Essay Paper 16th July 2004

Time allowed 3 hours

Answer  4 questions. Starting each question on a new sheet of paper labelled with the question number and your name.

  1. Write an account of the pre-analytical factors that may influence hormone measurements in blood, and how they may affect their interpretation. Illustrate your answer with examples.
  2. Critically discuss the laboratory assessment of glomerular function in man.
  3. Give an account of the methods currently used for the measurement of  haemoglobin A1C and discuss the issues surrounding their standardisation.
  4. Write an essay on the patho-physiological consequences of insulin deficiency.
  5. Discuss the differential diagnosis and biochemical investigations that should be considered in the case of a 39 year old lady found to have hypercalcaemia.
  6. Write an essay on the regulation of extra-cellular fluid potassium concentration illustrating your account with examples of pathological states that may critically affect it.
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