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Endocronology_ 2010

Jeku Jacob 12 questions Updated 11 Jan 2017

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Questions in this quiz (12)

  1. 1Increased release of which of the following hormones is most likely to increase food intake?
    1. AA. Adiponectin.
    2. BB. Ghrelin.
    3. CC. Glucagon-like peptide 1 (GLP-1).
    4. DD. Leptin
    5. EE. Peptide YYs
  2. 2Which is the following best explains early morning low testosterone levels in a nondiabetic obese male?
    1. AA. Low physical activity
    2. BB. Low serum binding globulin
    3. CC. Decreased steroidogenesis by adrenals
    4. DD. Increased peripheral aromatase conversion
    5. EE. Increase Insulin resistance
  3. 3Which of the following 100g contains the highest calories?

    1. AA. 60% alcohol
    2. BB. Animal protein
    3. CC. Carbohydrate
    4. DD. Polysaturated fat
    5. EE. Soft drink
  4. 4Which is the most common side effect of high dose prednisone?

    1. AA. Depression
    2. BB. Mania
    3. CC. Psychosis
    4. DD. Insomnia
    5. EE. Delirium
  5. 5What is the main reason for tight BSL control in a woman with gestational diabetes?

    1. AA. To prevent neonatal birth defects.
    2. BB. To reduce miscarriage rates
    3. CC. To reduce macrosomia
    4. DD. To reduce the risk of diabetes mellitus in the mother
    5. EE. To reduce the risk of diabetes mellitus in the child
  6. 6Which of the following would give the greatest level when measured at midnight in comparison to its 8am level.

    1. AA. adrenalin
    2. BB. cortisol
    3. CC. insulin
    4. DD. growth hormone
    5. EE. testosterone
  7. 7Patient has panhypopituitarism and is currently on thyroxine 100mcg daily, prednisone 5mg daily and testosterone replacement. The addition of which of the following medications is likely to precipitate an Addisonian crisis?

    1. AA. Dexamethasone
    2. BB. Hydrochlorothiazide
    3. CC. Rifampicin
    4. DD. Ritonavir
    5. EE. Spironolactone
  8. 8An 81 year-old woman presents with new and ongoing seizures and confusion. She was recently discharged following an admission with Herpes Zoster, treated with acyclovir, and significant post-hepatic neuralgia and nausea. Her current medications are codeine, amytriptiline and metclopromide.

    A complete blood panel is shown which was largely unremarkable apart from Na+ = 109.

    Urinary sodium = 58
    Osmolality = 550
    (No other urine results given)

    What is the most appropriate initial treatment?

    1. AA. 0.45% saline
    2. BB. 0.9% saline
    3. CC. 3% saline
    4. DD. Fluid restriction
    5. EE. Frusemide
  9. 948yo type II DM man, diet controlled, obese, with fasting BSLs at home ranging from 9→12, with postprandial 6 → 11. Most likely cause of these BSL trends?

    1. AA. midnight snacking
    2. BB. overnight hepatic gluconeogenesis
    3. CC. islet cell failure
    4. DD. rebound hyperglycaemia
  10. 10What is the reason for measuring thyroid stimulating antibody levels in the third trimester of pregnancy in a woman with Graves disease?
    1. AA. To check whether it is appropriate to withdraw anti thyroid medication
    2. BB. To assess for foetal goitre
    3. CC. For titration of antithyroid medications
    4. DD. To assess the risk of post partum thyroiditis
    5. EE. To assess the risk of neonatal thyrotoxicosis

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Description
RACP Endocrinology Quiz on Endocronology_ 2010 , created by Jeku Jacob on 10/01/2017.
Language
English
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History
Created on 10 Jan 2017 · updated on 11 Jan 2017
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