Question

The hormone that is antagonist of Calcitonin is: a Insulin b) Glucagon c) Growth hormone d) Parathormone e) Cortisol 43) 44) A 37 year old male was admited to the hospital with pain in the upper part of the median abdomen. The blood tests reveal normal chemistries but a 2-fold increase in liver enzymes ALT & AST and a 10-fold elevation in the values of Amylase & Lipase. The patient needs further work up to rule out: a Cirrhosis of the liver b) Pancreatic cancer c) Liver cancer d) Kidney failure e) Serum Hepaitis A 60 year old female admitted to the hospital in a critical condition with multiple problems. In the past she had history of breast cancer, seizure disorders, and jaundice. The laboratory findings reveal low level of Hb (8mg/d]), high level of bili. (13.5mg/dl) and Alk.Phos. (700 JU/L) but normal levels of liver enzymes. The patient most likely is suffering from: a) Viral hepatitis b) Pancreatic cancer c) Hepatic failure 45) d) Hepatic carcinoma e) Bile duct obstruction A 59 year old female who had a family history of diabetes mellitus and was diagnosed as IDDM hospital complaining of abdominal pain, vomiting, headache and flu-like symptoms. The 46) 3 years ago. She was receiving daily injections of insulin. She was admitted to the atient is alert and cooperative. Lab findings include blood pH 6.95 (low), bicarbonate level 6.7 (low) and glucose level 534 mg/dl (high). Based on the lab findings, the diagnosis most likely would be: a) Hyperglycemia b) Hyperkalemia c) Diabetic ketoacidosis d) Metabolic alkalosis e) Diabetes insipidus

Answer 1

ANSWER

43.d.Hormone that act as a antagonist to the action of calcitonin is

        Parathormone.

        Calcitonin decreases the blood calcium level and parathormone

         incresaes the blood calcium level.

44.b.If the patient hasTwo fold elevation of liver enzymes AST,ALT and

        10 fold elevation of amylase and lipase (Pancreatic enzymes) then

        the patient needs further work to role out pancreatic cancer.

45.e, Low Hb level,high level of bilirubin and alkaline phosphatase but normal

         level of liver enzymes seen in Bile duct obstruction.

46.c.Low pH and bicarbonate level due to production of ketone bodies by metabolism

        of fat and increased glucose level seen in Diabetic ketoacidosis.