MEH practice Flashcards

1
Q

A women is suffering from heavy menstrual bleeding, feeling tied, weak and short of breath.

Her Hb count and RBC count is low, which further abnormality would you expect

A

low iron

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2
Q

mutation of the gene coding …… , can cause hereditary spherocytosis

A

ankryin

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3
Q

which abnormality in which white blood cells occurs after an asthma attach

A

eosinophilia

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4
Q

what can precipitate Haemolysis in a patient with glucose-6- phosphate dehydrogenase deficiency?

A

anti-malarials

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5
Q

why can anti-malarial precipitate Haemolysis in a patient with glucose-6- phosphate dehydrogenase deficienc

A

antimalarials such as primaquine oxidase glutathione further depletes the levels of reduced GSH leaving cells very susceptible to oxidative damage

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6
Q

what is the primary abnormality in patients presenting with DKA (diabetic ketoacidosis)

A

absolute insulin deficiency leading to ketone production

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7
Q

which enzyme is most likely to be deficiency in classical (type 1) galactosaemia where both galactose and galactose 1-phosphate accumulate in tissues

A

galactose 1-phosphate dehydrogenase

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8
Q

which enzyme is most likely to be deficient in the form of galactosaemia in which the symptoms are less severe and in which only galactose accumulates in the blood tissue

A

galactokinase

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9
Q

what does high alkaline phosphatase suggest

A

increased bone turnover

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10
Q

normal range in fasting blood glucose

A

3.3-6.0 mmol/l

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11
Q

tests reveal an abnormally high conc of creatinine in his blood but a lower normal level of creatinine in his urine. Which condition is best indicated?

A

decreased kidney function

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12
Q

what do these symptoms suggest: weight losss, intermittent severe abdominal pain radiation down the back. Uralysis shows glucose ++

A

chronic pancreatitis

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13
Q

sequence of lipoproteins in order or most to least dense

A

HDL –> LDL–> VLDL –> chylomicrons

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14
Q

which enzyme plays an important role int he bodies immune response to infection

A
NADPH oxidase (neutrophils and monocytes)
- resp burst
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15
Q

Glutathione requires which trace element to function

A

selenium

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16
Q

mechanism of disulfirum

A

inhibition of aldehyde dehydrogenase

17
Q

hormone responsible for short-term regulation of serum calcium

A

parathyroid hormone

18
Q

calcitriole (active form of vitamin D)

A

responsible for longer term regulation (increase_

19
Q

BMI of 26

A

overweight

20
Q

BMI of 30

A

obese

21
Q

side effect of addisons

A

hyperpigmentation

ACTH mediated melanocyte stimulation