Multiple Choice Questions (MCQ)

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Category: Prometric--->Endocrinology
Page: 5

Question 21# Print Question

A 45-year-old woman is investigated for weight gain. She had had been unwell for around four months and described a combination of symptoms including depression, facial male-pattern hair growth and reduced libido. During the work-up she was found to be hypertensive with a blood pressure of 170/100 mmHg.

Which one of the following tests is most likely to be diagnostic?

A. Renin:aldosterone levels
B. High-dose dexamethasone suppression test
C. Pelvic ultrasound
D. Overnight dexamethasone suppression test
E. 24 hr urinary free cortisol

Question 22# Print Question

A 36-year-old woman presents with feeling tired and cold all the time. On examination a firm, nontender goitre is noted. Blood tests reveal the following:

What is the most likely diagnosis?

A. Primary atrophic hypothyroidism
B. Pituitary failure
C. De Quervain's thyroiditis
D. Iodine deficiency
E. Hashimoto's thyroiditis

Question 23# Print Question

A 71-year-old woman with a history of type 2 diabetes mellitus presents with lethargy and polyuria. A diagnosis of hyperosmolar hyperglycaemic state is considered.

Which one of the following findings would be least consistent with this diagnosis? 

A. pH of 7.38
B. Ketones 1+ in urine
C. Serum osmolality of 310 mosmol/kg
D. Serum bicarbonate of 19 mmol/l
E. Glucose of 45 mmol/l

Question 24# Print Question

In patients with suspected insulinoma, which one of the following is considered the best investigation?

A. Oral glucose tolerance test
B. Insulin tolerance test
C. Early morning C-peptide levels
D. Glucagon stimulation test
E. Supervised fasting

Question 25# Print Question

A 54-year-old woman presents to the Emergency Department with confusion and fever. She has a past history of thyrotoxicosis previously treated with radioiodine therapy. On examination she has a pulse of 120/min regular, blood pressure 150/90 mmHg, temperature of 39.1ºC and a respiratory rate of 18/min. Examination of the cardiorespiratory system is unremarkable and urine dipstick is clear. Blood results showed the following:

Which one of the following does not have a role in the subsequent management?

A. Lugol's iodine
B. Propranolol
C. Propylthiouracil
D. Bicarbonate
E. Dexamethasone

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