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Jane is a 23 year compulsive jogger. She jogs everyday for 2 hours. She has slim

ID: 84661 • Letter: J

Question

Jane is a 23 year compulsive jogger. She jogs everyday for 2 hours. She has slimmed down and is underweight for her height and age. You would expect Jane to have: a) Heavy menstrual flows b) Painful cramps c) Amenorrhea d) Elevated levels of LH, FSH & Cortisol e) None of the above Dan was lost in the desert for two days during the Gulf war. He had lost his water bottle in the sand storm. As a result he could not drink fluid for almost 54 hours. After rescue he was brought to the mobile hospital. His diagnostic evaluations will reveal: a) Increased blood volume b) Elevated level of ADH c) Normal urine production d) Decreased blood osmolarity e) Elevated levels of BUN, Na^+ & K^+. Jill suffers from anorexia nervosa. One evening she was rushed to the emergency room because of cardiac arrythmias. Blood & urine specimens indicated Ketonemia and Ketonuria. Jill is having arrythmias due to: a) Elevated levels of Plasma pH b) Metabolic alkalosis c) Ketoacidosis d) High blood pressure e) Hypoglycemic Joe is playing football. During tackle breaks a rib and is having difficulty in breathing. Joe is probably suffering from: a) Collapsed trachea b) A bruised diaphragm c) Pneumothorax d) Obstruction of the bronchi e) All of the above Dr. H prescribed a broad spectrum antibiotic for Kim's nose infection. Three weeks later Kim complains of frequent nose bleeds. Which one of the following is the possible cause a) The treatment caused widespread damage to nose vessels b) The antibiotic caused damage to the nose epithelium c) Board spectrum antibiotic killed the normal microbial flora that synthesize vitamin K, a precursor of prothrombin used for blood clotting d) the above e) None of the above

Explanation / Answer

47. c) Amenorrhea

Cessation of normal menstrual cycle due to rapid weight loss is termed as amenorrhea due to weight loss.

48. d) Elevated levels of BUN, Na+ and K+

BUN measures the level of urea, nitrogen in blood. Excessive dehydration results in the said elevated levels.

49. c)Ketoacidosis

Ketoacidosis is a metabolic disorder resulting in disturbance in regulation of ketones leading to excessive secretion, accumulation and reduced blood pH. Cardiovascular complications like arrhythmia may occur due to electrolyte imbalances mainly concerned with potassium, magnesium and phosphorus.

50. c)Pneumothorax

It represents abnormal collection of air in the pleural space causing uncoupling of lungs from the chest wall.

51. c)

Broad spectrum antibiotic kills a wide range of bacteria including the normal flora of intestine; thus reducing the amount vit K available to liver for production of prothrombin which causes nosebleeds.

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