11. Ms. Rachel Taylor, a 41-year-old woman with Crohn’s disease has undergone multiple surgical procedures. She has recently undergone an ileostomy but still has evidence of some distal jejunal disease. Her current medications include prednisone and aminosalicylic acid. Which of the following effects of prolonged therapy with glucocorticoids are possible for this patient?  
a. Antibody production  
b. Collagen formation  
c. Fibroblast dysfunction  
d. Inflammatory cell migration  
e. Impaired Wound healing  

12. Mr. Paul Lee, a 49-year-old obese man presents to his primary care physician for a follow-up examination. He has a history of uncontrolled diabetes mellitus and bipolar disorder. His current medications include lithium and milk of magnesium. Physical examination of the heart, lungs, and abdomen are within normal limits. Laboratory studies reveal serum calcium of 14 mg/dL. What is the most likely explanation for these findings?  
a. Dietary indiscretion  
b. Medication overdose  
c. Milk-alkali syndrome  
d. Parathyroid adenoma  
e. Parathyroid hyperplasia  

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