©ACU 2022 1
BIOL121 ASSIGNMENT three: Written assessment
Situation: David
David is a 41-year-old male, who has made an appointment to see his GP for his biannual well being test. He
tells the physician that he has been feeling “a bit puffed” strolling across the course throughout his weekly recreation of
golf and that he appears to be urinating extra ceaselessly of late. David experiences he has gained 9 kilos since
his 30th birthday, and his waist measurement has expanded. He laughs this off as “middle-aged unfold” and
says his spouse tells him he wants to look at what he eats and drink much less alcohol. David works as a software program
engineer, which he has been discovering very hectic of late, and spends a whole lot of his time within the workplace sitting in
entrance of a pc, snacking on his favorite salt and vinegar chips. David and his spouse are eager to start out a
household however haven’t but been profitable in conceiving.
On the recommendation of his physician, David has been taking aspirin within the evenings for the previous 18 months to decrease his
danger of coronary heart assault and Zocor® to deal with ldl cholesterol.
Bodily examination:
Peak 174 cm
Weight 94 kg
Look Neat look, obese, pale
Temperature 37.1◦
C
Blood work Blood sort = O+
Blood glucose = 10 mmol/L
Blood Testosterone ranges = 154 ng/dL
GnRH = low
BP 155/99 mm Hg
Respiratory price 19 bpm
Weight-reduction plan Largely wholesome meals. Snacks on excessive
fats & sugar, processed meals. Heavy
alcohol consumption.
Previous affected person historical past Ex-smoker. Common check-ups each six
months. Levels of cholesterol have been
excessive on the final three check-ups. Takes
Aspirin within the evenings. Gall bladder
eliminated 5 years in the past.
Social standing Lives along with his spouse and mother-in-law.
Sexually lively.
Urinalysis:
Blood –
Bilirubin –
Urobilinogen zero.1 mg/dL
Ketone –
Protein –
Nitrite –
Glucose ++
pH 6
Particular Gravity 1.035
Leukocytes –
©ACU 2022 2
All subjects and their key factors listed under have to be mentioned in your essay
Subject 1: Copy (10 marks whole)
David and his spouse are eager to start out a household however have had no success to this point. Contemplating David’s blood check
outcomes, point out whether or not there’s want for additional investigation. Your dialogue ought to embody the
homeostatic regulation of male reproductive physiology and the related glands, cells, and hormones. (10
marks)
Subject 2: Respiratory system (5 marks whole)
David is late for work and the elevate is damaged; he should run up six flights of stairs to make it on time.
Describe the fuel alternate occurring between David’s blood and the skeletal muscle groups in his legs. Focus on how
the speed of fuel alternate was affected throughout the run up the steps (i.e., throughout train). (5 marks)
Subject three: Digestion/metabolism (eight marks whole)
After talking to his physician, David has determined to attempt to shed extra pounds and he going to start out a eating regimen…tomorrow.
Tonight, David is having fun with his final excessive carbohydrate/excessive fats meal for some time.
Focus on the potential impression of David’s gall bladder removing upon his capability to digest his dinner. (four.5 marks)
State the hormone that’s MOST lively in sustaining David’s blood glucose ranges presently. Clarify your
reply. (three.5 marks)
Subject four: Pharmacology (7 marks whole)
Beneath the recommendation of his physician, David has taken Zocor® tablets every night for the previous 18 months.
Focus on the route of administration, which route the drug is more likely to be excreted after administration, and its
seemingly bioavailability. Justify your response by discussing whether or not the drug can be subjected to hepatic first
move. (four marks)
To Help with weight reduction, a good friend has suggested David to drink grapefruit juice along with his meals.
As a well being care skilled, would you think about this to be a good suggestion for David? In your reply, talk about
the function of the liver within the administration of Zocor and grapefruit juice? (three marks)

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