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    MBCHB Vi 2023 PDF

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    Adenly Maay
    Mbchb

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    MBCHB Vi 2023 PDF

    Uploaded by

    Adenly Maay
    14 views3 pages
    Mbchb

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    Mbchb Vi 2023.PDF

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    Mbchb

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    14 views3 pages

    MBCHB Vi 2023 PDF

    Uploaded by

    Adenly Maay
    Mbchb

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    of 3
    Case 1 . A 60 year old man presented with shortness of breath, which had developed gradually over several years. He had been a heavy smoker since age 20. On examination he was short of breath at rest and centrally cyanosed. He had a barrel-shaped chest and a marked expiratory wheeze. CXR showed hyperinflation and other signs consistent with emphysema. Arterial blood gases: PH -7.2, pO2 - 8.0 kPa, pCO2 - 9.0 kPa. SBC- 36 mmol/I i. Comment on and interpret all the biochemical data (using correct biochemical terms). ii. Explain the likely cause for this acid-base disturbance. ii. If he were given oxygen to breathe by face mask, what would happen to these parameters? iv. If he were intubated and ventilated so that his pCO2 was rapidly decreased to normal, what would happen to his pH? (3) v. How do these biochemical results differ from those in a patient with an acute asthma attack? : GABE Questions 1 ‘A 56-year-old man attended the diabetic out-patient clinic. He was on twice daily insulin injections. The results of clinic blood and urine tests, and his own record of blood glucose Diabetic clinic results January April ~— uly October Reference range Blood HbAIC 10.3 no 13d 5-8% Urine Glucose ++ ++ tH +e Ketones neg neg neg. =—oneg Protein neg trace trace ~—possitive Home blood glucose: BM-stix blood giucose (mmol/1) September Before Before Before Bedtime Breakfast lunch tea a 1 7 2 9 > 3 Zz 4 Ty 5 8 6 ? 7 + 8 9 ¥ 7 10 8 JUESTIONS 1, Please interpret and comment on the results, 2. What is your diagnosis? (10) . Case s& UES: 41 4. 39-year-old woman was admitted for polyuria. She had 2 history of renal colic. ye" Seruin Albumin: 42. g/L Calcium 3.14 mmol/L Phosphate 0.30" mmol/L ‘Alkaline phosphatase 164 UML (a) “Whats the likely diagnosis and why? (3 marks) Reference Interval 36-48 °2.13-2.51 0.80 - 1.30 40-136 (0) “What further investigations aré required to confirm the diagnosis (2 marks) @

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