39287112
Beschreibung
Quiz von Leon Schwarze, aktualisiert vor 9 Monate
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Erstellt von Leon Schwarze
vor 9 Monate
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Frage 1
Frage
Patient with 1.8 mmol/l Calcium and 25 g/l albumin
What is the adjusted calcium level:
Antworten
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2.2
-
2.5
-
2.8
-
3.1
-
3.4
Frage 2
Frage
Hypercalcemic crisis occurs above which minimum level of ionised calcium in mmol/L
Antworten
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1.5
-
2.0
-
2.5
-
3.0
-
3.5
Frage 3
Frage
If Calcium is low, with no renal disease, and PTH is also low - what are the most likely possibilities;
Antworten
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Vitamin D deficiency, post-thyroidal surgery
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Idiopathic hyperparathyroidism, pseudohypoparathyroidism
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Magnesium deficiency, post-thyroidal surgery
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Vitamin D deficiency, pseudohypoparathyroidism
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Vitamin D deficiency, Magnesium deficiency
Frage 4
Frage
If Calcium is low, with no renal disease, and PTH is high - what are the most likely possibilities
Antworten
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Vitamin D deficiency, post-thyroidal surgery
-
Idiopathic hyperparathyroidism, pseudohypoparathyroidism
-
Magnesium deficiency, post-thyroidal surgery
-
Vitamin D deficiency, pseudohypoparathyroidism
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Vitamin D deficiency, Magnesium deficiency
Frage 5
Frage
The most common cause of hypercalcemia is/are;
Antworten
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Hyperparathyroidism and malignancy
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Hyperparathyroidism and renal disease
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Inappropriate dosage of vitamin D
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Calcium therapy
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Granulomatous disease
Frage 6
Frage
Which of the following actions are parathyroid hormone occurs via vitamin eD3?
Antworten
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Bone resorption of Ca
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Bone mineralisation of Ca
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Increased Intestinal absorption of Ca
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Increased renal reabsorption of Ca
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Decreased renal reabsorption of Ca
Frage 7
Frage
Patient with 2.5 mmol/l Calcium and 30 g/l albumin
What is the adjusted calcium level:
Antworten
-
2.5
-
2.8
-
3.1
-
3.4
-
3.7
Frage 8
Frage
Lowest Value for hypercalcemic crisis (physiological adult)
Antworten
-
2.5
-
2.8
-
3.1
-
3.4
-
3.7
Frage 9
Frage
Which of the following is NOT correct:
Tertiary hyperparathyroidism occurs because:
Antworten
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The parathyroids become unresponsive to calcium levels
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Renal disease for long periods with low calcium leads to lack of parathyroid response to calcium levels
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parathyroid glands which are continually secreting PTH for a long period of time eventually do not respond to negative feedback from calcium
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Peripheral tissues which are continually subjected to high concentrations of PTH eventually do not respond to PTH
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The parathyroid glands become autonomic
Frage 10
Frage
Signs and symptoms of Cushing’s syndrome includ
Antworten
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Obesity, hypertension, glucose intolerance, menstrual dysfunction, acne
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Anorexia, hypotension, glucose intolerance, menstrual dysfunction, acne
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Obesity, hypotension, lactose intolerance, menstrual dysfunction, acne
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Anorexia, hypertension, glucose intolerance, menstrual dysfunction, acne
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Obesity, hypertension, lactose intolerance, menstrual dysfunction, acne
Frage 11
Frage
What is the most common cause of high Ca in hospital settings:
Antworten
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Malignancy
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Thiazide therapy
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Vitamin D deficiency
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Primary hyperparathyroidism
Frage 12
Frage
AMount of Ca in ECF excluding bones
(mmol/l)
Antworten
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1
-
5
-
8
-
10
-
20
Frage 13
Frage
Ca excretion in Urine (mmol/l)
Antworten
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1
-
8
-
10
-
5
-
20
Frage 14
Frage
When PTH is undetected or low, what is the cause of hypocalcemia?
Antworten
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Parathyroid adenoma
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Parathyroid hyperplasia
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Acute pancreatitis
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Complication of thyroid surgery
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Vitamin D deficiency
Frage 15
Frage
1,25-dihydrocholecaliferol is synthesized in the:
Antworten
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Kidney
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Granuloma disease (sarcoidosis)
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Granuloma disease (tuberculosis)
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Liver
Frage 16
Frage
A hypocalcemic patient has very low or undetectable PTH. The most likely cause is:
Antworten
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Acute pancreatitis, sarcoidosis
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Vitamin D deficiency
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Parathyroid adenoma, pseudohypoparathyroidism
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Complication of thyroid surgery, Mg deficiency
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Parathyroid hyperplasia, Mg deficiency
Frage 17
Frage
Etiology of hypocalcemia
Antworten
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Elevated PTH, Thiazide diuretics, Vitamin D deficiency, Malabsorption syndromes, Liver failure, Renal failure
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Thiazide diuretics, Impaired absorption of calcium, Vitamin D deficiency, Malabsorption syndromes, Liver failure, Renal failure
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Poor dietary intake of calcium, Paget’s disease of bone, Vitamin D deficiency, Malabsorption syndromes, Liver failure, Renal failure
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Poor dietary intake of calcium, Impaired absorption of calcium, Vitamin D deficiency, Malabsorption syndromes, Liver failure, Renal failure
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