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60150 Pathology

A 40 year old female patient complains of excessive bleeding. Patient gives a history of RTA 6 hours ago. General physical examination reveals altered mental status. Further investigations suggest blood lactate level- 2.5mmol/L, urine output- reduced, blood pressure- 80/50mmHg, pulse-130bpm, respiratory rate- 24/minute. The patient is in which stage of shock?

ACompensated
BMild decompensated
CModerately decompensated
DSeverely decompensated
Pathology
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60155 Biochemistry

A 43-year-old male high-level executive presents to his physician due to a persistent dizziness when standing quickly. He also has been exhibiting chronic fatigue, some muscle weakness, and an unusual craving for salty foods. The physician notices that the patient has a constant “bronze tan,” and blood obtained during the visit demonstrated not only normal cholesterol levels but also hypoglycemia, hyperkalemia, and hyponatremia. The underlying cause for these problems is which one of the following?

AAdrenal insufficiency
BPituitary insufficiency
CLack of insulin
DLack of glucagon
Biochemistry
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