x 16s mare Ha sinh ‘Thi ly thuyét thye hanh Hoa sinh —-Y21- DEA pb THLLY THUVET THY'C HANH HOA SINH MODULE 5 LOP: Y21 HK 2- NAM HQC; 2021-2022 Nagy thi: 17/5/2022. ‘Thor glam this 25 phat 1. CAU HO! DIEN KHUYET 1, Theo dinh tudt Lambert-Beer: Dd truyén qua ca dh sing edng nbidu thi dd hap thy.cang tt - COng thite Hién hg gita ning 4) dung dich va 46 hip thy anh sing 2. ¥ nghia cia éng tring: Gitip.loai. trie. i 3. Nauyén te dink lugng glucose (Phirong phiip ex ‘Chat nay oxi héa hin hgp 4 aminophenazon va Ae cxysane +1}: Glucose bj OXH. tao thanh acid gluconic va..perowe phenol tao thitnh phW¢.chat Quinonelmine co mau do héng 4, Nguyen tlic dinh lugng glucose ngoti sit dung chobgnh phim ti huy sit dung cho..nuéec tiéu va mét sé dich sinh vat chat chéng tigu Trong xétnghiém dinh lurgng glucose huyét twong, dng nghigm duege bo thém dudhg NaF 5, Trong di duimg thin, glucose mau "{B#2n%lucose nigu. ‘Wing... do. zoknatsiné tna coe cia SIN guyén tic protein nigu: Protein két hop voi ...13.... igo thinh phite chit mau do. 7,Acid uric ting sinh ly & nguti.,.cd.&hé do an.giatépurine, S:Ndng dd protein huyét tong gidm trong......11. 9.Ca ché Protein nigu xudt hign trong viém clu than edip do tin thuong, ring civ cla mang loc Cie bénh fy vé thin men tinh cb thé gay ting acid urie do..maBy.loc cau than giam loc Fe Trong hoi chime thi hu, ing 46 protein miu... ....-« Protein mR. Bing rome. cb dure vi sy co mit cita.........145, uéng nhiéu rugu 2s ly vé n6i tidt 6 thé tang cholesterol mau? g haa. cholesterol ian phan co zi ri; .3.985,2 mmol/L.eeu cya a) LDL-C=TG4{HDILE i =TGi2/2) (mmol Ly Pe ubeeu hi aie fctas cscs Pacnsk cena eles)Bis amen Hea ston Thi ly} duydt thye hanh Hoa sink ~ DS 2 pe THELY THUVET THY HANH HOA SINE LOP: V NAM HQC: 2020-2021 P + ee an taki 20 polit 2 . PEL Hg tne ‘ — Sink vidn didn KHON ure 0 80 cho mai d tréng LAU nor oreN KHUYET 1. Theo dinh lait Lambert-Beer: fap te - D6 truydn qua cia dnh sing cing hide thi a 1. JEAPDW 9..chng 2... Sib. erode, Ofong thnte lige hg pita o9 hip thy dnb sing va nding 6) dung dich: 3,,21°10779 : 2. Che xét nghi¢an gisp chin dodin dai thio duimg: glucose matt 46%, 4 gnegge pigus "OH phip ting dubng huyét, $. 2xét.n@hiém HbAIC, Trong dai thio duémg thin, glucose m&u 6...Bihh.thuréngglucose nigu 7....Tang.... do Glam ndiréng.tai hap thu. glucosexia thin 3. Hormone_insulin 6 tie dung 9.42... glucose miu do cb the dyng ting ®D “avira ee Ro Phuong php so mau si dung 4. Phurong phip dinh kegng glucose huyét twong 06 tén la Lenzyme.GOD...... Trong phuong phip niy, glucose bj 12..070¥At2.... tyo thinh acid gluconic vi 13....420%,...... Chit nity oxi héa hn hgp 4 aminophenazon va phenol diréi tic dung cha roxydase.....igo thinh phire chit 06 miu 15...A.RGnOr9.... la enzyme | quinonimine. iam ? ‘ geht... protein nigu 17. Arang.-. 6. Trong hpi chimg thin hu, ndng d6 protein mau 16. . Protein nigu xudt hign trong h6i chimg thin hur do tn thirong 18. mandigay cdaimang Ige cdu than O)Cic bent ly vé than man tinh c6 thé pity ting acid uric do 19.2209 2°.c24..080, 8 Trong binh xo vita ding mpch, 6 thé thiy logi lipoprotein nto ting’? © Wr DLA ones Bs ra Ongudi ting thinh, cholesterol toin phn e6 gid tr: 22...... LDL-Cholesterol ting trong cée bénh ly tinCoa eau sunnier oT LDL-C=TG{HDL-C+ TG/2:2} mmplit Pictamsliats:1-+ alburnin ions Geet Etiuvareile) ung|thur gan; viem gan nang tang2. Y nghia oda dng tring: gidp.. fide thi! waréy phan (ng, 3 Ticu chudn chin dodn dai théo duémg: khi glucose 4.7 «2-27 mmo/l sslucose miu thir phat 06 thé giip trong ouémg ...4,-.-» cums «5. rt thugng than Glucose mau e6 thé ting sinh ly trong: ... 5. Co ché chinh trong dai théo duéng typ 21a ...9. 6, Phuong php dinh lugng glucose huyét trong: Glucose bj oxy héa tao thanh acid gluconic va. «+12. tao thanh phite chat ¢6 mau. 7. Nguyén tic dinh lng protein toan phan huyét thanh: Protein tc dung voi. + insulin cia té bao8 ng thu the Chat nay oxi héa hén hgp -. méi trudng...14., tao phite chat mau...15;,, +. 5, Trong bénh da u tiy xuong, néng d9 protein toan phan huyét thanh...1! sinh...17..:.:! Néng d6 protein huyét thanh gidm trong suy dinh duéng, 8. Nong d6 protein nigu ngudi binh thudng; ...20. Neguyén tie dinh tinh protein niéu: Protein bi ta bé sn 9. Diém gidng nhau trong nguyén tic dinh sit dung enzyme...23...., va tao phife chit... 10. Bénh gout nguyén phat: tang acid uric. 11. Logi lipoprotein ...26.pé mon Hoa sinh a sinh - DBD iy ede loi lipoprotein sau: thye hinh Hos 7 dB tool Thi ly th ” ong ¢ lugng HDL Cc nian i ee me hogt dong thnhage pmb ta enty niét d6.t6i.uu: ip cit Tages pro in huyet thanh gid tht nisi, a Biuret, than 06 teen Bava poo sy dint dong 10.27 LL. Phuong huyet Ning 8) provelt ong su mii, tidy nhidu vio 1 Tint HUONG LAM SANG bend vi thurbmg xyes thiy mét ¥ chin dodn aghi ng dai théo duimg vi duge lucose mau dai 1a 6,8 mmol/L. it bao nbn ni 54 rubi dn Ke Mo Ba duge bac s ban démn vi hay kha 0rd chi dinh xét nghiém glucose mau dét Ka qui 1. Theo em, bie sfs@ cb hét Infim gi voi két quit 46? bénh nhan c6 rd 434, enh nhan c6 r6i loan. dung nap.glucose.mau (-tién dai théo duong-):+ 1. Nét nghigen gl nén durge dé xuit tip theo?... n xét nghiém glucose nigute ché Ae I. TINH HUONG LAM SANG: Sinh vién dién KHONG QUA 8 TU’ cho moi 6 trong Tré nhi nam, 9 tudi, vo vin vi cach day mét xuat hién phd mat va tay chén. Trigu chimg_ nay cng tng din, bénh nhan phi nhiéu hon kém tiéu it. Tir lie 5 tudi, em da duge chan oan H6i chimg thin hu va vao vign nhiéu lin, phai uéng prednisolon thutmg xuyén, ngimg thuéc thi phi tré Igi. 10 nedy nay bénh nhan ngimg thude. Cau hoi 1. Trong hpi ching hin I, xét nghigm protein toin phiin huyét ty nigu sé thay déi nur thé nto? . Be thanh va protein Protein toan phan huyét thanh ..9'@,, Protein niéu.. -tang32, 2. Co ché ctia bénh ly nay la do .Bé mon Hoa sinh Thi ly thuyét thye hinh Héa sinh ~ Y21 - DE A insulin is Brow dai thio dung type 1, triglyceride ting do thidu 30. | hormone may itp hopt héa enzyme ......31. 2tcokinase 15.Tién hinh.,,...42...-.-. tong dink lgng HDL-C nhiim dé logi bé cae loai lipoprote! khic. 3 biuret Phuong phép dinh lung triglyceride huyét thanh co ten 16, .. .nhletgo 161 U4 ta nhiet do ma tai dé enzyme hoat dong manh nhat. 17.Ure duge thiy phan nhg enzyme “35... tao thinh NH3, NH3 lam kiém hoa mdi Insert text here 36. trong va dinh tinh nho chat chi thj mau Ia..... r phenolphtalein @yinn HUONG LAM SANG Mot bénh nhéin ni, 54 tdi dén kiém tra site khde tai phdng kham Bénh vién, Bénh nhan duge chi dinh xét nghiém mau. Két qua glucose mau d6i: 6,8 mmol/L. Bénh nhan duge xét nghiém glucose mau ddi lin 2 sau | tudn cho két qua turong ty. 1. Nhan djnh két qua nay?......378@nb.nhan cé r6i loan dung nap glucose mau ( tién dai thao dudng) Co sé nao em nhan dinh nhu vay?De, nonGki6.glucose cia bénh nhan nam khoang 5,6-7 2, Xétnghiém héa sinh gi nén duge de xuat tiép theo?......39.. xét nghiem glucose nigu ah nhan c6 glucose trong nude tiéu khong? ......40 ; khéng