Description : Serum inorganic phosphorous rises in all the following conditions except (A) Hypoparathyroidism (B) Hypervitaminosis D (C) Chronic renal failure (D) After a carbohydrate-rich meal MINERAL METABOLISM 197
Last Answer : Answer : D
Description : Hypocalcaemia can occur in all the following except (A) Rickets (B) Osteomalacia (C) Hyperparathyroidism (D) Intestinal malabsorption
Last Answer : Answer : C
Description : The product of serum calcium concentration (mg/dl) and serum inorganic phosphorous concentration (mg/dl) is decreased in (A) Rickets (B) Hypoparathyroidism (C) Hyperparathyroidism (D) Renal failure
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 : Clinical uses of Vitamin D do not include (a) Chronic renal failure (b) Hyperparathyroidism (c) Intestinal osteodystrophy (d) Nutritional rickets (e) Osteoporosis
Last Answer : Ans: B
Description : Primary hyperparathyroidism may occur in association with the following conditions 1) Chronic renal failure 2) Vitamin D deficiency 3) Gastrinoma 4) Autoimmune polyendocrine syndrome 5) Sjogren's syndrome
Last Answer : Answers-3 The association of primary hyperparathyroidism and a gastrinoma would suggest a diagnosis of multiple endocrine neoplasia type 1. CRF causes secondary or tertiary hyperparathyroidism, with vit D deficiency causing secondary hyperparathyroidism. Ther is no association with Sjogren's.
Description : Which of the following conditions is an indication for the use of calcitonin? (a) Chronic renal failure (b) Hypoparathyroidism (c) Intestinal osteodystrophy (d) Pager’s disease (e) Rickets
Last Answer : Ans: D
Description : Radiopaque lesions are seen in: A. Multiple myeloma B. Paget’s disease C. Hyperparathyroidism D. Chronic renal failure
Last Answer : B. Paget’s disease
Description : The characteristic of hyperparathyroidism is (A) Low serum calcium (B) High serum phosphorous (C) Low serum calcium and high serum phosphorous (D) High serum calcium and low serum phosphate
Description : Serum potassium level decreases in (A) Familial periodic paralysis (B) Addison’s disease (C) Renal failure (D) All of these
Description : Serum sodium level rises in all of the following except (A) Renal failure (B) Prolonged steroid therapy (C) Aldosteronism (D) Dehydration
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
Last Answer : Answer : B
Description : The product of serum calcium concentration (mg/dl) and serum inorganic phosphorous concentration (mg/dl) in children is about (A) 30 (B) 40 (C) 50 (D) 60
Description : The product of serum calcium concentration (mg/dl) and serum inorganic phosphorous concentration (mg/dl) in adults is about (A) 30 (B) 40 (C) 50 (D) 60
Description : The correct statement about serum inorganic phosphorous concentration is (A) It is higher in men than in women (B) It is higher in women than in men (C) It is higher in adults than in children (D) It is higher in children than in adults
Description : An inherited or acquired renal tubular defect in the reabsorption of phosphate (Vit D resistant ricket) is characterized with (A) Normal serum Phosphate (B) High serum phosphate (C ... blood phosphorous with elevated alkaline Phosphate (D) A high blood phosphorous with decreased alkaline phosphatase
Description : Full activation of the sympathetic nervous system, as in maximal exercise, can produce all of the following responses except (a) Bronchial relaxation (b) Decreases intestinal motility (c) Increased renal blood flow (d) Mydriasis (e) Increased heart rate (tachycardia)
Last Answer : Ans: C
Description : Altering the amino acid profile in total parenteral nutrition solutions can be of benefit in certain conditions. Which of the following conditions are associated with a benefit by supplementation with the ... c. Short gut syndrome and glutamine d. Chronic renal failure and essential amino acids
Last Answer : Answer: a, c In a number of conditions, altering the amino acid profile of the total parenteral nutrition solution can be of benefit. TPN with amino acids of high biologic value ... Glutamine-enriched TPN partially attenuates villous atrophy and may be useful in treatment of short gut syndrome
Description : The following conditions give rise to red blood cells with increased mean cell volume: a. anaemia of chronic disease. b. pernicious anaemia. c. anaemia due to renal failure. d. haemolytic anaemi
Last Answer : pernicious anaemia.
Description : Deficiency of vitamin B12 can occur because of (A) Decreased intake of vitamin B12 (B) Atrophy of gastric mucosa (C) Intestinal malabsorption (D) All of these
Description : Positive nitrogen balance is seen in (A) Starvation (B) Wasting diseases (C) Growing age (D) Intestinal malabsorption
Description : Serum LDL has been found to be increased in (A) Obstructive jaundice (B) Hepatic jaundice (C) Hemolytic jaundice (D) Malabsorption syndrome
Description : Hyponatraemia occurs in the following condition: (A) Addison’s disease (B) Chronic renal failure (C) Severe diarrhoea (D) All of these
Description : Characteristics of Vitamin D and its metabolites include which one of the following? (a) Act to decrease serum levels of calcium (b) Activation of their Vitamin D receptors increases cellular CAMP ... Vitamin D increase renal excretion of calcium (e) Vitamin D deficiency results in Pager's disease
Description : A decrease in serum sodium may occur in (A) Adrenocortical insufficiency (B) Hypoparathyroidism (C) Hyperparathyroidism (D) Thyrotoxicosis
Description : Serum a lka l ine phosphatase leve l increases in (A) Hypothyroidism (B) Carcinoma of prostate (C) Hyperparathyroidism (D) Myocardial ischemia
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 : The presence of mucus and pus in the stools suggests a) Inflammatory colitis The presence of mucus and pus in the stools suggests inflammatory colitis or enteritis. b) Small bowel ... with disorders of the colon. d) Intestinal malabsorption Voluminous, greasy stools suggest intestinal malabsorption.
Last Answer : a) Inflammatory colitis The presence of mucus and pus in the stools suggests inflammatory colitis or enteritis.
Description : Crohn's disease is a condition of malabsorption caused by a) inflammation of all layers of intestinal mucosa. Crohn's disease is also known as regional enteritis and can occur ... to lactose intolerance. d) gastric resection. Postoperative malabsorption occurs after gastric or intestinal resection.
Last Answer : a) inflammation of all layers of intestinal mucosa. Crohn’s disease is also known as regional enteritis and can occur anywhere along the GI tract, but most commonly at the distal ileum and in the colon.
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 : A decrease in the ionized fraction of serum calcium causes (A) Tetany (B) Rickets (C) Osteomalacia (D) Osteoporosis
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.
Description : A patient of chronic renal failure maintained on intermittent haemodialysis has anaemia not responding to iron therapy. Which of the following additional drug is indicated: A. Epoetin B. Cyanocobalamin C. Folic acid D. Pyridoxine
Last Answer : A. Epoetin
Description : Recombinant human erythropoietin is indicated for: A. Megaloblastic anaemia B. Haemolytic anaemia C. Anaemia in patients of thalassemia D. Anaemia in chronic renal failure patients
Last Answer : D. Anaemia in chronic renal failure patients
Description : Inborn errors of urea cycle can cause all the following except (A) Vomiting (B) Ataxia (C) Renal failure (D) Mental retardation
Description : A high concentration of PTH in blood causes (A) Increase in plasma calcium and inorganic phosphorous (B) Decrease in plasma calcium and inorganic phosphorous (C) Increase in plasma calcium ... in plasma inorganic phosphorous (D) Decrease in plasma calcium and increase in plasma inorganic phosphorous
Description : When ATP forms AMP (A) Inorganic pyrophosphate is produced (B) Inorganic phosphorous is produced (C) Phsophagen is produced (D) No energy is produced
Description : In hypoparathyroidism (A) Plasma calcium and inorganic phosphorous are low (B) Plasma calcium and inorganic phosphorous are high (C) Plasma calcium is low and inorganic phosphorous high (D) Plasma calcium is high and inorganic phosphorous low
Description : Hypercalcaemia can occur in all the following except (A) Hyperparathyroidism (B) Hypervitaminosis D (C) Milk alkali syndrome (D) Nephrotic syndrome
Description : Renal ricket is caused by renal tubular defect (usually inherited) which interferes with reabsorption of (A) Calcium (B) Phosphorous (C) Sodium (D) Chloride
Description : The normal serum level of phosphorous in children varies from (A) 1–2 mg/100 ml (B) 2–3 mg/100 ml (C) 3–4 mg/100 ml (D) 4–7 mg/100 ml
Description : Levels of serum calcium and inorganic phosphorus are increased in (A) Hypervitaminosis D (B) Hypoparathyroidism (C) Hypovitaminosis D (D) None of these
Description : Anion gap is increased in (A) Renal tubular acidosis (B) Metabolic acidosis resulting from diarrhoea (C) Metabolic acidosis resulting from intestinal obstruction (D) Diabetic ketoacidosis
Description : Respiratory alkalosis occurs in (A) Hysterical hyperventilation (B) Depression of respiratory centre (C) Renal diseases (D) Loss of intestinal fluids
Description : An important finding in glycinuria is (A) Excess excretion of oxalate in the urine (B) Deficiency of enzyme glycinase (C) Significantly increased serum glycine level (D) Defect in renal tubular reabsorption of glycine
Description : Increased serum alanine during fasting is due to (A) Breakdown of muscle proteins (B) Decreased utilization of non essential amino acids (C) Leakage of aminoacids to plasma (D) Impaired renal function
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 : Acute renal failure (ARF) may be caused by all of the following except (a) Acute tubular necrosis (ATN) due to drug therapy (e.g., aminoglycosides, contrast media) (b) Severe hypotension ... (c) Decreased cardiac output, as from congestive heart failure (d) Hemolysis, myoglobinuria (e) Hyperkalemia
Last Answer : Ans: E
Description : The following is true of mannitol except: A. It inhibits solute reabsorption in the thick ascending limb of loop of Henle B. It is contraindicated in patients with increased intracranial tension C. It ... acute left ventricular failure D. It is not used to treat cardiac or hepatic or renal edema
Last Answer : B. It is contraindicated in patients with increased intracranial tension
Description : Maximum rise in serum amylase occurs in (A) Acute parotitis (B) Acute pancreatitis (C) Chronic pancreatitis (D) Pancreatic cancer