Study questions platform-wide or filter by specific tests with correct answers revealed.
Hypertrophic Pyloric Stenosis (HPS) β classic presentation:
- Age: 2β8 weeks (peak at 3β6 weeks)
- Gender: Males > females (4:1 ratio)
- Projectile, non-bilious vomiting (post-pyloric, so no bile)
- Hungry after vomiting (not ill-appearing)
- Olive-shaped mass palpable in right epigastrium (hypertrophied pylorus)
- Visible peristaltic waves (left to right)
Electrolyte imbalance:
Repeated vomiting of gastric acid (HCl) causes loss of HβΊ and Clβ»:
\[\text{Loss of HCl} \Rightarrow \downarrow \text{Cl}^- \Rightarrow \uparrow \text{HCO}_3^- \Rightarrow \text{Metabolic Alkalosis}\]
Kidney compensates by retaining HβΊ and excreting KβΊ β Hypokalemia
Result: Hypochloremic, hypokalemic metabolic alkalosis
Diagnosis: Ultrasound (pyloric muscle thickness \(\geq 4\,\text{mm}\), channel length \(\geq 16\,\text{mm}\))
Treatment: First correct electrolytes and dehydration, then Ramstedt pyloromyotomy (surgical β curative).
The enthalpy change \(\Delta H\) can be measured indirectly using:
Hess's law states that enthalpy change for a reaction is independent of path, allowing calculation of ΞH by summing known reactions.
A particle starts from the origin (0, 0) and moves in a straight line. At a later time its position is $(\sqrt{3},\,3)$. The angle the path makes with the positive $x$-axis is:
$\tan\alpha = \dfrac{y}{x} = \dfrac{3}{\sqrt{3}} = \sqrt{3}$
$\alpha = \tan^{-1}(\sqrt{3}) = \mathbf{60Β°}$
Validity is the extent to which a measurement tool actually measures what it purports to measure. A test can be reliable (consistent) without being valid (accurate), but a valid test must also be reliable. Validity is considered the most important quality of any assessment instrument.
Correct Answer: B — Validity.
Sign in to join the conversation and share your thoughts.
Log In to Comment