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Endocrino (2/2)
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Perguntas do quiz (25)
126. First choice treatment of pituitary tumors is surgery, except for:
- Aa) TSH adenomas
- Bb) craniopharyngiomas
- Cc) prolactinomas
- Dd) somatotropinomas
- Ee) meningiomas
227. Increased prolactin levels can cause following signs and symptoms:
T1. Erectile dysfunction,
T2. Galactorrea,
T3. Osteopenia,
T4. Amenorrhea,
T5. Acanthosis nigricans.- Aa) T1, T5.
- Bb) T1, T2, T3, T4
- Cc) all answers are correct
- Dd) T1, T4, T5
- Ee) T2, T4, T5
328. The only reliable test to distinguish between bilateral and unilateral forms of primary aldosteronism is:
- Aa) NP-59 scintigraphy of the adrenal cortex after dexamethasone-suppression
- Bb) posture stimulation test
- Cc) adrenal CT scan
- Dd) adrenal venous sampling
- Ee) measurement of plasma 18-hydroxycorticosterone, 18-hydroxycortisol and 18-oxocortisol.
429. Organic part of bone is made of:
T1. Osteonectin,
T2. Osteoblasts,
T3. Osteoclasts,
T4. Collagen,
T5. Hydroxyapatite.- Aa) T1 and T2.
- Bb) T2 and T3.
- Cc) T1, T2, T3 and T4.
- Dd) T4 and T5.
- Ee) all answers are wrong.
530. All the following statements for hypoparathyroidism are true except:
- Aa) tetany is one of typical findings
- Bb) hypomagnesemia inhibits PTH secretion
- Cc) typical laboratory findings are hypocalcemia and hypophosphatemia
- Dd) basal ganglia calcifications can be seen in 20% of patients on CT scan
- Ee) during treatment hypercalciuria and nephrolithiasis can occur
631. Which of the following tests can be used to diagnose diabetes?
T1. Fasting plasma glucose,
T2. Random plasma glucose,
T3. 2-h OGTT with 75g glucose,
T4. HbA1c
T5. Fasting C-peptide and C-peptide level 90 min after breakfast
T6. H-h OGTT with 75g glucose.
The correct combination is:- Aa) T1, T3, T4
- Bb) T1, T2, T3, T4
- Cc) T1, T2, T3
- Dd) T1, T4, T5
- Ee) T1, T4, T6
732. A 72-year old lady visits her general practitioner with symptoms of respiratory tract infection: she has been coughing for a week, with abundant discharge from her nose and purulent expectoration, body temperature 37,5 ºC. During the last three months she lost 3 kg, she is thirsty and feels tired. Laboratory tests reveal random blood glucose of 15 mmol/L. Which of the following statements is true?
- Aa) she probably has type 2 diabetes
- Bb) she probably has stress hyperglycemia
- Cc) she needs one more blood glucose determination to confirm the diagnosis of diabetes
- Dd) she needs OGTT to confirm the diagnosis
- Ee) she need HbA1c determination to confirm the diagnosis
833. A 32-year shop assistant with BMI 38 (186cm, 132 kg) and no other comorbidity is admitted to hospital because of newly diagnosed diabetes with random blood glucose value of 26.3 mmol/L. During the last 2 months he lost 10 kg, he felt thirsty and needed to go to the toilet once or twice every night. Which of the following tests can be used to determine if he has type 1 or type 2 diabetes?
T1. Fasting plasma glucose and plasma glucose 90 min after breakfast,
T2. 2-h OGTT with 75 g glucose,
T3. HbA1c,
T4. Fasting C-peptide and C-peptide level 90 min after breakfast,
T5. Glutamic Acid Decarboxylase Autoantibodies test (GAD antibodies test).- Aa) T1, T4
- Bb) T1, T4, T5
- Cc) T2, T3
- Dd) T4, T5
- Ee) T2, T5
934. A 74-year old lady has been diagnosed with type 2 diabetes 3 months ago. Metformin 2 x 500 mg was introduced together with education about healthy diet and lifestyle, HbA1c value is now 8%. She has arterial hypertension, hyperlipidemia, stage 3 chronic kidney disease (eGF 45 mL/min/1.73 m2) and is overweight (162 cm, 74 kg, BMI 28). Which of the following medications would you preferably add to metformin?
- Aa) Long-acting insulin at bedtime
- Bb) Sulphonyl-urea
- Cc) DPP-4 inhibitor
- Dd) SGLT-2 inhibitor
- Ee) Acarbose
1035. Which of the following statements are true?
T1. HbA1c is formed in an enzymatic glycation pathway by hemoglobins exposure to plasma glucose,
T2. HbAc1 tells nothing about glycemic variability,
T3. HbA1c reflects the blood glucose level over the past 6-8 weeks,
T4. HbA1c value within the target range indicates that the majority of the blood glucose values over the past 6-8 weeks were within the target range,
T5. HbA1c value above the target range indicates that the majority of the blood glucose values over the past 6-8 weeks were above the target range.- Aa) T1, T2, T3, T4, T5
- Bb) T1, T2, T3, T5
- Cc) T1, T3, T4
- Dd) T2, T3, T4, T5
- Ee) T2, T3, T5
1136. A 58-year old car mechanic has been diagnosed with type 2 diabetes 5 years ago, he is taking metformin 2 x 1000 mg, gliclazide MR 120 mg before breakfast and empagliflozin (SGLT-2 inhibitor) 25 mg before breakfast. Currently his HbA1c is 8.5%, he feels tired, but not thirsty or polyuric. He agrees to switch to insulin treatment. Which of the following therapeutic options would be most appropriate for him?
- Aa) Pre-mixed insulin before breakfast and before dinner
- Bb) Basal/bolus regimen or pre-mixed insulin 3 times daily
- Cc) Insulin pump
- Dd) Insulin pump and glucose sensor
- Ee) Short-acting insulin analogue before main meals
1237. Which of the following medications causes glycosuria?
- Aa) Sulphonylureas
- Bb) Meglitinides
- Cc) DPP-4 inhibitors
- Dd) SGLT-2 inhibitors
- Ee) Insulin
1338. Which of the following antidiabetic medications cannot be combined with GLP-1 receptor agonists?
- Aa) Sulphonylureas
- Bb) Meglitinides
- Cc) DPP-4 inhibitors
- Dd) SGLT-2 inhibitors
- Ee) Insulin
1439. How do we manage blood glucose overnight in a hospitalized patient who is able to eat normally?
- Aa) Short-acting insulin analogue at bedtime
- Bb) Short-acting insulin analogue at midnight
- Cc) Short-acting insulin analogue at bedtime and at 2:00 a.m.
- Dd) Intermediate-acting insulin at bedtime
- Ee) Intermediate acting insulin at midnight
1540. How do we determine the daily insulin requirement in a hospitalized patient with hyperglycemia?
- Aa) Based on fasting glucose value
- Bb) Based on HbA1c
- Cc) Based on postprandial blood glucose value
- Dd) Based on body weight
- Ee) Based on body mass index
1641. 25-year old student without diabetes and without prescribed antidiabetic medications is admitted to diabetes department after his third episode of hypoglycemia with blood glucose value of 1.8 mmol/L, seizures and los of consciousness. He recovers fast after glucose infusion. He gained 10 kg during the last six months. During hospital stay, he suffers two more episodes of hypoglycemia, with blood glucose values of 1.5 and 1.3 mmol/L. Serum insulin and C-peptide are determined simultaneously: both are very high. What is the most likely reason for his hypoglycemia?
- Aa) Late postprandial hypoglycemia
- Bb) Insulinoma
- Cc) Application of exogenous insulin
- Dd) Ingestion of SGLT-2 inhibitor tablets
- Ee) Application of glucagon
1742. A 73-year old man with stage 4 chronic kidney disease and chronic ulcer under the first metatarsal head visits his family doctor because he feels generally unwell, his body temperature is 38.5 ºC, he noticed red, warm and swollen foot with foul-smelling discharge from the ulcer base. Foot pulses are palpable. What should be done?
- Aa) Send the patient home with antibiotics and instructions for off-loading: bed rest
- Bb) Wound swab
- Cc) Emergency referral to vascular specialist
- Dd) Emergency referral to the surgeon
- Ee) Hospital admission
1843. Clinical presentation of diabetic ketoacidosis. Which of the following features are characteristic?
T1. Thirst,
T2. Poor skin turgor
T3. Nausea and vomiting
T4. Tachypnea
T5. Hyperglycemia- Aa) T1, T2
- Bb) T1, T2, T4, T5
- Cc) T2, T5
- Dd) T1, T2, T5
- Ee) T1, T2, T3, T4, T5
19 44. Treatment of hyperglycemic hyperosmolar state includes:
T1. Fluid and electrolyte replacement
T2. Short-acting insulin in continuous intravenous infusion
T3. Infusion of 100 ml 1M sodium bicarbonate
T4. Phosphate replacement
T5. Prevention of thromboembolism
T6. Treatment of the underlying / triggering condition- Aa) T1, T2, T3, T4, T5, T6
- Bb) T1, T2, T3, T5, T6
- Cc) T1, T2, T5, T6
- Dd) T1, T2, T3, T6
- Ee) T1, T2, T5
2045. Which symptom is characteristic for non-proliferative diabetic retinopathy?
- Aa) Visual impairment
- Bb) burning pain in the eyes
- Cc) redness
- Dd) swollen eyelids
- Ee) none of the above
2146. Which of the following is NOT a contraindication for physical activity
- Aa) Diabetic proliferative retinopathy
- Bb) Diabetic peripheral neuropathy with loss of protective sensation
- Cc) Diabetic autonomic neuropathy
- Dd) Diabetic neuropathy and albuminuria
- Ee) Diabetic motor neuropathy with claw toes and small muscle wasting
2247. What is the correct approach to the obese patient?
- Aa) Repeated advice on healthy diet and physical activity
- Bb) Emphasizing the long-term risks of obesity
- Cc) Prescribing GLP-1 agonist
- Dd) Agreement on individual treatment plan
- Ee) Referral to bariatric surgery
2348. Which of the following conditions can influence the outcome of diabetic foot ulcer?
T1. Congestive heart failure
T2. End-stage renal failure
T3. Depression
T4. Anemia
T5. Proliferative retinopathy with visual impairment- Aa) T1, T2, T3
- Bb) T2, T3, T4
- Cc) T1, T2
- Dd) T1, T2, T3, T5
- Ee) T1, T2, T3, T4, T5
2449. Which of the following is true about gestational diabetes?
T1. Gestational diabetes is a risk factor for later development of type 1 diabetes in the mother.
T2. Screening for gestational diabetes is done in 24-28 week of pregnancy by OGTT (75g glucose)
T3. The most frequent fetal anomaly is caudal regression syndrome
T4. Fetal macrosomia is a complication of uncontrolled gestational diabetes
T5. If diet and healthy lifestyle are not sufficient to achieve good glycemic regulation, sulphonylurea can be introduced- Aa) T1, T2, T4, T5
- Bb) T1, T2, T3
- Cc) T2, T4, T5
- Dd) T2, T3, T4
- Ee) T2, T4
2550. Diabetes and pregnancy. Which of the following statements is NOT true?
- Aa) Glucose can cross the placenta
- Bb) Insulin can cross the placenta
- Cc) Mothers hyperglycemia stimulates fetal insulin secretion
- Dd) Fetal hyperinsulinemia leads to fetal macrosomia
- Ee) Fetal hyperinsulinemia leads to increase risk of hypoglycemia after birth
Informações
- Descrição
- Quiz sobre Endocrino (2/2), criado por Isabel Laiseca em 13-03-2022.
- Autor
- Isabel Laiseca
- Idioma
- Español
- Visualizações
- 29
- Histórico
- Criado em 13 mar 2022 · atualizado em 13 mar 2022
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