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1- Typical finding in acute hepatitis include all except: - increased conjugated & unconjugated BR. - increased prothrombin time.

- increased transaminase. - Increased plasma albumin. - increased gamma glut amyl Trans ferase.

2- Which of the following is true for cirrhosis? - can be reversed by using good protein diet. - decreased plasma albumin usually found. - ALT > AST usually food. - Viral hepatitis A is among the cause. - Uncongealed bilirubin is highly increased.

3- Typical finding in osteoporosis: - bone pain. - Abnormal plasma albumin. - Decreased Ca phosphate & increased ALP. - increased Ca, phosphate & ALP. - Normal Ca, phosphate & ALP.

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4- Typical finding in rickets: - High plasma vit.D level. - decreased Ca, phosphate and increased ALP & PTH. - increase Ca, phosphate and decrease ALP & PTH. - decrease Ca, phosphate, ALP & increase PTH.

5- Which of the following statement of plasma protein is not correct? - Macroglobulin conc. tends to increase in N syndrome. - High total protein conc. In patient with hypoalbumenemia suggested increasing conc. Of immunoglubin. - In Wilson increase ceroplasmin in plasma & decrease CV- conc. Is found. - Prothrombin increase vit.k deficiency. - More.

6- Which of the following sub more likely in plasma in increase conc. In patient with liver cirrhosis: - Na. - Transfirin. - Immunoglubulin. - Urea - Albumin

7- Plasma ionized ca+2: - Increased in alkalosis.

- Increased in acidosis. - Found bounded to albumin. - High level inhibits secretion PTH. - More.

8- Hyper/ ca+2 associated with: - 1, 2 PTH (HYPER). - may in RF. - may caused by excess vit.D intake. - More

9- Hyper. BR: - Due to conj.BR + dark urine. - Sensitive indicator to hepato-cellular damage. -associated with pole stool by biliary obstruction. - Result from Rh-incomp. Is conj. Type. - More.

10- Increased plasma -GT activity found in: - Increased alcohol intake. - bone disease. - Premature neonate. - Greglir najjar synd.

-hemolysis.

11- Hypo ca+2: - associated with vit.D deficiency: - can result of prolong stasis. - Common in malignancy. - found after thyroid ectomy. - More.

12- Which about ck. Is correct: - In plasma mainly derived from ck-2 . - Plasma ck-MB found to increase in MI. - is a good marker for muscle disease (ck-2). - is tetramer.

13- Which about Enc. Pathy correct: - In viral infection. - increased in urea level. - increased NH3 level. - Increase protein intake is recommended. - For treatment bed rest is a good measure.

14- In cholestasis, due to gallstone; all increase except:

- Conj.BR. - unconj.BR. - ALP. - -GT. - Transaminase.

15- Typical find in hyper PTH: - Increase ca; decrease PO4-2 & ALP. - Inc. Ca, dec. PO4-2, inc. ALP. -Inc. Ca, PO4-2 & ALP. - Inc. Ca, PO4-2 and normal ALP. __ 16- Which is about Transaminase is correct: - increase plasma activity due mainly to enzyme indication. - AST more hepatic than ALT. - require B12 in activity. - In MI, an increase of T.aminase plasma activity occurs before dec. in DH. - Increase plasma activity can occur of muscle damage. __ 17- Typical finding of MM is increase in all except: - Urea. - Creatinine. - Ca. -ALP.

- IgA. __ 18- - antitrypsin: - Enzyme inhibitor than inhibit trypsin & collagens. - Deficiency associated with amphasema. - increase during inflammation. - 95% Of -region. - More than one answer. ___ 19- Vit. D3 (cholecalciferol): - is hormone. - can syn. By body. - syn. Is decrease in RF. - Best source plant. - Other name calciterol. __ 20- Paraprotein: - called B5D. - In young people usually pencilline. - Light chain of IgC. - Sharp dissosiated bond found usually in -region - Type of protein in plasma. __ 21- Biochem. Findings of physiological Jaundice due hemolysis:

- decrease Ca in plasma. - increase plasma heptaglubulin conc. - Normal Hb. - increase ALP. - increase unconj. BR __ 22- Increase plasma ALP: - Acute hemolysis. - Acute muscle damage. - Increase in bone disease with -GT. - In pregnancy. - Without Jaundice due prostatic carcinoma. __ 23- Hyperphosphtemia is correct: - Excess vit.D intake - In RF. - By hyper PTH. - All. __ 24- Patient treated with rifampcine shoe increase in serum biochem. : - Conj. BR - Unconj. BR - ALP - All

- None __ 25- Electrophoresis show decrease in albumin & increase & involve: - Acute phase response. - Hepatic cirrhosis. - Over hydration. - N.S - MM __ 26- Plasma Ca: - Puget disease. - Increase after treatment with calscitonin. - Decrease in osteobrosis. - Decrease in hypo. PTH __ 27- Lab find in hemelysis: - increase uncoj. BR - increase conj. BR - Decrease in albumin - Increase in PT. - Increase in heptaglobulin.

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