Medical MCQ-A glass factory worker presented with complaints of numbness in hands and feet, generalized weakness and constipation. Radiograph showed linear lines on metaphyses of knee and wrist joints. How will you diagnose this patient?

A glass factory worker presented with complaints of numbness in hands and feet, generalized weakness and constipation. Radiograph showed linear lines on metaphyses of knee and wrist joints. How will you diagnose this patient?

Serum mercury levels

Vitamin D levels

RBCcholinesterase levels

Amino levulinic acid levels in urine

Question Category:

Medicine

Correct Answer:

Amino levulinic acid levels in urine

Description:

Ans: D. Amino levulinic acid levels in urine(Ref: Harrison 19/e p2689, 427e-2; Harper 30/e p329)High levels of lead can affect bone metabolism by combining with SH groups in enzymes such as ferrochelatase and ALA (delta-amino levulinic acid) dehrdratase.Elevated levels of protoporphyrin are found in red blood cells, and elevated levels of ALA and of coproporphyrin are found in urine.Lead Poisoning:Abdominal pain, irritability, lethargy, anorexia, anemia, Fanconi's syndrome, pyuria, azotemia in children with blood lead level (BPb) >80 i.g/ dL; may also see epiphyseal plate "lead lines" on long bone x-rays.

Previous MCQ

Next MCQ

Get More

Subject Mock Tests

Try practicing mock tests with over 200,000 questions from various medical subjects.

Attempt a mock test now

Mock Exam

Attempt an exam of 100 questions randomly chosen from all subjects.

Coming Soon