In normal individuals glycosuria occurs when the venous blood glucose concentration exceeds (A) 5–6 mmol/L (B) 7–8 mmol/L (C) 8.5–9 mmol/L (D) 9.5–10 mmol/L

In normal individuals glycosuria occurs when the venous blood glucose concentration exceeds (A) 5–6 mmol/L (B) 7–8 mmol/L (C) 8.5–9 mmol/L (D) 9.5–10 mmol/L
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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 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

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Last Answer : Answer : C

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.

The concentration of ketone bodies in the blood does not normally exceed (A) 0.2 mmol/L (B) 0.4 mmol/L (C) 1 mmol/L (D) 2 mmol/L

Description : The concentration of ketone bodies in the blood does not normally exceed (A) 0.2 mmol/L (B) 0.4 mmol/L (C) 1 mmol/L (D) 2 mmol/L

Last Answer : Answer : A

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 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.

Renal glycosuria is characterized by (A) Hyperglycemia (B) Hyperglycemia with glycosuria (C) Normal blood glucose level with glycosuria (D) Hyperglycemia with ketosis

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Last Answer : Answer : C

Renal glycosuria occurs due to (A) Increased filtration of glucose in glomeruli (B) Increased secretion of glucose by renal tubular cells (C) Decreased reabsorption of glucose by renal tubular cells (D) Increased conversion of glycogen into glucose in tubular cells

Description : Renal glycosuria occurs due to (A) Increased filtration of glucose in glomeruli (B) Increased secretion of glucose by renal tubular cells (C) Decreased reabsorption of glucose by renal tubular cells (D) Increased conversion of glycogen into glucose in tubular cells

Last Answer : Answer : D

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

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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 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

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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.

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

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Last Answer : C

Following is a normal overnight fast and a cup of black coffee, a diabetic woman feels slightly nausious and decides to skip breakfast. However she does take her shot of insulin. This may result in (A) Heightened glycogenolysis (B) Hypoglycemia (C) Increased lipolysis (D) Glycosuria

Description : Following is a normal overnight fast and a cup of black coffee, a diabetic woman feels slightly nausious and decides to skip breakfast. However she does take her shot of insulin. This may result in (A) Heightened glycogenolysis (B) Hypoglycemia (C) Increased lipolysis (D) Glycosuria

Last Answer : Answer : B

Which one of the following is true of IgE? 1) Is present in plasma in the same concentration as IgG 2) Is increased acutely in an asthmatic attack 3) Crosses the normal placenta 4) Is increased in the serum of atopic individuals 5) Is involved in type 2 hypersensitivity

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Match the items given in column I with those in column II and select the correct option given below. Column I Column II A. Glycosuria (i) Accumulation of uric acid in joints B. Gout (ii) Mass of crystallised salts within the kidney C. Renal calculi (iii) Inflammation in glomeruli D. Glomerular (iv) Presence of glucose in nephritis urine A B C D (a) (iii) (ii) (iv) (i) (b) (i) (ii) (iii) (iv) (c) (ii) (iii) (i) (iv) (d) (iv) (i) (ii) (iii)

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Last Answer : (d) (iv) (i) (ii) (iii)

convert mg/dl to mmol/L?

Description : convert mg/dl to mmol/L?

Last Answer : what is the factor ( times ) to convert milligrams/DeciLitre to mmol/L

The normal concentration of bicarbonate in blood is (A) 21 meq/L (B) 24 meq/L (C) 26 meq/L (D) 30 meq/L

Description : The normal concentration of bicarbonate in blood is (A) 21 meq/L (B) 24 meq/L (C) 26 meq/L (D) 30 meq/L

Last Answer : Answer : C

Which vasodilator is most suitable for a patient of CHF who is symptomatic even at rest and has a central venous pressure of 25 mm Hg and cardiac index 1.8 L/min/m2 : A. Glyceryl trinitrate B. Enalapril C. Hydralazine D. Nifedipine

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Last Answer : B. Enalapril

Acute danger to human life (i.e. death) exists, if the concentration of CO2 in atmospheric air exceeds __________ percent (by volume). (A) 1(B) 3 (C) 7 (D) 20

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Last Answer : (D) 20

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

Which of the following statements are true of a patient with hyperglycemia and hyponatremia? A. The sodium concentration must be corrected by 5 mEq. per 100 mg. per 100 ml. elevation in blood glucose. B. With normal renal function, this patient is likely to be volume overloaded. C. Proper fluid therapy would be unlikely to include potassium administration. D. Insulin administration will increase the potassium content of cells. E. Early in treatment adequate urine output is a reliable measure of adequate volume resuscitation.

Description : Which of the following statements are true of a patient with hyperglycemia and hyponatremia? A. The sodium concentration must be corrected by 5 mEq. per 100 mg. per 100 ml. elevation in blood ... . E. Early in treatment adequate urine output is a reliable measure of adequate volume resuscitation.

Last Answer : Answer: D DISCUSSION: Each 100-mg. per 100 ml. elevation in blood glucose causes a fall in serum sodium concentration of approximately 2 mEq. per liter. Excess serum glucose ... correction of the patient's associated acidosis produce movement of potassium ions into the intracellular compartment

The following are true about cerebrospinal fluid: a. it is found in the space between the pia mater and the arachnoid b. the normal amount in human being is about 500 ml c. with the body lying in lateral horizontal position, the normal intracranial pressure is about 100 ml of water d. only the lateral ventricle contains choroidal plexus which secrete cerebrospinal fluid e. cerebrospinal fluid contains the same concentration of glucose as the blood

Description : The following are true about cerebrospinal fluid: a. it is found in the space between the pia mater and the arachnoid b. the normal amount in human being is about 500 ml c ... plexus which secrete cerebrospinal fluid e. cerebrospinal fluid contains the same concentration of glucose as the blood

Last Answer : it is found in the space between the pia mater and the arachnoid

The normal concentration of calcium in C.S.F is (A) 1.5–2.5 mg/100 ml (B) 2.5–4 mg/100 ml (C) 4.5–5 mg/100 ml (D) 9–10 mg/100 ml

Description : The normal concentration of calcium in C.S.F is (A) 1.5–2.5 mg/100 ml (B) 2.5–4 mg/100 ml (C) 4.5–5 mg/100 ml (D) 9–10 mg/100 ml

Last Answer : Answer : C

There is polyuria without glycosuria in this disorder (A) Diabetes insipidus (B) Diabetes millitus (C) Bronze diabetes (D) Juvenile diabetes

Description : There is polyuria without glycosuria in this disorder (A) Diabetes insipidus (B) Diabetes millitus (C) Bronze diabetes (D) Juvenile diabetes

Last Answer : Answer : A

Sucrose intolerance leads to (A) Hyper glycemia (B) Glycosuria (C) Diarrhoea (D) Hypoglycemia

Description : Sucrose intolerance leads to (A) Hyper glycemia (B) Glycosuria (C) Diarrhoea (D) Hypoglycemia

Last Answer : Answer : C

Which of the following condition is characterized by ketonuria but without glycosuria? (A) Diabetes mellitus (B) Diabetes insipidus (C) Prolonged starvation (D) Addison’s disease

Description : Which of the following condition is characterized by ketonuria but without glycosuria? (A) Diabetes mellitus (B) Diabetes insipidus (C) Prolonged starvation (D) Addison’s disease

Last Answer : Answer : C

Physiological glycosuria is met with in (A) Renal glycosuria (B) Alimentary glycosuria (C) Diabetes Mellitus (D) Alloxan diabetes

Description : Physiological glycosuria is met with in (A) Renal glycosuria (B) Alimentary glycosuria (C) Diabetes Mellitus (D) Alloxan diabetes

Last Answer : B

If we place a red blood cell (osmolality is 280 mmol/kg) in the serum of person F, will the plasma fl ow into the cell or out of the cell ? -Science

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Which of the following statement(s) is/are true concerning oxygen delivery? a. The amount of oxygen delivered to peripheral tissues is dependent upon the oxygen content in arterial blood and cardiac output b. Oxygen content is commonly measured in arterial blood c. The normal arterial-venous difference is 4 cc O2/dL d. Normal systemic oxygen delivery for a typical adult is approximately 1000 cc/min

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Which of the following statement(s) is/are true concerning O2 venous saturation monitoring? a. The normal saturation of mixed venous blood is 50% b. Mixed venous blood obtained for saturation monitoring can be obtained from any peripheral vein c. If arterial blood is fully saturated, the saturation of mixed venous blood is 80% d. In less than fully saturated blood, the difference between arterial and venous saturation corresponds to oxygen extraction

Description : Which of the following statement(s) is/are true concerning O2 venous saturation monitoring? a. The normal saturation of mixed venous blood is 50% b. Mixed venous blood obtained ... than fully saturated blood, the difference between arterial and venous saturation corresponds to oxygen extraction

Last Answer : Answer: c, d The relationship between oxygen delivery and oxygen consumption is reflected in the amount of oxygen in venous blood. Under normal circumstances, oxygen delivery is 1000 ... and venous saturation corresponds to the oxygen extraction, hence the oxygen delivery/oxygen consumption ratio

Which of the following complications of TPN are appropriately managed with the listed treatment? a. Air embolism—place patient in reverse Trendelenburg and the left lateral decubitus position and aspirate venous air b. Hyperchloremic metabolic acidosis—give sodium and potassium as acetate salts c. Carbon dioxide retention—decrease glucose calories and replace with fat d. Line sepsis—intravenous antibiotics

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Last Answer : Answer: b, c A number of complications of TPN can occur which can be divided into three types: mechanical, metabolic, and infectious

Which of the following statement(s) concerning intravenous nutritional support is/are true? a. Concentrations of glucose no higher than 5% should be used to avoid peripheral vein sclerosis b. A major disadvantage of the peripheral technique is limited caloric delivery c. If total parenteral nutrition is required, access to the superior vena cava via the external jugular vein is the most suitable site d. Venous thrombosis is an uncommon complication for long-term central vein catheterization

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Last Answer : Answer: b Although peripheral access can be used for intravenous nutrition, the major disadvantage of this technique is limited caloric delivery to meet catabolic demands within tolerated fluid ... studies that use phlebography or radionucleotide venography indicate the incidence is as high as 35%

Glycosuria is a condition where a man (a) Eats more sugar (b) Excretes sugar in urine (c) Sugar is excreted in faeces (d) Has low sugar level in blood

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Last Answer : (b) Excretes sugar in urine

At low blood glucose concentration, brain but not liver will take up glucose. It is due to the (A) Low Km of hexokinase (B) Low Km of glucokinase (C) Specificity of glucokinase (D) Blood brain barrier

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Last Answer : Answer : A

The normal concentration of magnesium in whole blood is (A) 0–1 mg/100 ml (B) 1–2 mg/100 ml (C) 2–4 mg/100 ml (D) 4–8 mg/100 ml

Description : The normal concentration of magnesium in whole blood is (A) 0–1 mg/100 ml (B) 1–2 mg/100 ml (C) 2–4 mg/100 ml (D) 4–8 mg/100 ml

Last Answer : Answer : C

The following is true of 'new formula' WHO-ORS: A. It has Na+ ion concentration of 75 mM/L B. Its glucose concentration is 75 mM/L C. Its total osmolarity is 245 mOsm/L D. All of the above are correct

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The branching enzyme acts on the glycogen when the glycogen chain has been lengthened to between glucose units: (A) 1 and 6 (B) 2 and 7 (C) 3 and 9 (D) 6 and 11

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Death may occur, when SO2 concentration in atmospheric air exceeds __________ ppm.(A) 20 (B) 100 (C) 400 (D) 200

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After operative removal of the parathyroid glands resulting into hypoparathyroidism the concentration of the serum calcium may drop below (A) 11 mg (B) 10 mg (C) 9 mg (D) 7 mg

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Jaundice is visible when serum bilirubin exceeds (A) 0.5 mg/100 ml (B) 0.8 mg/100 ml (C) 1 mg/100 ml (D) 2.4 mg/100 ml

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Last Answer : Answer : C

A two digit number exceeds forty percent of another two digit number by 16. If the sum of these two digit numbers is 72, which of the following is the difference between these two digit numbers ? a) 10 b) 6 c) 8 d) 14 e) None of these

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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

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Last Answer : Answer : C

Which one of the following statements concerning glucose metabolism is correct? (A) The conversion of Glucose to lactate occurs only in the R.B.C (B) Glucose enters most cells by a mechanism in which Na+ and glucose are co-transported (C) Pyruvate kinase catalyses an irreversible reaction (D) An elevated level of insulin leads to a decreased level of fructose 2, 6-bisphosphate in hepatocyte

Description : Which one of the following statements concerning glucose metabolism is correct? (A) The conversion of Glucose to lactate occurs only in the R.B.C (B) Glucose enters most cells by a mechanism in ... ) An elevated level of insulin leads to a decreased level of fructose 2, 6-bisphosphate in hepatocyte

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The normal serum GOT activity ranges from (A) 3.0–15.0 IU/L (B) 4.0–17.0 IU/L (C) 4.0–60.0 IU/L (D) 0.9–4.0 IU/L

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_____ is a surface fatigue failure which occurs when the load on the bearing part exceeds the surface endurance strength of the material. (a) Scoring (b) Pitting (c) Corrosion

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Avalanche breakdown in a diode occurs when a. Potential barrier is reduced to zero. b. Forward current exceeds certain value. c. Reverse bias exceeds a certain value. d. None of these

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