CP_Lec (cardiac injury, dyslipid, blood gas) Flashcards

(111 cards)

1
Q

MATCHING

Chylomicrons
VLDL and CM
β-VLDL, LDL and CM
LDL and VLDL
LDL
VLDL

111

A

β-VLDL, LDL and CM

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2
Q

MATCHING

Chylomicrons
VLDL and CM
β-VLDL, LDL and CM
LDL and VLDL
LDL
VLDL

11b

A

LDL- VLDL

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3
Q

MATCHING

Chylomicrons
VLDL and CM
β-VLDL, LDL and CM
LDL and VLDL
LDL
VLDL

1V

A

VLDL

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4
Q

MATCHING

Chylomicrons
VLDL and CM
β-VLDL, LDL and CM
LDL and VLDL
LDL
VLDL

V

A

VLDL and CM

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5
Q

MATCHING

Chylomicrons
VLDL and CM
β-VLDL, LDL and CM
LDL and VLDL
LDL
VLDL

11a

A

LDL

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6
Q

MATCHING

Chylomicrons
VLDL and CM
β-VLDL, LDL and CM
LDL and VLDL
LDL
VLDL

1

A

Chylomicrons

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7
Q

The following statement describes CORRECTLY chylomicrons & VLDL: *

Chylomicrons leads to turbid serum/plasma, while VLDL forms a creamy top layer.
both Chylomicrons & VLDL forms a creamy top layer
Chylomicrons forms a creamy top layer, while VLDL leads to turbid serum/plasma.
both Chylomicrons &VLDL leads to turbid serum/plasma.

A

Chylomicrons forms a creamy top layer, while VLDL leads to turbid serum/plasma.

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8
Q

Medical disorders that lead to secondary dyslipoproteinemia include *

Thyroid Disease
Kidney Disease
Hepatic Disease
All of the Above

A

All of the Above

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9
Q

A partial deficiency of this substance could result to “Fish-eye disease”: *

Lipoprotein lipase (LPL)
LDL receptor (LDLR)
Lecithin:Cholesterol Acyltransferase (LCAT)
Cholesterol ester transfer protein (CETP)

A

Lecithin:Cholesterol Acyltransferase (LCAT)

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10
Q

An individual’s lipid and lipoprotein profile should be measured through Standing Plasma Test, ONLY during the following timing: *

diagnosis is done only after testing at least 2 specimens 2–4 weeks in between.
when the individual is in a metabolic steady state
1st & 3rd choices only
2 months after major surgery.

A

1st & 3rd choices only

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11
Q

Which is the best test to predict coronary heart disease risk? *

HDL-cholesterol
Triglycerides
Total lipids
Total cholesterol

A

Triglycerides

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12
Q

THE LEVELS OF Lactate Dehydrogenase (Choices may be used more than once): *

Normal Patient

LD5>LD4>LD3>LD2>LD1
LD5>LD2>LD1>LD3>LD4
LD2>LD1>LD3>LD4 >LD5
LD1> LD2>LD3>LD4>LD5

A

LD2>LD1>LD3>LD4 >LD5

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13
Q

THE LEVELS OF Lactate Dehydrogenase (Choices may be used more than once): *

Serum in Acute MI

LD5>LD4>LD3>LD2>LD1
LD5>LD2>LD1>LD3>LD4
LD2>LD1>LD3>LD4 >LD5
LD1> LD2>LD3>LD4>LD5

A

LD1> LD2>LD3>LD4>LD5

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14
Q

THE LEVELS OF Lactate Dehydrogenase (Choices may be used more than once): *

CSF in bacterial meningitis

LD5>LD4>LD3>LD2>LD1
LD5>LD2>LD1>LD3>LD4
LD2>LD1>LD3>LD4 >LD5
LD1> LD2>LD3>LD4>LD5

CSF in bacterial meningitis

A

LD5>LD4>LD3>LD2>LD1

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15
Q

THE LEVELS OF Lactate Dehydrogenase (Choices may be used more than once): *

serum in viral hepatitis

LD5>LD4>LD3>LD2>LD1
LD5>LD2>LD1>LD3>LD4
LD2>LD1>LD3>LD4 >LD5
LD1> LD2>LD3>LD4>LD5

A

LD5>LD2>LD1>LD3>LD4

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16
Q

THE LEVELS OF Lactate Dehydrogenase (Choices may be used more than once): *

CSF in hydrocephalus and seizures

LD5>LD4>LD3>LD2>LD1
LD5>LD2>LD1>LD3>LD4
LD2>LD1>LD3>LD4 >LD5
LD1> LD2>LD3>LD4>LD5

A

LD2>LD1>LD3>LD4 >LD5

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17
Q

How would the blood electrophoretogram of a Myocardial Infarct patient show his Lactate dehydrogenase (LD) pattern? *

  • LD2 higher than LD1, then followed by LD3, LD4, & LD5 in decreasing height
  • LD1 higher than LD2, then followed by LD3, LD4, & LD5 in decreasing height
  • LD5 higher than LD4, then followed by LD3, LD2, & LD1 in decreasing order
  • LD5 is highest, followed by LD2, then followed by LD1, LD3, & LD4
A

LD1 higher than LD2, then followed by LD3, LD4, & LD5 in decreasing height

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18
Q

Mr. de la Cerna came into the Emergency Room complaining of crushing, and stabbing pain at the Left Chest, radiating to the Left arm. He claimed the pain started an hour ago, and he begs for help. Which result is most likely to increase at this time? *
2 points
LDH
SGOT
None as yet
Troponin I
CK-MB

A

None as yet***

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19
Q

Standing Plasma Test is done to determine by visual inspection. *

Triglycerides
Chylomicrons
Cholesterol

A

Chylomicrons

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20
Q

A walk-in patient, Mr. Cruz, who weighs 89kg and whose height is 5’6” came in complaining of occasional chest tightness, and Epistaxis (nosebleeding) for which you requested Prothombin Time. How would you qualify his present BMI? *

obese
underweight
normal for his height
overweight

A

obese

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21
Q

It is recommended by ncep that cholesterol screening be repeated every _____. *

2 Years
5 Years
3 Years
10 Years

A

5 Years

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22
Q

Mr. Smith, 77y.o., came in for an executive check-up. The following are his laboratory results: FBS = 150mg/d (Normal 50-110mg/dl); Total Cholesterol = 250mg/dL; HDL = 20mg/dL; Creatine Kinase = 120 IU/mL. He claimed he is well. What is your clinical impression? *

Normal lab results
Probable diabetic, with increased cholesterol, and with painless infarction
Probable diabetic, with increased cholesterol, and normal CK result
Increased lab results, but no infarction, since patient is not smoker

A

Probable diabetic, with increased cholesterol, and with painless infarction??

***e. Probable diabetic, with increased cholesterol, and normal CK result

dili normal ang CK kay CK-MB 25-90 IU/mL

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23
Q

The following drugs alter lipid levels *

All
Postmenopausal Estrogens
Antihypertensive Drugs
Oral Contraceptive Pills

A

All

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24
Q

The signs and symptoms of chylomicron retention disease appear in the first few months of life and they include the following EXCEPT: *

Steatorrhea
Failure of weight-gain and growth
Hypercholesterolemia
Diarrhoea & Vomiting

A

Hypercholesterolemia

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25
Patients with this problem are treated with plasma transfusions during severe hypertriglyceridemia: * ApoC III excess Familial hypertriglyceridemia ApoC-II deficiency Lipoprotein Lipase deficiency
ApoC-II deficiency
26
Around ____% of myocardial infarction are detected on ECG without the presentation of chest pain. * 10% 25% 0% 5%
25%
27
The VLDL-C/Triglyceride ratio in patients with this problem is > 0.3: * Familial combined hyperlipidemia Familial hypertriglyceridemia Dysbetalipoproteinemia ApoA-I variants
Dysbetalipoproteinemia
28
CARDIAC MARKERS: * Aspartate aminotransferase (AST)
B
29
CARDIAC MARKERS: * Troponin T (cTnT
E
30
CARDIAC MARKERS: * Lactate dehydrogenase (LD)
D
31
CARDIAC MARKERS: * CK-MB
C
32
CARDIAC MARKERS: * Troponin I (cTnI)
A
33
A patient was extracted at 6:00AM for Lipid Profile, with the following results: TAG = 200mg/dL Total Cholesterol = 220mg/dL HDL cholesterol = 35mg/dL Analyze the patient’s LDL & VLDL, using Friedewald Equation: * 145mg/dL LDL, 30.5mg/dL VLDL 154.23mg/dL LDL, 30.77mg/dL VLDL 40mg/dL LDL, 185mg/dL VLDL 145.0mg/dL LDL, 40.0mg/dL VLDL
145.0mg/dL LDL, 40.0mg/dL VLDL
34
It is recommended that lipoprotein measurements be made no sooner than ____: * 1 point 8 weeks after trauma 2months after acute bacterial or viral infection 3-4 months after childbirth 1st & 3rd choices only 2nd & 3rd choices only All of the above
1st and 3rd choices only
35
The Chylomicron particles consist of the following: * triglycerides phospholipids cholesterol 1st & 3rd choices only All of the above
All of the above
36
DESIRED VALUES: * HDL Cholesterol <200mg/dL <150mg/dL >60mg/dL <100mg/dL
>60mg/dL
37
DESIRED VALUES: * Triglycerides <200mg/dL <150mg/dL >60mg/dL <100mg/dL
<150mg/dL
38
DESIRED VALUES: * Total Serum Cholesterol <200mg/dL <150mg/dL >60mg/dL <100mg/dL
<200mg/dL
39
DESIRED VALUES: LDL Cholesterol <200mg/dL <150mg/dL >60mg/dL <100mg/dL
<100mg/dL
40
REFERENCE VALUES: * Lactate dehydrogenase (LDH) A) ≤ 100pg/ml B) 25-90 IU/mL C) 80-280 U/L at 37 ⁰C D)5-30 U/L at 37 ⁰C
C) 80-280 U/L at 37 ⁰C
41
REFERENCE VALUES: * CK-MB A) ≤ 100pg/ml B) 25-90 IU/mL C) 80-280 U/L at 37 ⁰C D)5-30 U/L at 37 ⁰C
B) 25-90 IU/mL
42
REFERENCE VALUES: * BNP A) ≤ 100pg/ml B) 25-90 IU/mL C) 80-280 U/L at 37 ⁰C D)5-30 U/L at 37 ⁰C
A) ≤ 100pg/ml
43
REFERENCE VALUES: * AST A) ≤ 100pg/ml B) 25-90 IU/mL C) 80-280 U/L at 37 ⁰C D)5-30 U/L at 37 ⁰C
D)5-30 U/L at 37 ⁰C
44
This dyslipidemia present with a High Triglycerides but with normal Cholesterol: * Tangier disease Dysbetalipoproteinemia Familial hypertriglyceridemia Abetalipoproteinemia
Familial hypertriglyceridemia
45
Ascertaining patient’s cholesterol level, it is important that they be on their usual diet for _____. * 1 Week 2 Weeks 3 Weeks 4 Weeks
1 Week ***4 Weeks
46
Tangier disease is characterized by * Elevated HDL Low HDL Elevated LDL Low LDL
Low HDL
47
These Dyslipidemia present with high cholesterol, elevated LDL-C, but with normal triglycerides, EXCEPT: * Sitosterolemia Family defective apoB Diabetic dyslipidemia Familial hypercholesterolemia
Diabetic dyslipidemia
48
Give the Clinical significance of Chylothorax: * leakage from the thoracic duct or one of its main tributaries into pleural cavity related to some Neoplasms related to some Infections 2nd & 3rd choices only All of the above
All of the above ***leakage from the thoracic duct or one of its main tributaries into pleural cavity
49
The following describe Chylomicron retention disease EXCEPT: * autosomal recessive disorder associated with mutations in SAR1B gene failure on vitamin D and vitamin E absorption release of chylomicrons in the circulation is inhibited patient usually obese
patient usually obese
50
Major Lipid Increased according to FREDRICKSON PHENOTYPING: * TAG and cholesterol Cholesterol TAG V
TAG and cholesterol
51
Major Lipid Increased according to FREDRICKSON PHENOTYPING: * TAG and cholesterol Cholesterol TAG 11a
Cholesterol
52
Major Lipid Increased according to FREDRICKSON PHENOTYPING: * TAG and cholesterol Cholesterol TAG 111
TAG and cholesterol
53
Major Lipid Increased according to FREDRICKSON PHENOTYPING: * TAG and cholesterol Cholesterol TAG 1
TAG
54
Major Lipid Increased according to FREDRICKSON PHENOTYPING: * TAG and cholesterol Cholesterol TAG 1V
TAG
55
Major Lipid Increased according to FREDRICKSON PHENOTYPING: * TAG and cholesterol Cholesterol TAG 11b
TAG and cholesterol
56
A blood specimen is drawn for lipoprotein phenotyping. The test results obtained are * Triglyceride, 235 mg/dL (reference range, 40-164 mg/dL* Total cholesterol, 190 mg/dL(reference range, less than 200 mg/dL* Prebeta lipoprotein fraction increased* Beta lipoprotein fraction normal* Chylomicrons present* Serum appearance milky...The best explanation for these results would be that the individual exhibited characteristics of ___________. * Type 1 hyperlipoproteinemia Type 1V hyperlipoproteinemia A normal individual Type 11 hyperlipoproteinemia
Type 1 hyperlipoproteinemia
57
You want to order a Lipid Panel for your walk-in hypertensive patient. However, patient was hesitant to fast overnight and come back the next day since his going out of town & his flight is late afternoon today. Which can be requested immediately without compromising the result? * Total cholesterol and HDL-C Triglycerides and LDL-C Triglycerides & Total Cholesterol LDL-C & VLDL-C
Total cholesterol and HDL-C
58
The lecithin/sphingomyelin ratio is a determination that is frequently performed to assess * Arteriosclerosis Coromary artery disease Hyperlipidemia Fetal lung maturity
Fetal lung maturity
59
These drugs can lead to dyslipidemia EXCEPT: * beta-blockers estrogens steroids penicillin
penicillin
60
Corneal opacification can occur in patients with this dyslipidemia: * All of the above 2nd & 3rd choices only Familial hypoalphalipoproteinemia ApoA-1 deficiency and ApoC-III deficiency ApoA-I variants CORRECT
ApoA-1 deficiency and ApoC-III deficiency??? BAKA 2ND AND 3RD CHOICES apoA-1 variants-**corneal opacification**, xanthoma and premature coronary disease ApoA-1 deficiency and ApoC-III deficiency-**corneal opacification** and premature coronary disease
61
Medications as secondary causes for High Lipids include EXCEPT: * simvastatin corticosteroids estrogens ß-adrenergic blockers retinoids/Isotrenitoin
simvastatin
62
Mrs. Brown arrived in an ambulance from the next town after 4days of excruciating and squeezing left chest pain. Which of the following tests will be the LEAST useful to confirm the diagnosis of Acute Myocardial Infarction at this time? * CKMB LDH AST Myoglobin
CKMB ***Myoglobin murag CKMB and sakto kay LEAST man ang gina ask. then after 4 days na ayha pa nacheck ang patient.
63
“The deadly quartet” of prominent symptoms include the following EXCEPT: * abdominal obesity hyperchylomicronemia insulin resistance hypertension hypertriglyceridemia
hyperchylomicronemia
64
A baby was born to a mother who had no prenatal check-up, & who is not sure of her AOG because of irregular menses. The baby was observed to exhibit deep difficult breathing, & was developing cyanosis (bluish skin discoloration). Which of these fetal amniotic fluid test results will be the best explanation? * Lecithin : Sphingomyelin ratio = 1.2 Lecithin : Sphingomyelin ratio = 2.8 Lecithin : Sphingomyelin ratio = 1.5 Lecithin : Sphingomyelin ratio = 2.0
Lecithin : Sphingomyelin ratio = 1.2
65
These are risk factors for developing Myocardial Infarction EXCEPT: * physical inactivity diabetes mellitus cigarette smoking Goiter
Goiter
66
The pO2 value in the peripheral tissues: * 75mmHg 40 mmHg 50 mmHg 100 mmHg
40 mmHg
67
Normally the levels of bicarbonate and carbonic acid are maintained at a ratio of ___. * 2:1 1:20 20:2 20:1
20:1
68
An increased P50 means that the affinity of hemoglobin with oxygen * equals with CO2 is not affected goes higher Lowers
Lowers
69
This is the ONLY condition that allows the Physician to do Arterial Blood Extraction: * Cannulation of the vessel anticipated Coagulation defects Erythematous skin in sampling area Inadequate collateral circulation Allen’s test return color after 5 secs
Allen’s test return color after 5 secs
70
Physiologic effects of alkalosis EXCEPT: * increased bone resorption Arrhythmias inhibition of respiratory drive increased neuromuscular excitability
increased bone resorption
71
This is NOT among the causes of Hypoventilation leading to Respiratory Acidosis: neuromuscular disorders disorders of the chest wall chronic obstructive lung disease acid volume contraction acute airway obstruction
acid volume contraction
72
Given an arterial blood with pCO2 of 40mmHg and a total of CO2 of 30mmol/L. Determine the HCO3- concentration. * 24 mmol/L 14.6 mmol/L 1.2mmol/L 28.8mmol/L
28.8mmol/L 24 answer sa phinma SAKTO ANG 28.8 mao diay gamay passing rate sa PHINMA charrotttttt
73
A patient just turned 22years old today. He asked you as his Attending Physician how many liters of Free Pure Oxygen has he inhaled thus far: * 4,415, 600L 4, 641,500L 4,416,500L 4,006,500L
4,416,500L
74
This is NOT among the physiologic effects of acidosis: * hypokalemia increase in intracranial pressure kussmaul respirations resistance to the effects of catecholamines
hypokalemia
75
P50 values refer to the following EXCEPT: * the partial pressure at which hemoglobin is half-saturated with oxygen xxx the other oxygen molecule has been delivered to the tissues the affinity of hemoglobin with oxygen oxygen partial pressure in the lungs
oxygen partial pressure in the lungs
76
Diagnose these disorders of hydrogen Ion homeostasis: * Metabolic Acidosis Compensated Respiratory Alkalosis Compensated Respiratory Acidosis Compensated Metabolic Alkalosis Compensated pH = >7.4; HCO3- = >26mEq/L; PCO2= >45mmHg
Metabolic Alkalosis Compensated
77
Diagnose these disorders of hydrogen Ion homeostasis: * Metabolic Acidosis Compensated Respiratory Alkalosis Compensated Respiratory Acidosis Compensated Metabolic Alkalosis Compensated pH = >7.4; HCO3- = <24mEq/L; PCO2= <35mmHg
Respiratory Alkalosis Compensated
78
Diagnose these disorders of hydrogen Ion homeostasis: * Metabolic Acidosis Compensated Respiratory Alkalosis Compensated Respiratory Acidosis Compensated Metabolic Alkalosis Compensated pH = <7.4; HCO3- = >26mEq/L; PCO2= >45mmHg
Respiratory Acidosis Compensated
79
> Normal Ranges: * 95-100% 80-100mmHg 35-45mmHg 24-26mEq/L 7.35-7.45 pCO2
35-45mmHg
80
> Normal Ranges: * 95-100% 80-100mmHg 35-45mmHg 24-26mEq/L 7.35-7.45 HCO3-
24-26mEq/L
81
> Normal Ranges: * 95-100% 80-100mmHg 35-45mmHg 24-26mEq/L 7.35-7.45 pO2
80-100mmHg
82
Describe the compensatory responses to the following disorders of hydrogen Ion homeostasis: * reabsorption of bicarbonates excretion of bicarbonates hypoventilation hyperventilation pH = <7.4; HCO3- = <24mEq/L; PCO2= <35mmHg
hypoventilation (metabolic acidosis: reabsorption of bicarbonates??)
83
Describe the compensatory responses to the following disorders of hydrogen Ion homeostasis: * reabsorption of bicarbonates excretion of bicarbonates hypoventilation hyperventilation pH = >7.4; HCO3- = >26mEq/L; PCO2= >45mmHg
hyperventilation (metabolic alkalosis: excretion of bicarbonates??)
84
Describe the compensatory responses to the following disorders of hydrogen Ion homeostasis: * reabsorption of bicarbonates excretion of bicarbonates hypoventilation hyperventilation pH = >7.4; HCO3- = <24mEq/L; PCO2= <35mmHg
excretion of bicarbonates??? (respiratory alkalosis)
85
State the causes of the following disorders of hydrogen Ion homeostasis: * Kidney failure, shock, diabetic ketoacidosis Hyperventilation, pain, anxiety Pneumonia, Chronic Obstructive Pulmonary Disease Chronic vomiting, low blood potassium pH = >7.4; HCO3- = >26mEq/L; PCO2= >45mmHg
Hyperventilation, pain, anxiety??? (metabolic alkalosis: Chronic vomiting, low blood potassium)
86
State the causes of the following disorders of hydrogen Ion homeostasis: * Kidney failure, shock, diabetic ketoacidosis Hyperventilation, pain, anxiety Pneumonia, Chronic Obstructive Pulmonary Disease Chronic vomiting, low blood potassium pH = <7.4; HCO3- = >26mEq/L; PCO2= >45mmHg
Kidney failure, shock, diabetic ketoacidosis*** (respi acidosis: Pneumonia, Chronic Obstructive Pulmonary Disease??)
87
State the causes of the following disorders of hydrogen Ion homeostasis: * Kidney failure, shock, diabetic ketoacidosis Hyperventilation, pain, anxiety Pneumonia, Chronic Obstructive Pulmonary Disease Chronic vomiting, low blood potassium pH = <7.4; HCO3- = <24mEq/L; PCO2= <35mmHg
Pneumonia, Chronic Obstructive Pulmonary Disease*** (metabolic acidosis: Kidney failure, shock, diabetic ketoacidosis??)
88
In the peripheral tissues, ______diffuses out of the red blood cells, accompanied by the exchange of _____ into the red blood cells. * Carbonic acid; bicarbonates Chloride; carbonic acid Hydrogen; carbonic acid Bicarbonates; chloride
Bicarbonates; chloride
89
_______ diffuses into red blood cells where it reacts with water to form _______, which after catalysis, readily splits into hydrogen ions and _______. * O2; carbonic acid; bicarbonate CO2; O2; bicarbonate Bbicarbonate; CO2; carbonic acid CO2; carbonic acid; bicarbonate
CO2; carbonic acid; bicarbonate
90
Once the hemoglobin molecule has started binding with oxygen, its affinity for the succeeding oxygen molecules increases. This is known as the ____. * Cooperative effect Chloride shift effect Bohr effect Allosteric effect
Cooperative effect
91
A 40 yo. patient was rushed to the emergency room for difficulty breathing. Chest X-ray shows bilateral pleural effusion. Thoracentesis was done which revealed whitish, cloudy fluid. Which of the following findings will confirm a Chylothorax condition? a. Triglycerides values 2.0 mmol/1; cholesterol 5 mmol/L b. None of the above c. Triglycerides values 2.3 mmol/1; cholesterol 7mmol/L d. All the above e. Triglycerides values 1.0 mmol/1; cholesterol 6.8 mmol/L f. Triglycerides values 1.2 mmol/; cholesterol 5.5 mmol/L
e. Triglycerides values 1.0 mmol/1; cholesterol 6.8 mmol/L
92
As oxygen is delivered by the red blood cells to the tissues, the the four chains of the hemoglobin molecule charged: a. Positively, carbonic anhydrase, negatively b. Positively, 2,3-BPG, negatively c. Negatively, 2,3-BPG, positively d. Negatively, carbonic anhydrase, positively
c. Negatively, 2,3-BPG, positively
93
This is the major product of the Luebering-Rapoport pathway which is predominant in red blood cells. a. Chloride b. 2,3 bis-phosphoglycerate c. Carbamino compounds d. Bicarbonates
b. 2,3 bis-phosphoglycerate
94
diffuses into red blood cells where it reacts with water to form which after catalysis, readily splits into Hydrogen ions and _____? a. Bicarbonate; CO2, carbonic acid b. CO2, carbonic acid, bicarbonate c. Carbonic acid, 02, bicarbonate d. Carbonic acid, CO2, bicarbonate
b. CO2, carbonic acid, bicarbonate
95
In the peripheral tissues, ____diffuses out of the red blood cells, accompanied by the exchange of ____into the red blood cells. a. Hydrogen, chloride b. Bicarbonates, carbonic acid c. Bicarbonates, chloride d. Hydrogen, carbonic acid
c. Bicarbonates, chloride
96
The following can trigger Metabolic Acidosis: a. Diarrhea b. Enterocutaneous fistula c. Proximal Renal Tubular Acidosis Type 2 d. Enteric diversion of urine e. Topiramate therapy f. 1st & 3rd choices only g. 2nd & 4th choices only
g. 2nd & 4th choices only
97
H+ binds with hemoglobin as it releases oxygen into the tissues. This is called the: a. Chloride shift b. Allosteric effects c. Cooperative effects d. Bohr effect
d. Bohr effect
98
State the clinical condition: pH >7 4, high Bicarbonate, high PC02 a. Metabolic alkalosis b. Respiratory alkalosis c. Metabolic acidosis d. Respiratory acidosis
a. Metabolic alkalosis
99
State the clinical condition: pH <7.4, low Bicarbonate, low PCO2 a. Metabolic alkalosis b. Respiratory alkalosis c. Metabolic acidosis d. Respiratory acidosis
c. Metabolic acidosis
100
State the clinical condition: pH <7.4, high Bicarbonate, high PCO2 a. Metabolic alkalosis b. Respiratory alkalosis c. Metabolic acidosis d. Respiratory acidosis
d. Respiratory acidosis
101
State the clinical condition: pH >7 4, low Bicarbonate, low PC02 a. Metabolic alkalosis b. Respiratory alkalosis c. Metabolic acidosis d. Respiratory acidosis
b. Respiratory alkalosis
102
This constitutes about 94%-95% of total carbon dioxide in the whole blood. a. Bicarbonate b. Carbonic acid c. Hydrogen
a. Bicarbonate
103
Physiological effect of alkalosis except a. Increase bone reabsorption b. Resistance to the effects of catecholamines c. Increase in intracranial pressure d. Kussmaul respirations e. Hypokalemi
a. Increase bone reabsorption
104
A patient just turned 22years old today. He asked you as his Attending Physician how many liters of Free Pure Oxygen has he inhaled thus far: a. 244, 641,500 L b. 4,006,500 L c. 4,415, 600 L d. 4,416,500 L e. 4,414, 600
d. 4,416,500 L
105
This is NOT among the physiological effect of acidosis: a. Resistance to the effects of catecholamines b. Increase in intracranial pressure c. Kussmaul respirations d. Hypokalemia
d. Hypokalemia
106
Respiratory alkalosis is very commonly induced by the following EXCEPT: a. CNS depression b. Aspirin intoxication c. Sepsis d. Liver failure
a. CNS depression
107
Functions of Electrolytes: Maintenance of ph is primarily done by a. Na+ b. Catt c. Mg d. HCO3 e. Fe
d. HCO3
108
As oxygen is delivered by the red blood cells to the tissues, the ___charged ____fits into a ____charged crevice formed by the four chains of the hemoglobin molecule. a. Positively b. 2,3-BPG c. Carbonic anhydrase d. None of the above e. Negatively
e. Negatively b. 2,3-BPG a. Positively
109
_____diffuses into red blood cells where it reacts with water to form _____which after catalysis, readily splits into hydrogen ions and _____. a. Bicarbonate b. Carbonic acid c. CO2 d. O2
c. CO2 b. Carbonic acid a. Bicarbonate
110
The following describe Chylomicron retention disease EXCEPT: a. Associated w/ mutations in SAR1B gene b. Px usually obese c. Px usually obese & associated w mutation in SAR1B Gene d. Release of chylomicrons in the circulation is inhibited
a. Associated w/ mutations in SAR1B gene
111
A medical lab science student has submitted himself for an Executive check-up. His lipid panel gives the ff results: TC=240 mg/dL; HDL=40 mg/dL; LDL=160 mg/dL; VLDL=40 mg/dL; triglycerides=200 mg/dL. Which statement would best apply? a. He has some level of protection against heart disease since his age is still young b. He is at high risk for heart disease c. His results are normal d. He has some level of protection against heart disease e. Since his HDL is w/in the normal limits
b. He is at high risk for heart disease