MCQsOnline - Online Collection of MCQs of Medical PG Entrance Exams.

MCQ stands for Multiple Choice Questions sometimes called as Objective type questions. Here we discuss the Old Question Papers, High Yield Points and Strategies with respect to the Indian Medical Post Graduate PG Entrance Exams like AIIMS,AIPG, JIPMER, CMC Vellore, PGI Chandigarh, UPSC, TNPSC, State PG Exams like Tamil Nadu PG (TN PG), Delhi PG, UPPG, Tamilnadu PG (TNPG), Karnataka PG, MAHE, COMED-K etc.

Target PG

PG Preparation

Related Portals

Search This Site

If you cannot locate what you want to find, please search using the box given below

Monday, December 15, 2008

Active form of Calcium is Ionised Form

Question 35
Active form of Calcium is
a.       Ionised
b.      Albumin Bound
c.       Phos
d.      Protein
Answer
a. Ionised
Reference
Chaterjee 6th Edition Page 538
QTDF
Most Book
Quality
Spotter
Status
Repeat
Discussion
The serum level of calcium is closely regulated with a normal total calcium of 2.2-2.6 mmol/L (9-10.5 mg/dL) and a normal ionized calcium of 1.1-1.4 mmol/L (4.5-5.6 mg/dL). The amount of total calcium varies with the level of serum albumin, a protein to which calcium is bound. The biologic effect of calcium is determined by the amount of ionized calcium, rather than the total calcium. Ionized calcium does not vary with the albumin level, and therefore it is useful to measure the ionized calcium level when the serum albumin is not within normal ranges, or when a calcium disorder is suspected despite a normal total calcium level.
Explanation
Ionised calcium is physiologically active form of calcium.
Comments
Calcium is the most abundant mineral in the human body. The average adult body contains in total approximately 1 kg, 99% in the skeleton in the form of calcium phosphate salts. The extracellular fluid (ECF) contains approximately 22.5 mmol, of which about 9 mmol is in the serum. Approximately 500 mmol of calcium is exchanged between bone and the ECF over a period of twenty-four hours
Tips
One can derive a corrected calcium level when the albumin is abnormal. This is to correct for the change in total calcium due to the change in albumin-bound calcium, and gives an estimate of what the calcium level would be if the albumin were within normal ranges.
    Corrected calcium (mg/dL) = measured total Ca (mg/dL) + 0.8 (4.0 - serum albumin [g/dL]), where 4.0 represents the average albumin level.
When there is hypoalbuminemia (a lower than normal albumin), the corrected calcium level is higher than the total calcium.

No comments:

Post a Comment