Metabolism Lipidic

Question 1

Acizii grasi (AG): VN

Answer 1

15-25 mg/dl

Question 2

Trigliceride (TG): VN

Answer 2

50-150 mg/dl

Question 3

Ser cu TG in cantitate mare

Answer 3

ser lactescent

Question 4

TG 160-199 mg/dl

Answer 4

dislipidemie de granita cand este asociat cu HDL scazut si colesterol total de granita

Question 5

TG 200-499 mg/dl

Answer 5

hipertrigliceridemie moderata cu risc coronarian moderat

Question 6

TG >500

Answer 6

hipertrigliceridemie severa cu risc coronarian crescut si risc crescut de PANCREATITA ACUTA !!

Question 7

TG cresc in:

Answer 7

HLP primare
HLP secundare
obezitate
alcoolism/ciroza
pancreatita
SN
HTA, IMA
hipotiroidism
DZ
tratament cu estrogeni

Question 8

TG scad in:

Answer 8

hipertiroidism
malnutritie
malabsorbtie
afectiuni hepatice in stadiu final

Question 9

Colesterolul VN

Answer 9

150-220 mg/dl

Question 10

CT 200-239 mg/dl

Answer 10

valori de granita pt riscul dezvoltarii bolii arteriale coronariene

Question 11

CT >240 mg/dl

Answer 11

risc crescut de boala coronariana

Question 12

CT 240-299 mg/dl

Answer 12

hipercolesterolemie moderata

Question 13

CT >300 mg/dl

Answer 13

hipercolesterolemie severa

Question 14

CT creste in:

Answer 14

-dieta bogata in colesterol si grasimi saturate
-HLP primare (hipercolesterolemie familiala/poligenica; IIa si IIb + disbetalipoproteinemia familiala III)
-HLP secundare
-af hepatocelulare
-colestaze
-SN, IRC, DZ
-cardiopatie ischemica
-alcoolism

Question 15

CT scade in:

Answer 15

-necroza hepatocelulara masiva
-neoplasm hepatic
-malnutritie
-malabsorbtie

Question 16

Lipide Totale (LS = lipide serice): VN

Answer 16

500-800 mg/dl

Question 17

LS crescute:

Answer 17

-aport crescut
-HLP
-trat cu anticonceptionale orale
-hipotiroidism
-acromegalie
-DZ
-icter obstructiv
-SN, IRC

Question 18

LS scazute:

Answer 18

-malabsorbtie
-hipertiroidism
-ciroza

Question 19

HDL colesterol: VN

Answer 19

b: >40 mg/dl
f: >50 mg/dl

Question 20

HDL < 35 mg/dl

Answer 20

risc coronarian crescut

Question 21

LDL colesterol: VN

Answer 21

<130 mg/dl

Question 22

Lipidograma normala: LST

Answer 22

500-800 mg/dl (700)

Question 23

Lipidograma normala: CT

Answer 23

200 mg/dl

Question 24

Lipidograma normala: TG

Answer 24

115 mg/dl

Question 25

Lipidograma normala: PL = fosfolipide

Answer 25

200 mg/dl

Question 26

Lipidograma normala: AGL = acizi grasi liberi

Answer 26

0.5 uEq/l

Question 27

ELFO: alfa LP = HDL

Answer 27

25-35%

Question 28

ELFO: pro beta LP = VLDL

Answer 28

10-15%

Question 29

ELFO: beta LP = LDL

Answer 29

50-60%

Question 30

ELFO: chilomicroni

Answer 30

2%

Question 31

ELFO: aspectul plasmei racite

Answer 31

clar

Question 32

HLP I = Deficit familial LPL

Answer 32

TG + (hipertrigliceridemie)
chilomicronii +

Question 33

HLP IIa = hipercolesterolemie familiala

Answer 33

CT + (hipercolesterolemie)
LDL +

Question 34

HLP IIb = hiperlipidemie familiala

Answer 34

CT +
TG +
VLDL +
LDL +

Question 35

HLP III = disbetahiperlipoproteinemie

Answer 35

CT +
TG +
IDL +

Question 36

HLP IV = hipertrigliceridemie familiala

Answer 36

TG +
VLDL +

Question 37

HLP V

Answer 37

TG +
VLDL +
chilomicronii +

Question 38

HLP VI

Answer 38

Hipercolesterolemie moderata
HDL +

Question 39

HLP sec din DZ

Answer 39

tip 1: -controlat LST normal
-necontrolat: TG+ ; CT+ ; VLDL+ ; LDL+
tip 2: TG+ ; VLDL+ ; HDL-

Question 40

HLP sec din hipotiroidism

Answer 40

VLDL +
LDL +

Question 41

HLP sec din alcoolism cronic

Answer 41

AGL + !!!
TG +
VLDL +

Question 42

HLP sec din SN

Answer 42

LDL +
VLDL +
TG +

Question 43

HLP sec din IRC

Answer 43

TG +
VLDL +
HDL +
(HLP tip IV sau V)