Day 1

Question 1

What does elevated alkaline phosphatase indicate?

Answer 1

Cholestatic injury

Question 2

RUQ pain in an older person w/ slightly elevated transaminases and firm hepatomegaly should make you suspect what?

Answer 2

GI malignancy

Question 3

How would a lack of aldosterone affect the following in the serum: Na+, K+, pH? Why?

Answer 3

low Na+, hi K+, and low pH

Retention of K+ and H+. Loss of Na+.

Question 4

How does granulomatous disease, such as TB, cause low aldo?

Answer 4

adrenal failure d/t invasion by TB

Question 5

What would be the effect of excessive volume contraction by loop diuretics or thiazides on pH?

Answer 5

metabolic alkalosis

Question 6

An elderly pt. w/ bone pain, renal failure, and hypercalcemia has _______ until proven otherwise.

Answer 6

multiple myeloma

Question 7

What diuretic causes hyperglycemia, hyperuricemia, increased LDL chol, and increased TGs?

Answer 7

thiazides

Question 8

Why might you prescribe aspirin to a woman on raloxifen?

Answer 8

it has a thromboembolic effect

Question 9

A mobile cavitary mass in the lung, which presents with intermittent hemoptysis, is usually indicative of _______.

Answer 9

an aspergilloma