Homework Answers
Question 21
In hypothyroidism, Cushing syndrome, hypogluconemia are all considered with alteration in the blood glucise level.In hyperinsulism there is raise of insulin level which can cause hypoglycemia.This can be a serious issue and needs regular intervention to maintain normal blood glucose level.
Ans :c)Hyperinsulinism
Question 22
A patient who has uncontrollable diabetes leads to accumulation of acids in the blood called ketone (raise in beta hydroxybutric acid) This alters the acid base balance an causing metabolic acidosis
Ans :d) the increased formation of b-h ydroxybutyric acid (ketones)
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Question 21 (1 point) The differential diagnosis for hyperglycemia would not include which of the following?...
Question 23 (1 point) Which of the following metabolic environments is not consistent with the disease...
Question 23 (1 point) Which of the following metabolic environments is not consistent with the disease indicated? a) Hypocholesteremia in Thyrotoxicosis b) Increase FSH and LH in ovarian failure c) Hyponatremia in Cushing syndrome d) Hyperglycemia in Cushing syndrome Question 24 (1 point) 40-year-old female presented with complaints of weight gain, acne, and increased facial hair. Physical examination revealed a blood pressure of 154/98, truncal obesity, a round face, acne ecchymoses of the arms and legs, purplish abdominal striae, and...
Question 35 (1 point) Which of the following metabolic response is not consistent with the disease...
Question 35 (1 point) Which of the following metabolic response is not consistent with the disease indicated? a) Hyponatremia in Cushing syndrome b) Hyperglycemia in Cushing syndrome c) Hypocholesteremia in Thyrotoxicosis d) Increase FSH and LH in ovarian failure Question 36 (1 point) Which of the following challenge tests is a suppression test? a) ACTH b) TRH c) Dexamethasone d) Metapirone
Which one of the following statements concerning whole blood glucose values is correct? a. Plasma glucose...
Which one of the following statements concerning whole blood glucose values is correct? a. Plasma glucose values are 30% higher than whole blood glucose values. b. They are approximately 20% higher than plasma glucose values. C. They are approximately 15% lower than plasma glucose values. d. There is no difference between whole blood and plasma glucose values. In uncontrolled diabetes mellitus, ketones are present in the blood and urine because of a. increased free fatty acids b. decreased lipid formation...
Question 13 (1 point) Laboratory Results Result 124 5.7 95 18 45 Reference Interval 135 to...
Question 13 (1 point) Laboratory Results Result 124 5.7 95 18 45 Reference Interval 135 to 145 mmol L 3.2 to 5.0 mmol L 98 to 108 mmol 1 22 to 26 mmol L 3.6 to 6.1 mmol L Negative Test Sodium Potassium Chloride HCO Blood Glucose Urine Ketones Positive The patient is hyperkalemic because? a) Respiratory acidosis is present b) Metabolic acidosis c) Protein catabolism d) Metabolic alkalosis is present Question 14 (1 point) Laboratory Results Test Sodium Potassium...
Question 21 (1 point) Which of the following hormones is modified by the kidney that affects...
Question 21 (1 point) Which of the following hormones is modified by the kidney that affects Calcium and phosphate homeostasis? a) Vitamin D b) Cortisol c) Parathyroid hormone d) Calcitonin Question 22 (1 point) Patient presents with the following Laboratory test results: Test Reference Interval Result Na+ 128 mmol/L 135-145 mmol/L 5.7 mmol/L 3.5-5.0mmol/L K+ 94 mmol/L 97-107 mmolL Cl- 18 mmol/L 22-28 mmol/L НСОЗ- Urea Nitrogen (UN) 10.0 mmol/L 2.0-8.2mmol/L Glucose 48 mmol/L 3.6-6.1 mmol/L What is the acid-base...
Question 15 (1 point) Which one of the following statements concerning carbohydrates is incorrect? a) Type...
Question 15 (1 point) Which one of the following statements concerning carbohydrates is incorrect? a) Type 1 diabetes mellitus is considered "insulin-dependent" diabetes and typically appears in juvenile patients. b) Glycolysis produces pyruvate, which is converted to acetyl CoA, and via the Krebs' cycle, forms ATP. The process of glycogen formation occurring in the liver and skeletal muscle is referred to as glycogenolysis. d) Monosaccharides are formed from the breakdown of starches and disaccharides in the small intestine. Question 16...
Question 3 (1 point) Which of the following hormones promotes decreased blood glucose? a) Glucagon b)...
Question 3 (1 point) Which of the following hormones promotes decreased blood glucose? a) Glucagon b) Cortisol c) Epinephrine d) Insulin Question 4 (1 point) A 75-year-old diabetic man was brought by his daughter to a hospital emergency department. He was in a confused state, complaining of lightheadedness, trembling, sweating, and nausea. His daughter claims that he does not drink alcohol and that he takes oral hypoglycemic agents to control his diabetes. What is the likely cause of his symptoms?...
Question 17 (1 point) Laboratory Investigations on a 62 year old male in the ER. Reference...
Question 17 (1 point) Laboratory Investigations on a 62 year old male in the ER. Reference Interval Test Result Serum Na 150 K5.5 CHE 112L MENAM TCO 18 BUN 16.5 Osmo 385 Glucose 48.0 Ketones e Negative Lactate Urinalysis Glucose 28 Ketones Negative Arterial Blood Gas De 7:32 pCO, 30 135 - 145 mmol L 3.2 - 5 mmol L 98-108 mmol L 23-32 mmoll | 20-8.2 mmol L 280 - 300 mmol kg 3.6 - 6.1 mmol L Negative...
Question 29 (1 point) Select which of the following enzyme characteristics would be most useful in...
Question 29 (1 point) Select which of the following enzyme characteristics would be most useful in diagnostic decision making. a) Enzyme requires a purification step prior to analysis Enzyme is distributed in most tissues, high specificity, low sensitivity and demonstrates b) a short lag time and long elimination time. Enzyme has high sensitivity, high specificity, and demonstrates a short lag time and long c) elimination time. d) Enzyme is cleared in the urine. Question 30 (1 point) Which one of...
Question 1 (1 point) All of the following statements about bicarbonate ions are true EXCEPT: bicarbonate...
Question 1 (1 point) All of the following statements about bicarbonate ions are true EXCEPT: bicarbonate ions are excreted in the urine in proportion to hydrogen ion excretion. the kidneys are capable of synthesizing new bicarbonate ions. O the kidneys can reabsorb bicarbonate ions. O bicarbonate ions act in a chemical buffer system as a weak base. there is many more bicarbonate ions than carbonic acid molecules in the carbonic acid-bicarbonate buffer system. Question 2 (1 point) Which of these...
Question 23 (1 point) Which of the following metabolic environments is not consistent with the disease indicated? a) Hypocholesteremia in Thyrotoxicosis b) Increase FSH and LH in ovarian failure c) Hyponatremia in Cushing syndrome d) Hyperglycemia in Cushing syndrome Question 24 (1 point) 40-year-old female presented with complaints of weight gain, acne, and increased facial hair. Physical examination revealed a blood pressure of 154/98, truncal obesity, a round face, acne ecchymoses of the arms and legs, purplish abdominal striae, and...
Question 35 (1 point) Which of the following metabolic response is not consistent with the disease indicated? a) Hyponatremia in Cushing syndrome b) Hyperglycemia in Cushing syndrome c) Hypocholesteremia in Thyrotoxicosis d) Increase FSH and LH in ovarian failure Question 36 (1 point) Which of the following challenge tests is a suppression test? a) ACTH b) TRH c) Dexamethasone d) Metapirone
Which one of the following statements concerning whole blood glucose values is correct? a. Plasma glucose values are 30% higher than whole blood glucose values. b. They are approximately 20% higher than plasma glucose values. C. They are approximately 15% lower than plasma glucose values. d. There is no difference between whole blood and plasma glucose values. In uncontrolled diabetes mellitus, ketones are present in the blood and urine because of a. increased free fatty acids b. decreased lipid formation...
Question 13 (1 point) Laboratory Results Result 124 5.7 95 18 45 Reference Interval 135 to 145 mmol L 3.2 to 5.0 mmol L 98 to 108 mmol 1 22 to 26 mmol L 3.6 to 6.1 mmol L Negative Test Sodium Potassium Chloride HCO Blood Glucose Urine Ketones Positive The patient is hyperkalemic because? a) Respiratory acidosis is present b) Metabolic acidosis c) Protein catabolism d) Metabolic alkalosis is present Question 14 (1 point) Laboratory Results Test Sodium Potassium...
Question 21 (1 point) Which of the following hormones is modified by the kidney that affects Calcium and phosphate homeostasis? a) Vitamin D b) Cortisol c) Parathyroid hormone d) Calcitonin Question 22 (1 point) Patient presents with the following Laboratory test results: Test Reference Interval Result Na+ 128 mmol/L 135-145 mmol/L 5.7 mmol/L 3.5-5.0mmol/L K+ 94 mmol/L 97-107 mmolL Cl- 18 mmol/L 22-28 mmol/L НСОЗ- Urea Nitrogen (UN) 10.0 mmol/L 2.0-8.2mmol/L Glucose 48 mmol/L 3.6-6.1 mmol/L What is the acid-base...
Question 15 (1 point) Which one of the following statements concerning carbohydrates is incorrect? a) Type 1 diabetes mellitus is considered "insulin-dependent" diabetes and typically appears in juvenile patients. b) Glycolysis produces pyruvate, which is converted to acetyl CoA, and via the Krebs' cycle, forms ATP. The process of glycogen formation occurring in the liver and skeletal muscle is referred to as glycogenolysis. d) Monosaccharides are formed from the breakdown of starches and disaccharides in the small intestine. Question 16...
Question 3 (1 point) Which of the following hormones promotes decreased blood glucose? a) Glucagon b) Cortisol c) Epinephrine d) Insulin Question 4 (1 point) A 75-year-old diabetic man was brought by his daughter to a hospital emergency department. He was in a confused state, complaining of lightheadedness, trembling, sweating, and nausea. His daughter claims that he does not drink alcohol and that he takes oral hypoglycemic agents to control his diabetes. What is the likely cause of his symptoms?...
Question 17 (1 point) Laboratory Investigations on a 62 year old male in the ER. Reference Interval Test Result Serum Na 150 K5.5 CHE 112L MENAM TCO 18 BUN 16.5 Osmo 385 Glucose 48.0 Ketones e Negative Lactate Urinalysis Glucose 28 Ketones Negative Arterial Blood Gas De 7:32 pCO, 30 135 - 145 mmol L 3.2 - 5 mmol L 98-108 mmol L 23-32 mmoll | 20-8.2 mmol L 280 - 300 mmol kg 3.6 - 6.1 mmol L Negative...
Question 29 (1 point) Select which of the following enzyme characteristics would be most useful in diagnostic decision making. a) Enzyme requires a purification step prior to analysis Enzyme is distributed in most tissues, high specificity, low sensitivity and demonstrates b) a short lag time and long elimination time. Enzyme has high sensitivity, high specificity, and demonstrates a short lag time and long c) elimination time. d) Enzyme is cleared in the urine. Question 30 (1 point) Which one of...
Question 1 (1 point) All of the following statements about bicarbonate ions are true EXCEPT: bicarbonate ions are excreted in the urine in proportion to hydrogen ion excretion. the kidneys are capable of synthesizing new bicarbonate ions. O the kidneys can reabsorb bicarbonate ions. O bicarbonate ions act in a chemical buffer system as a weak base. there is many more bicarbonate ions than carbonic acid molecules in the carbonic acid-bicarbonate buffer system. Question 2 (1 point) Which of these...
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