer
Description : Patients with hepatocellular jaundice, as compared to those with purely obstructive jaundice tend to have (A) Lower serum ALP, LDH and AST activity (B) Lower serum ALP, Higher LDH and AST activity (C) Higher serum ALP, LDH and AST activity (D) Higher serum ALP, Lower LDH and AST activity
Description : Increased serum ornithine carabamoyl transferase activity is diagnostic of (A) Myocardial infarction (B) Hemolytic jaundice (C) Bone disease (D) Acute viral hepatitis
Description : Normal range of total tri-iodothyronine in serum is (A) 0.1–0.2 ng/dl (B) 0.1–0.2 µg/dl (C) 0.8–2.4 ng/dl (D) 0.8–2.4 µg/dl
Description : Normal range of total thyroxine in serum is (A) 0.8–2.4 ng/dl (B) 0.8–2.4 µg/dl (C) 5–12 ng/dl (D) 5–12 µg/dl
Description : Normal serum free testosterone in adult women varies between (A) 0.0–0.2 ng/dl (B) 0.3–2 ng/dl (C) 10–30 ng/dl (D) 50–100 ng/dl
Description : Normal serum glucagons level in fasting state varies between (A) 0-–10 pg/ml (B) 20–100 pg/ml (C) 200–300 pg/ml (D) 400–500 pg/ml
Description : The normal serum level of thyroxine (T4) is (A) 2.0–4.0 µg/100 ml (B) 5.5–13.5 µg/100 ml (C) 14.0–20.3 µg/100 ml (D) 20.0–25.0 µg/100 ml
Description : The normal serum level of triiodothyronine (T3) is (A) 0.2–0.5 ng/ml (B) 0.7–2.0 ng/ml (C) 2.0–4.0 ng/ml (D) 5.0–8.0 ng/ml HORMONE METABOLISM 211
Description : The normal serum inorganic phosphorous level is (A) 1.5–2.5 mg/100 ml (B) 2.5–4.5 mg/100 ml (C) 4.5–6.5 mg/100 ml (D) 0.5–1.5 mg/100 ml
Description : The normal serum of concentration of copper in mg/100 ml varies between (A) 0–5 (B) 50–100 (C) 100–200 (D) 200–300