Multiple Choice Questions (MCQ)

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Category: Prometric--->Endocrinology
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Question 1# Print Question

Which one of the following is a recognized cause of hypokalaemia associated with hypertension?

A. Liddle's syndrome
B. Bartter's syndrome
C. Gitelman syndrome
D. Ciclosporin
E. Renal tubular acidosis

Question 2# Print Question

A 15-year-old girl is investigated for primary amenorrhoea, despite having developed secondary sexual characteristics at 11 years of age. On examination she has well developed breasts with scanty pubic hair and small bilateral groin swellings.

What is the most likely diagnosis?

A. Congenital adrenal hyperplasia
B. Polycystic ovarian syndrome
C. Turner's syndrome
D. Complete androgen insensitivity syndrome
E. Mullerian duct agenesis

Question 3# Print Question

A 33-year-old woman presents with weight loss and excessive sweating. her partner reports that she is 'on edge' all the time and during the consultation you notice a fine tremor. Her pulse rate is 96/min. A large, non-tender goitre is noted. Examination of her eyes is unremarkable with no evidence of exophthalmos.

What is the most likely diagnosis?

A. Toxic multinodular goitre
B. Hashimoto's thyroiditis
C. T3-secreting adenoma
D. De Quervain's thyroiditis
E. Graves' disease

Question 4# Print Question

A 46-year-old man with suspected diabetes mellitus has an oral glucose tolerance test, following the standard WHO protocol. The following results are obtained:

How should these results be interpreted?

A. Normal
B. Impaired fasting glucose and impaired glucose tolerance
C. Diabetes mellitus
D. Impaired glucose tolerance
E. Impaired fasting glucose

Question 5# Print Question

A 45-year-old man is referred to the acute medical unit. He had presented earlier in the day to the GP complaining of ongoing fatigue and polydipsia. A BM (finger-prick glucose) taken in the surgery was 22.3 mmol/l. On examination he is an obese man (BMI 36kg/m2) with a pulse of 84 bpm and blood pressure of 144/84 mmHg.

Blood tests reveal the following:

What is the most appropriate initial management?

A. Gliclazide
B. Pioglitazone
C. Weight loss
D. Metformin
E. Commence insulin therapy

Category: Prometric--->Endocrinology
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