Question

Jane is a 23 year compulsive jogger. She jogs everyday for 2 hours. She has down and is underweight for her height and age. You would expect Jane to h a) Heavy menstrual flows b) Painful cramps c) Amenorrhea d) Elevated levels of LH, FSH & Cortisol e) None of the above 47) 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+. 48) 49) Jill suffers from anorexia nervosa. One evening she was rushed to the emergency room because of cardiac arryihmias. Blood & urine specimens indicated Ketonemia and Ketonuria. Jill is having arrythias due to: a) Elevated levels of Plasma pH b) Metabolic alkalosis c) Ketoacidosis d) High blood pressure e) Hypoglycemia Joe is playing football. During tackle he 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 50) 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 51) d) e) vitamin K, a precursor of prothrombin used for blood clotting All of the above None of the above

Answer 1

47, d, elevated level of LH, FSH and cortisol

Acute exercise by running does alter the immediate hormonal profile..there will be increased level of LH, FSH, prolactin, testosterone and cortisol levels in women.. elevated hormonal concentration positively affect the athletes.

48, b, elevated level of ADH

If you don't drink enough water, the concentration of chemical in your blood (serum osmolality) increases..when serum osmolality increases, your body release more ADH .

49, c, ketoacidosis

Metabolic acidosis have connection with anerexia nervosa. Ketosis occur due to low carbohydrate diet or insulin deficiency..Due to lack of insulin that results in the breakdown of body fat for energy and an accumulation of ketones in the blood and urine..when there is electrolyte abnormalities it causes fatal cardiac arrhythmias..

50, c, pneumothorax

Chest cavity contain vital organs like heart and lungs.. when there is rib fracture it can puncture the tissues or organs and sometimes lead to pneumothorax or internal bleeding.

51, e,none of the above

Nosebleeding may happen when taking other type of medication like aspirin, warfarin etc..broad spectrum antibiotic will not make nose bleeding..There may be some other cause for the nose bleeding..should consult the doctor immediately