08-25-2015, 06:36 PM
10) 4 year old boy is brought to the physician because he has had 2 bacterial urinary tract infections during the past year. physical examination shows no abnormalities. radiologic studies of the urinary tract show marked dilation of the left ureter and renal pelvis and minimal left side renal function. a left nephrectomy is performed. which of the following is most likely cause of the renal disease in the patient?
a - adrenal cotrical hyperplasia
b - BPH
c - congenital ureteral obstruction
d - wilms tumor
e - SLE
23) 20 year old man is brought to the physician because of a 6 hour history of difficulty breathing and vomiting. he has a 10 year history of type 1 DM currently treated with insulin twice daily. pluse is 90/min, resp are 30/min and deep and bp is 90/60. physical exam shows dehydration
labs
serum
Na 130mEq/L
K 6.5mEq/L
HCO3 5mEq/L
glucose 500 mg/dL
blood gas
pH 7.2
PCO2 25mm Hg
which of the following compounds most likely stimulated hormone sensitive lipase in adipocytes that resulted in the accumulation of metabolites causing the acidosis?
a- epi
b - insulin
c - testosterone
d - TSH
e- T4
40. A 55-year-old woman comes to the physician because of a 6-week history of low energy, irritability, and crying spells. She has difficu lty falling asleep and wakes up frequently at night. Her
work as a bookkeeper has been affected because she cannot focus. She has not been attending church or her bridge club. She has been taking lorazepam for 15 years for generalized
anxiety disorder. She has had postmenopausal symptoms for 1 year successfully treated with estrogen replacement therapy. Her temperature is 37°C (98 .6°F), pulse is 82/min, and blood
pressure is 120/76 mm Hg. Physical examination and laboratory studies show no abnormalities. Mental status examination shows a constricted affect. She describes her mood as "testy."
Her speech is slightly slowed. There is no evidence of psychosis. She says she wishes that she "wouldn't wake up some days" but does not have any intent or plan to harm herself. Which
of the following is the most likely cause of this patient's symptoms?
A) Estrogen toxicity
B) Generalized anxieiy disorder
C) Lorazepam toxicity
D) major depressive disorder
E) menopause
everything fits with depression however she doesnt have suicidal ideations so does it still count?
please clarify
a - adrenal cotrical hyperplasia
b - BPH
c - congenital ureteral obstruction
d - wilms tumor
e - SLE
23) 20 year old man is brought to the physician because of a 6 hour history of difficulty breathing and vomiting. he has a 10 year history of type 1 DM currently treated with insulin twice daily. pluse is 90/min, resp are 30/min and deep and bp is 90/60. physical exam shows dehydration
labs
serum
Na 130mEq/L
K 6.5mEq/L
HCO3 5mEq/L
glucose 500 mg/dL
blood gas
pH 7.2
PCO2 25mm Hg
which of the following compounds most likely stimulated hormone sensitive lipase in adipocytes that resulted in the accumulation of metabolites causing the acidosis?
a- epi
b - insulin
c - testosterone
d - TSH
e- T4
40. A 55-year-old woman comes to the physician because of a 6-week history of low energy, irritability, and crying spells. She has difficu lty falling asleep and wakes up frequently at night. Her
work as a bookkeeper has been affected because she cannot focus. She has not been attending church or her bridge club. She has been taking lorazepam for 15 years for generalized
anxiety disorder. She has had postmenopausal symptoms for 1 year successfully treated with estrogen replacement therapy. Her temperature is 37°C (98 .6°F), pulse is 82/min, and blood
pressure is 120/76 mm Hg. Physical examination and laboratory studies show no abnormalities. Mental status examination shows a constricted affect. She describes her mood as "testy."
Her speech is slightly slowed. There is no evidence of psychosis. She says she wishes that she "wouldn't wake up some days" but does not have any intent or plan to harm herself. Which
of the following is the most likely cause of this patient's symptoms?
A) Estrogen toxicity
B) Generalized anxieiy disorder
C) Lorazepam toxicity
D) major depressive disorder
E) menopause
everything fits with depression however she doesnt have suicidal ideations so does it still count?
please clarify