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131186 Physiology

A 88 year-old woman from Mexico is admitted to the hospital following a bout of severe vomiting and generalized weakness. Initial laboratory values reveal elevated Cat levels. The referring physician tells you that she has breast cancer and her bone scan indicates metastasis to bone. The most likely cause of hypercalcemia is:

AIncreased PTH production
BIncreased responsiveness of the PTH receptor 1
CIncreased PTHrP production
DDecreased responsiveness to calcitonin
Physiology
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131193 Social & Preventive Medicine

Dengue haemorrhagic fever is diagnosed by –

AAcute onset of high fever, presence of petechiae, epistaxis platelet count>2 lakh
BAcute onset of high fever, positive tourniquest test, epistaxis ormalena and malena and platelet count>1.5lakh
CAcute onset high fever 2 to 7 days, associated with hemorrhagic manifestation e.g hemoptysis and platelet count less than 1.5lakh
DAcute onset of high fever, positive tourniquet test, bleeding gum and platelet count less than 1.0lakh
Social & Preventive Medicine
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