Reference no: EM132953837

Managerial accounting case study, Financial accounts are audited by accountants whose qualifications are prescribed in law. In India, they are usually chartered accountants who are qualified under the certifying procedure of the Institute of Chartered Accountants of India (ICAI)-a body constituted under an Act of the parliament. Every country has similar arrangements. This entire scheme of making a balance sheet and profit and loss account to provide a true and fair picture of an organization is often considered, rightly or wrongly, as the crucial engine of the capitalist system of free markets, and a primary prerequisite for development (May and Sundem 1995).

1 What else could we use instead of propranolol in thyrotoxicosis with bronchial asthma?

2 At what dose, and for how long, would steroid therapy give rise to secondary adrenal insufficiency? For adrenal insufficiency due to long term steroid use, when should we start to give a cortisone supplement? How should we monitor these patients?

3 What dose of Synacthen is equivalent to adrenocorticotrophic hormone (ACTH)?

4 I want to know the mechanism that causes anaemia in Addison's disease. I am unable to find the real cause.

5 What causes hypercalcaemia in Addison's disease?

6 In the diagnosis of Cushing's disease using the high-dose dexametha sone suppression test, how can the exogenous steroid suppress adrenocorticotrophic hormone (ACTH) when the grossly elevated serum cortisol levels fail to do so?

7 Does alternate-day therapy with steroids decrease their efficacy compared with daily therapy?

8 Regarding the renin-angiotensin-aldosterone axis, it states that dietary sodium excess suppresses renin secretion. Then why are we asking hypertensives to restrict sodium intake? Also if we are using angiotensin converting enzyme (ACE) inhibitors, the plasma renin activity increases due to loss of feedback inhibition. Wouldn't that be counterproductive?

9 How does a phaeochromocytoma give rise to Raynaud's phenomenon?

10 How well do symptoms of hypercalcaemia correlate with serum calcium levels. Can I ignore an asymptomatic patient with a serum calcium of 3.7 mmol/L but have to give treatment to a symptomatic patient who has a serum calcium of 3.3 mmol/L?