Endocrino
1. According to WHO classification, how many types of diabetes are there?
A. 1
B. 3
C. 5
D. 4
E. 2
2. The answers below are the complications of gestational diabetes for the mother except for one? Which one?
A. High blood pressure
B. Preeclampsia
C. Dyslipidemia
D. Eclampsia
E. Future diabetes
3. The answers below are the complications of gestational diabetes for the baby except for one? Which one?
A. Excessive birth weight
B. Preterm birth and respiratory distress syndrome
C. Hypoglycemia
D. Type 1 diabetes in the future
E. Type 2 diabetes in the future
4. Mrs. Y, 25 year-old, comes to OPD for prenatal consultation. She has gestational diabetes in the first pregnancy 3 years ago. What should you recommend when it comes to GDM screening?
A. Wait until 24-28 weeks of pregnancy
B. Do the OGTT
C. Request A1C
D. Check only fasting blood glucose
E. Check random blood sugar
5. Mrs. A, 20 year-old, comes to OPD for prenatal consultation. In the past she has no medical history. As part of the prenatal consultation with her gynecologist her lab results shows: Hb 10g/dl, fasting blood glucose 110mg/dl, A1C 6.3%. What could be the best option for her?
A. Actrapid 30mn before meals according to the blood glucose
B. Metformin 500mg 1-0-1
C. Diamicron MR 30mg 1-0-0
D. Actos 15mg 1-0-0
E. Sitagliptine 50mg 1-0-0
6. What could be the glycemic cutting points in 75g OGTT for screening for GDM?
A. 0H 92mg/dl, 1H 180mg/dl, 2H 153mg/dl
B. 0H 90mg/dl, 1H 180mg/dl, 2H 153mg/dl
C. 0H 92mg/dl, 1H 183mg/dl, 2H 150mg/dl
D. 0H 92mg/dl, 1H 180mg/dl, 2H 200mg/dl
E. 0H 100mg/dl, 1H 180mg/dl, 2H 153mg/dl
7. Mrs Q, 24 year-old, is a pregnant. She comes to see you in OPD to screen for gestational diabetes. Then before starting the test your nurse checks her capillary blood glucose and finds 170mg/dl. There’re no technical problems regarding the glucometer. Would continue the OGTT? Why?
A. No, because the blood glucose will surely more than 92mg/dl
B. Yes we need OGTT to confirm
C. We need to do A1C to confirm
D. Send the patient home and check it again in two weeks
E. We need to do the random blood sugar
8. Ms T, 20 year-old, is admitted to the emergency of a nationa hospital. She has DKA. The arguments below are the severity cryteria except one.
A. pH < 7
B. Bicarbonate < 10 mmol/l
C. K < 2.5 mmol/l or > 7 mmol/l
D. Conscience normal
E. Coma
9. Mr A, 19 year-old, is admitted to the emergency of a national hospital. He has DKA. It is notes that he has type 1 diabetes. The symptoms below could possibly be the symptoms of DKA except one.
A. Dehydration
B. Kussmaul respiration
C. Polyuria
D. Acantosis nigrigans
E. Coma
10. Mrs A, 69 year-old, is admitted to the emergency of a nationa hospital. She has hyperosmolar coma. It is noted that she has type 2 diabetes. The symptoms below could possibly be the symptoms of hyperosmolar coma except one.
A. Dehydration
B. Kussmaul respiration
C. Polyuria
D. Acantosis nigrigans
E. Severe fatigue
11. Mr. R, 25 year-old is admitted to the inpatient department. We suspect he has type one diabetes. All the symptoms below are in favors for type one diabetes except one.
A. Obese
B. No family history
C. Polyuria
D. Polydypsia
E. Lost weight
12. Mr. T, 25 year-old is admitted to the inpatient department. We suspect he has type one diabetes. All the findings below are in favors for type one diabetes except one.
A. Ketone (-)
B. Ac-anti GAD65 (+)
C. Ac-anti IA2 (+)
D. Glycemia 290mg/dl and C-peptide low
E. Ac-anti GAD65 and IA2 (+)
13. For diabetic patients what is the cut-off point to diagnose hypoglycemia?
A. 65mg/dl
B. 70mg/dl
C. 50mg/dl
D. 30mg/dl
E. 25mg/dl
14. The following statements are criterias of severe hypoglycemia except one.
A. Coma
B. Fever
C. Glycemia low and not able to swallow sugary water
D. Glycemia 30mg/dl and not able to swallow sugary water
E. Seizure
15. The following statements are the risk factors for hypoglycemia except one.
A. Miss foods
B. Taking overdose Sulfonylureas
C. Inject too much insulin
Ting snacks before exercises
E. Excercises too much
16. The following statements are the symptoms of neuroglycopenic symptoms except one.
A. Confusion
B. Seizure
C. Trembling
D. Coma
E. Ataxia
17. The following staments are the main objectifs for the management of hyperosmolar coma except one.
A. To vigorously rehydrate the patient while maintaining electrolyte homeostasis
B. Correct hyperglycemia
C. Patient education
D. Treat underlying diseases
E. Monitor and assist cardiovascular, pulmonary, renal, and CNS function
18. The following statements are the diagnosis methods for Cushing syndrom except one.
A. Urinary free cortisol level
B. Low-dose dexamethasone suppression test
C. Evening serum and salivary cortisol level
D. High dose dexamethasone suppression test
E. Dexamethasone–corticotropin-releasing hormone test
19. What is the common cause of the Cushing syndrom?
A. Abuse glucocorticoid
B. Lung cancer
C. Adenoma of the adrenal gland
D. Cushing disease
E. Adenocarcinoma of the adrenal gland
20. In case of suspision of Cushing syndrom caused by adenama of the adrenal gland. What is the radiological test to request?
A. MRI of the head
B. Heart ultrasound
C. Abdominal CT
D. Chest X-Ray
E. Abdomen X-ray
21. In case of suspision of Cushing disease. What is the radiological test to request?
A. MRI of the head
B. Heart ultrasound
C. Abdominal CT
D. Chest X-Ray
E. Abdomen X-ray
22. What is non-physiologic cause of hyperprolactinoma?
A. Pregnancy
B. Sexual intercourse
C. Nipple stimulation/suckling
D. Macro-prolactinoma
E. Stress
23. All the drugs mentioned below could possibly increase the prolactine except one.
A. Domperidone
B. Metoclopromide
C. Acetaminophene
D. Haldol
E. Amitryptiline
24. In case of suspision of macro-prolactinoma, what is the radiological test to request?
A. Head CT
B. Head MRI
C. Abdominal CT
D. Abdominal MRI
E. Chest X-ray
25. In wemen what is the first thing to ask before exploring the causes of hyperprolactinoma?
A. Sexual intercourse
B. Stress
C. Pregnancy
D. Head trauma
E. Macroprolactinoma
26. What is the cause of hyperthyroidism that gives clinical features of thyrotoxicosis and opthalmopathy?
A. Graves disease
B. Adenoma toxic
C. Thyroidititis
D. Toxic multinodular goiter
E. Pituitary tumor
27. What is the worsening factor of opthalmopathy?
A. Beers
B. Pregnancy
C. Smoking
D. Sugary drinks
E. Wiskey
28. What is the most useful test to diagnose the cause of hyperthyrodism?
A. Neck CT
B. Thyroid ultrasound
C. Chest X-Ray
D. Neck MRI
E. ECG
29. In the lab result of a patient shows: TSH low, fT3 and fT4 high. What is the diagnosis?
A. Hyperthyroidism
B. Hypothyroidism
C. Euthyroidism
D. Subclinical hypothyroidism
E. Subclinical hyperthyroidism
30. In the lab result of a patient shows: TSH elevated, fT3 and fT4 normal. What is the diagnosis?
A. Subclinical hyperthyroidism
B. Hypothyroidism
C. Euthyroidism
D. Subclinical hypothyroidism
E. Hyperthyroidism
31. In the lab result of a patient shows: TSH decreased, fT3 high and fT4 normal. What is the diagnosis?
A. Subclinical hyperthyroidism
B. T3 thyrotoxicosis
C. Euthyroidism
D. Subclinical hypothyroidism
E. Hyperthyroidism
32. What is the most common cause of hypothyroidism?
A. Post-thyroidectomy
B. Amiodarone
C. Iodine deficiency
D. Congenetal hypothyroidism
E. Neo-mercazol
33. In case of myxedoema coma what is the management not to do.
A. Give T3
B. IV glucose
C. Give propylthiouracil
D. Give O2
Dmitted the patient in ICU
34. What is the test to confirm Harshimoto’s thyroiditis?
A. Ac-anti TPO
B. Ac-anti TSH receptor
C. THS
D. fT3
E. fT4
35. All the diseases mentiened below are the causes of hypocalcemia except one.
A. Post-thyroidectomy
B. Chronic renal failure
C. Hyperparathyroidism
D. Pancreatitis
E. Vitamin D deficiency
36. Severe hypocalcemia can induces all below except one. Which response?
A. Seizures
B. Bronchospasm
C. Laryngospasm
D. Constipation
E. Prolongation of the QT interval
37. In which case we use Calcium IV?
A. Acute symptomatic hypocalcemia
B. Moderate asymptomatic hypocalcemia
C. Hyperthyroidism
D. Hyperparathyroidism
E. Hypothyroidism
38. If we want to interprete calcemia which test should we request?
A. Albuminemia
B. Glycemia
C. CRP
D. Electrolytes
E. Procalcitonin
39. What are the 2 common causes of hypercalcemia?
A. Hyperparathyroidism and malignancy
B. Malignancy and Hypoparathyroidism
C. Renal failure and Hyperparathyroidism
D. Hyperparathyroidism and vitamine A intoxication
E. Renal failure and Hyperparathyroidism
40. Among the statements below what is not the management of hypercalcemia crisis?
A. IV seline hydration and diuresis
B. Calcitonin
C. Biphosphonate
D. Gluconate calcium IV
E. Admitt the patient to ICU
41. Among the statements below what is not the microvascular complication of diabetes?
A. Diabetic nephropathy
B. Diabetic neuropathy
C. Diabetic retinopathy
D. Glaucoma
E. Peripheral neuropathy
42. Among the statements below what is not the macrovascular complication of diabetes?
A. Carotide stenosis
B. Myocardal infarction
C. Osteoarthritis
D. Ischemic stroke
E. Lower limbs ischemic
43. Diabetic nephropathy is one of the common causes of renal failure. What is the cause of diabetic nephropathy?
A. Glomerulopathy
B. Tubulopathy
C. Mixte
D. Interstitial nephritis
E. Obstructive nephropathy
44. What is the best indicator of diabetic nephropathy?
A. Microalbuminuria
B. Creatinin
C. BUN
D. A1C
E. eGFR
45. What is the best to diagnosis diabetic neuropathy?
A. Clinical examination
B. EMG
C. ECG
D. A1C
E. Lumbar MRI
46. When should we screen for diabetic retinopathy for type 2 diabetic patients?
A. At the diagnosis
B. 5 years after the diagnosis
C. When the patients has renal complication
Hen the patients has diabetic neuropathy
E. 10 years after the diagnosis
47. When should we screen for diabetic retinopathy for type 1 diabetic patients?
A. At the diagnosis
B. 5 year after the diagnosis
C. When the patients has renal complication
D. When the patients has diabetic neuropathy
E. 10 years after the diagnosis
48. What is the worsening factor of diabetic retinopathy mentioned below?
A. Pregnancy
B. Male patients
C. Old patients
D. Adults patients
E. Young patients
49. A patient comes to consult you because of fatigue and he presents a Cushing syndrom. And in the interrogation you find that the patient uses lots of Prednisone but recently stops because of gastric intolerence. What do you suspect?
A. Acute hypoadrenalism
B. Cushing disease
C. Ectopic ACTH secretion
D. Adrenal tumor
E. Pituitary tumor
50. A patient comes to consult you because of fatigue and he presents a Cushing syndrom. And in the interrogation you find that the patient uses lots of Dexamethasone but recently stops because of gastric intolerence. Clinical examination shows: BP 100/50, HR 100/mn. What you do first?
A. IV Normal seline and IV Hydrocortisone
B. Request Cortisol
C. Request ACTH
D. Request Cortisol and ACTH
E. Request Gastroscopy
51. You suspect a patient having adrenal insuffucency because he abuses streoids. There are no signs of acure hypoadrenalism. What you request to confirm the diagnosis?
A. 8am Cortisol
B. 8pm Cortisol
C. Midnight Cortisol
D. Cortisol at anytime
E. Urinary free cortisol
52. What is the indication of Statin?
A. Hypercholesterolemia
B. Hypertriglyceridemia
C. Hyperglycemia
D. Hyperuricemia
E. Hypertension
53. What is the indication of Fibrates?
A. Hypercholesterolemia
B. Hyperglycemia
C. Hypertriglyceridemia
D. Hyperuricemia
E. Hypertension
54. What is the diagnosis method of gestational diabetes?
A. 75g OGTT
B. Fasting glycemia
C. A1C
D. 50g OGTT
E. 100g OGTT
55. The statements mentioned below are the creterias to diagnosis diabetes militus except one?
A. Fasting plasma glycemia ≥ 126mg/dl
B. A1C ≥ 6.5%
C. Fasting cappilary glycemia ≥ 126mg/dl
D. 75g OGTT
E. Random plasma glycemia ≥ 200mg/dl with classic symptoms
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