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2. The answers below are the complications of gestational diabetes for the mother except for one? Which one?

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?

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.

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.

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.

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.

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.

14. The following statements are criterias of severe hypoglycemia except one.

15. The following statements are the risk factors for hypoglycemia except one.

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?

20. In case of suspision of Cushing syndrom caused by adenama of the adrenal gland. What is the radiological test to request?

21. In case of suspision of Cushing disease. What is the radiological test to request?

23. All the drugs mentioned below could possibly increase the prolactine except one.

24. In case of suspision of macro-prolactinoma, what is the radiological test to request?

25. In wemen what is the first thing to ask before exploring the causes of hyperprolactinoma?

26. What is the cause of hyperthyroidism that gives clinical features of thyrotoxicosis and opthalmopathy?

29. In the lab result of a patient shows: TSH low, fT3 and fT4 high. What is the diagnosis?

30. In the lab result of a patient shows: TSH elevated, fT3 and fT4 normal. What is the diagnosis?

31. In the lab result of a patient shows: TSH decreased, fT3 high and fT4 normal. What is the diagnosis?

35. All the diseases mentiened below are the causes of hypocalcemia except one.

36. Severe hypocalcemia can induces all below except one. Which response?

37. In which case we use Calcium IV?

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?

41. Among the statements below what is not the microvascular complication of diabetes?

42. Among the statements below what is not the macrovascular complication of diabetes?

43. Diabetic nephropathy is one of the common causes of renal failure. What is the cause of diabetic nephropathy?

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?

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?

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?

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?

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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