A 32-year-old male patient arrives unconscious at the emergency department. The physician orders a blood sugar test, HbA1c and other laboratory investigations. Which is the most likely level of HbA1c in his condition?

A 20 year old medical student takes part in a routine health screening conducted at the campus, which includes blood and urine tests. Her blood test shows that plasma glucose is 198 mg/dL, and her urine analysis shows the presence of

glucose in the urine. She doesn’t report any symptoms. What is the most likely reason for the appearance of glucose in her urine?

In an experimental study, microscopic examination of the nephron is carriedout. The researcher examines a part of the tubule responsible for passage of water from the filtrate into the interstitial tissue.

Which is the single most likely part examined?

A 45 year old man is admitted to the hospital with haematuria and haemoptysis. Examination and laboratory tests reveal features consistent with nephritic syndrome. Immunofluorescence of the biopsy reveals the presence of glomerular immunoglobulin deposits.

Which is the single most likely immunofluorescent picture seen?

A 20-year-old university student has elevated temperature and enlarged tender liver. He spends his summer vacation in his home village. He reports hiking in the agricultural land where he eats unwashed raw vegetables planted by the side of the village canal. Upper endoscopy is requested, and it reveals a flat unsegmented parasitic stage in the common bile duct.

Which is the most likely infective stage in this case ?

A 33 year old man visits the family physician as he has recurrent stomach ache over the past six months. Investigations reveal gastric erosions and abdominal ulcer. The physician suspects somatostatin deficiency.

A 25-year-old young woman with a long history of irritable bowel syndrome presents for surgical resection of the gastrointestinal tract where vagal parasympathetic innervation terminates. Which is most appropriate site for surgical resection?

A 65 year old man is diagnosed with microcytic hypochromic anemia. His GP prescribes him iron supplements.

A 12 year girl presents with a marked enlarged abdomen and history of frequent episodes of weakness, sweating and pallor that were eliminated by eating. Laboratory investigations reveal hypoglycemia, hypertriacylglyerolemia and lactic acidosis. Liver biopsy shows accumulated glycogen. Which is the most likely deficient enzyme in this condition?

A 2 year old boy is diagnosed with hemolytic anemia due to G-6-PD deficiency.