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