DEPARTMENT OF BIOCHEMISTRY

MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 1
A middle aged woman visited her physician with history of
weight loss, nervousness, anxiety, diarrhea, sweating,
exophthalmos and sensitivity to heat. Her pulse rate : 110/min &
BMR : 53 Kcal/hr/sq m. of body surface area.
Her laboratory investigations showed :
THYROID FUNCTION TESTS :
 Serum TSH : 0.3 µU/ml.
 Serum T3 : 400 ng/dl.
 Serum T4 : 16.4 µg/dl.
Interpret the findings and comment on the
probable diagnosis ?
 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 2
A 30 year old woman, married 5 years ago, had no children.
She complained of tiredness, weight gain, cold intolerance,
neuromuscular pains and constipation.
The following are the laboratory data:
THYROID FUNCTION TESTS :
 Serum TSH : 20 µU/ml.
 Serum T3 : 100 ng/dl.
 Serum T4 : 4 µg/dl.
Interpret the findings and comment on
the probable diagnosis ?
 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 3
A young man sustained injury to the chest in a road traffic
accident. He was admitted and given oxygen therapy.
The arterial blood was taken and sent for analysis.
ABG report includes :
 pH : 7.2
 pCo2 : 60 mm Hg
 serum Bicarbonate : 25 mmol/L
Identify the acid base disorder.
 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 4

A 55 year old Diabetic male was admitted in ICU for confused

state.
The arterial blood was taken and sent for analysis.
ABG report includes :
 pH : 7.1
 pCo2 : 40 mm Hg
 serum Bicarbonate : 12 mmol/L
Identify the acid base disorder.
 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 5
A 50 year old diabetic male came for regular check
up. His lipid profile report showed :
 serum total cholesterol : 280 mg/dl.
 Serum triglycerides : 120 mg/dl.
 Serum LDL cholesterol : 150 mg/dl.
 Serum HDL cholesterol : 45 mg/dl.
Interpret the report and comment on the abnormality.
 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 6
A 50 year old diabetic male came for regular check
up. His lipid profile report showed :
 serum total cholesterol : 150 mg/dl.
 Serum triglycerides : 120 mg/dl.
 Serum LDL cholesterol : 90 mg/dl.
 Serum HDL cholesterol : 50 mg/dl.
Interpret the report and comment on the abnormality.
 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 7
A 29 year old male came with history of bone pain,
loss of weight, tiredness and fatigue.
The physician advised him to do serum
protein electrophoresis as a part of investigations.
Interpret the electrophoresis pattern :
 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 8
A 29 year old male, alcoholic came with history of
edema of abdomen, tiredness and giddiness. His
BP
: 90/60 mm Hg.
The physician advised him to do serum
protein electrophoresis as a part of investigations.
Interpret the electrophoresis pattern :
 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 9

Interpret the OGTT report :

 DEPARTMENT OF BIOCHEMISTRY
MAPIMS
I BDS UNIVERSITY EXAMINATIONS
CHART – 10

Interpret the OGTT report :