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

1 Answer

Answer :

Answer :  A

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Description : Which of the following is noted in cushing’s syndrome, a tumor associated disease of the adrenal cortex? (A) Decreased production of epinephrine (B) Excessive production of epinephrine (C) Excessive production of vasopressin (D) Excessive production of cortisol

Last Answer : Answer : D

Description : In Cushing’s syndrome-a tumour associated disease of adrenal cortex, there is (A) Decreased epinephrine production (B) Excessive cortisol production (C) Excessive epinephrine production (D) Decreased cortsoil production

Last Answer : Answer : B

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

Last Answer : Answer : A

Description : Which of the following disorders is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex? a) Cushing's syndrome The patient ... individual with Hashimoto's disease demonstrates inflammation of the thyroid gland, resulting in hypothyroidism.

Last Answer : a) Cushing’s syndrome The patient with Cushing’s syndrome demonstrates truncal obesity, moon face, acne, abdominal striae, and hypertension.

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

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

Last Answer : Answer : A

Description : Which of the following is true of loss of gastrointestinal secretions? A. Gastric losses are best replaced with a balanced salt solution. B. Potassium supplementation is unnecessary in ... bowel fistula. E. A patient with persistent vomiting usually requires hyperchloremic replacement fluids.

Last Answer : Answer: DE DISCUSSION: Gastric secretions are relatively high in chloride and potassium. Other than an isolated pancreatic fistula, gastrointestinal tract losses below the pylorus ... Although potassium concentrations are low, copious losses require potassium supplementation to prevent hypokalemia

Description : A decrease in serum sodium may occur in (A) Adrenocortical insufficiency (B) Hypoparathyroidism (C) Hyperparathyroidism (D) Thyrotoxicosis

Last Answer : Answer : A

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 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 : Which of the following techniques would be most useful in the differential diagnosis between ectopic Cushing's syndrome and pituitary dependent Cushing's disease. 1) Urine free cortisol 2) ... Dexamethasone suppression test 3) ACTH concentrations 4) Inferior petrosal sinus sampling 5) CRF test

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Description : A patient who recently had a calculus removed from the kidney presented with radiolucent area in the left maxilla with clinical evidence of swelling. The disease that you would immediately suggest ... A. Diabetes B. Thyrotoxicosis C. Hyperparathyroidism D. Osteoporosis E. Adrenal insufficiency

Last Answer : C. Hyperparathyroidism

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

Description : Urinary excretion of vanillyl madelic acid is increased in (A) Phaeochromocytoma (B) Cushing’s syndrome (C) Carcinoid syndrome (D) Aldosteronism

Last Answer : Answer : A

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

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

Last Answer : Answer : A

Description : The following are true about parathyroid hormone a. it is an 84 amino acid peptide hormone b. it increases calcium absorption from the gastrointestinal tract c. it acts on a cell surface receptor that increases intracellular cyclic AMP d. all above

Last Answer : all above

Description : An increase in carbohydrate metabolism is accompanied by temporary decrease in serum: (A) Calcium (B) Phosphate (C) Iron (D) Sodium

Last Answer : Answer : B

Description : True statements concerning hypoadrenal shock include which of the following? A. Adrenocortical insufficiency may manifest itself as severe shock refractory to volume and pressor therapy. B. ... test should be performed to help establish the diagnosis of acute adrenocortical insufficiency.

Last Answer : Answer: AD DISCUSSION: Shock due to acute adrenocortical insufficiency is relatively uncommon but must be considered when shock refractory to volume replacement and pressor therapy is present. ... and it is the corticosteroid of choice while the ACTH stimulation test is being performed

Description : Zymogen is (A) An intracellular enzyme (B) Serum enzyme (C) A complete extracellular enzyme (D) An inactivated enzyme

Last Answer : Answer : D

Description : The principal cation in intracellular fluid is (A) Sodium (B) Potassium (C) Calcium (D) Magnesium

Last Answer : Answer : B

Description : Concentration of the following is higher in intracellular fluid than in extracellular fluid: (A) Sodium (B) Potassium (C) Chloride (D) Bicarbonate

Last Answer : Answer : B

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

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.

Description : A young medical student has come to you with complaints of oligomenorrrhea, hirsuitism and weight gain, ultrasound reveals bulky ovaries with sub-capsular cysts. Most likely diagnosis is: a) Ovarian ... syndrome. c) Polycystic ovarian disease. d) Diabetes mellitus. e) Pelvic inflammatory disease

Last Answer : c) Polycystic ovarian disease.

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Last Answer : E) acromegaly.

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Last Answer : C. First term abortion

Description : Which of the following statement(s) is/are true concerning metabolic derangements in sepsis and the systemic inflammatory response syndrome which may follow progressive shock? a. Alterations in glucose ... The serum aromatic amino acids fall rapidly as they are actively used in oxidative metabolism

Last Answer : Answer: b, c A broad spectrum of metabolic abnormalities become apparent in sepsis and the systemic inflammatory response syndrome following shock. Disruption of the normal cycles of carbohydrate, ... acetyl coenzyme A. This results in reduced serum level of leucine, isoleucine and valine

Description : In adrenogenital syndrome due to total absence of 21-hydroxylase in adrenal cortex, there is (A) Deficient secretion of glucocorticoids (B) Deficient secretion of mineralcorticoids (C) Excessive secretion of androgens (D) All of these

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Description : Which of the following may be responsible for a hypokalaemic hypertension 1) Non-classical congenital adrenal hyperplasia 2) Barter's syndrome 3) Diabetic nephropathy 4) Liddle's syndrome 5) Type IV renal tubular acidosis

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Description : Choose the correct statement about carbimazole: A. It induces improvement in thyrotoxic symptoms afer 1-4 weeks therapy B. Control of thyrotoxic symptoms with carbimazole is accompanied by ... leads to thyroid escape' D. It mitigates thyrotoxic symptoms without lowering serum thyroxine levels

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Last Answer : Answer : A

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

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

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

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Description : In the neurone: a. the magnitude of the action potential is dependent on the strength of the stimulus b. impulses can travel in both direction c. depolarization is accompanied by increased ... potassium ions d. during depolarization, the potential of the neurone changes from -70mV to +40mV

Last Answer : during depolarization, the potential of the neurone changes from -70mV to +40mV

Description : A striking feature of living cells is a marked difference between the composition of the cytosol and the extracellular milieu. Which of the following statement(s) concerning the mechanisms of maintenance ... d. The selectivity of cell membranes relates only to ions and not organic compounds

Last Answer : Answer: a The survival of the cell requires that cytosolic composition be maintained within narrow limits, despite the constant influx of nutrients and the simultaneous outflow of waste. A ... be altered drastically as a result of regulatory or signaling processes that occur within the cell

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Description : For therapeutic effect in manic depressive illness, steady-state serum lithium concentration should be maintained between: A. 0.2–0.4 mEq/L B. 0.5–0.8 mEq/L C. 1.0–1.3 mEq/L D. 1.5–2.5 mEq/L

Last Answer : B. 0.5–0.8 mEq/L

Description : Cushing syndrome due to adrenal tumor?

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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 : The following are true about aldosterone: a. it is secreted by the adrenal medulla b. its secretion is stimulated by decreased blood volume c. it stimulates active reabsorption of sodium in the distal renal tubules. d. it causes increased secretion of potassium by the distal renal tubules.

Last Answer : it causes increased secretion of potassium by the distal renal tubules.

Description : Aldosteronism will present the chemical pathology of (A) Addison’s (B) Cushing’s (C) Grave’s (D) Hartnup’s

Last Answer : Answer : B

Description : Whcih one of the following is not a symptom of cushing’s disease? (A) Hyperglycemia (B) Hypernatremia (C) Hirsutism (D) Hyperkalemia

Last Answer : Answer : D