Multiple Choice Questions (MCQ)

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Category: Prometric--->Endocrinology
Page: 2

Question 6# Print Question

A 35-year-old female who has recently being diagnosed with Grave's disease presents for review 3 months after starting a 'block and replace' regime with carbimazole and thyroxine. She is concerned about developing thyroid eye disease.

What is the best way that her risk of developing thyroid eye disease can be reduced?

A. Reduce alcohol intake
B. A diet rich in omega-3 fatty acids
C. Regular exercise
D. Stop smoking
E. Lose weight

Question 7# Print Question

A 3-year-old boy is investigated for lethargy. Examination is unremarkable with a blood pressure of 90/46 mmHg (normal for his age). Blood tests reveal:

Which one of the following conditions is most likely to be responsible?

A. Cushing's syndrome
B. Conn's syndrome
C. 11-beta hydroxylase deficiency
D. Bartter's syndrome
E. Liddle's syndrome

Question 8# Print Question

A 45-year-old man is investigated following referral to the endocrinology clinic with polydipsia. Plasma glucose and calcium are normal. A water deprivation test is performed with the following results: 

  • Starting plasma osm. 319 mOsmol/l (275-295 mOsmol/l)
  • Final urine osm. 142 mOsmol/l
  • Urine osm. post-DDAVP 885 mOsmol/l

What is the most likely diagnosis?

A. Psychogenic polydipsia
B. Nephrogenic diabetes insipidus
C. Primary hyperparathyroidism
D. Pseudohypoparathyroidism
E. Cranial diabetes insipidus

Question 9# Print Question

A 78-year-old nursing home resident is admitted to the acute medical unit after being found collapsed in his room. A carer from the nursing home is present and reports that he has had regular 'hypos' recently. On admission he was drowsy and the blood glucose was 1.8 mmol/l. Following intravenous dextrose the patient's condition significantly improved. His medication on admission is as follows: 

  • Metformin 1g bd
  • Gliclazide 160mg od
  • Pioglitazone 45mg od
  • Aspirin 75mg od
  • Simvastatin 40mg od

What is the most appropriate initial action?

A. Stop metformin
B. Stop pioglitazone
C. Stop gliclazide
D. Make no changes to the medication
E. Stop all oral antidiabetic medications

Question 10# Print Question

A 45-year-old female is admitted to the Emergency Department with abdominal pain associated with vomiting. She has a past medical history of hypothyroidism and takes thyroxine. On examination she is pyrexial at 37.6ºC. Pulse is 110 bpm with a blood pressure of 100/64 mmHg. Blood results show the following:

What treatment should be given first?

A. Ceftriaxone + benzylpenicillin
B. Glucagon
C. Propranolol
D. Triiodothyronine
E. Hydrocortisone

Category: Prometric--->Endocrinology
Page: 2 of 5