biochem transition

Question 1

which is true

Answer 1

c

Question 2

which is true

Answer 2

A

-b- other pulmonary conditions in cancer patients can cause siadh eg copd

c- hypernatremia would obvs inc adh secretion whereas hypo would decrease- so not similar increase

d- adh also acts as a vasoconstrictor

Question 3

which is true

Answer 3

a

Question 4

which is true

Answer 4

c

Question 5

which is true

Answer 5

?

Question 6

which is true

Answer 6

3
1- Severe biochemical hypothyroidism is seen commonly

2- Thyroid hormones drive many physiological processes within the heart, if you give high dose thyroxine you cause the heart to work harder. The right treatment would be to build thyroxine slowly, and it may take months to get to find appropriate level of thyroxine

4- Now you do not need to monitor thyroxine introduction in hospital with CHD patients

Incorrect

Question 7

which is true

Answer 7

1- Degree of urgency not warranted

2- Correct answer-low sodium= what is the patients volume status and do they have symptoms related to low sodium. Symptoms with low sodium are related generic symptoms such as nausea, seizures, confusion, dry patient,

4- Carbamazepine causes SIAD and it is most likely cause of low sodium. It is an incorrect answer as the patient’s epilepsy needs to be managed with an anti-convulsant and most drugs for epilepsy cause SIAD. Therefore, no phased withdrawal

Question 8

which is true

Answer 8

Answer=2

Explanation=

1-afro-Caribbean patient CK is normal at 400-500.
Rhabdomyolysis occurs in patients with CK of 10,000<
Normal people can have CK extremities of 1000. Extreme exercise causes a temporary increase of CK

3-Fluvastatin is the weakest statin to give in patients who aren’t tolerating meds

4-put kids on statins if they carry mutation for FH

5- PCSK9 Inhibitors should only be used in patients who cant take statins-since they don’t lower cholesterol as much

Question 9

which is true

Answer 9

5

Question 10

which is true

Answer 10

5