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Provide one test each for the assessment of the following conditions and explain the basis for the choice of that test.

i. Cholestatic jaundice
ii. Chronic renal failure
iii. Thyrotoxicosis
iv. Hypergonatrophic hypogonadism

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Final answer:

To assess cholestatic jaundice, the Van Den Bergh test is utilized for its ability to differentiate between conjugated and unconjugated bilirubin. Chronic renal failure is assessed with the eGFR test to measure kidney function. For thyrotoxicosis, blood levels of thyroid hormones like T3 and T4, as well as TSH, are analyzed, and hypergonatrophic hypogonadism is diagnosed by measuring levels of gonadal hormones and gonadotropins.

Step-by-step explanation:

To assess the different medical conditions listed, specific tests can be performed to help diagnose and manage these diseases. The choice of test each condition is based on a variety of biochemical markers associated with each condition's pathology.

For cholestatic jaundice, which is characterized by an obstruction in the flow of bile, we can use the Van Den Bergh test. This test helps to differentiate between conjugated and unconjugated bilirubin in the blood. An increase in conjugated bilirubin is typical in cases of bile flow obstruction.

In the case of chronic renal failure, the estimated glomerular filtration rate (eGFR) test is used to assess kidney function. This test calculates the rate at which blood is filtered through the kidneys and can indicate impaired function.

For thyrotoxicosis or hyperthyroidism, a blood test measuring thyroid hormones, such as T3 and T4, along with thyroid-stimulating hormone (TSH), can be informative. Elevated levels of thyroid hormones with decreased TSH are indicative of hyperthyroidism.

Assessing hypergonatrophic hypogonadism requires measuring the levels of gonadal hormones (e.g., testosterone or estrogen) and gonadotropins (LH and FSH). Elevated levels of gonadotropins with low levels of gonadal hormones are characteristic of this condition.

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