Mcqs
Список вопросов теста
Вопрос 1
Patient N., 70 y/o, is complaining of stomach ache, nausea, vomiting and muscle ache. Objectively: evident symptoms of dehydration, Kussmaul’s breathing, arterial pressure – 95/60 mm column of mercury, anuria, temperature – 35.9 ºC, glycemia – 11.6 mmol/l, acetonuria is not present, blood PH – 6.7, content of lactic acid -1.9 mmol/l. What is your diagnosis?
Варианты ответов
- Hyperlactacidemic coma
- Uremic coma
- Ketoacidotic coma
- Brain coma
- Hyperosmolar coma
Вопрос 2
Ideal investigation for adrenal insufficiency is:
Варианты ответов
- . ACTH stimulation
- Cortisol level estimation
- Dexamethasone test
- Urinary steroid estimation
Вопрос 3
An elderly male present with polyuria, polydipsia
and weight loss for 3 months. Which of the following
parameter is diagnostic of diabetes mellitus in this
patient?
Варианты ответов
- Fasting blood sugar 117 mg%
- Fasting blood sugar 137 mg%
- 2 hours blood sugar after OGT 180 mg%
- Urine dipstic +++ [3+]
Вопрос 4
. In the management of diabetic ketoacidosis:
Варианты ответов
- Intracellular water deficit is best restored using half strength saline [0.45%saline]
- Potassium should be given even before checking the serum potassium concentration
- Bicarbonate infusion is often only necessary in severe acidosis pH< 7.0
- 5% dextrose solution should be avoided unless hypoglycaemia supervenes
Вопрос 5
. The following statements concerning diabetic keto¬
acidosis are correct except:
Варианты ответов
- Abdominal pain
- Low BUN
- Dehydration is out of proportion to the severity of vomiting
- Low-dose insulin therapy is the treatment of choice
Вопрос 6
A 35 year old lady complains dysphagia , Raynaud's
phenomenon, sclerodactyly. Investigations show
antinuclear antibody. The likely diagnosis is :
Варианты ответов
- Systemic lupus erythematosis
- Systemic sclerosis
- . Mixed connective tissue disorder
- Scleroderma
Вопрос 7
All are clinical features of pheochromocytoma, except:
Варианты ответов
- Increased hematocrit
- Orthostatic hypotension
- Low cortisol level
- Impaired glucose tolerance
Вопрос 8
Which of the following is not found in
pheochromocytoma ?
Варианты ответов
- Episodic hypertension
- Postural hypotension
- Increased hematocrit
- Hypocalcemia
Вопрос 9
A chronic smoker presented with mild haemoptysis.
He also gave a history of hypertension and obesity.
Lab data showed raised ACTH levels, which were not
suppressed by high dose dexamethasone. The cause
for the Cushing's syndrome in the patient is :
Варианты ответов
- MEN I
- Pituitary adenoma
- Adrenal cortical adenoma
- Ectopic ACTH secreting tumor
Вопрос 10
A 28-year- old lady has put on weight [10 kg over a
period of 3 years] and has oligomenorrhoea followed
byamenorrhoea for 8 months. The blood pressure is
160 / 100 mm of Hg . Which of the following is the most
appropriate investigation?
Варианты ответов
- Serum electrolytes
- Plasma cortisol
- Plasma testosterone and ultrasound
- T 3,T4 and TSH
Вопрос 11
True about Cushing's syndrome is all except:
Варианты ответов
- Association with the MEN 1 syndrome
- Bronchial carcinoid causes cushing syndrome
- Hypokalemia
- Associated with coronary accidents
Вопрос 12
Pseudo - Cushing syndrome is seen in :
Варианты ответов
- Chronic alcoholism
- Incidentaloma
- Adrenal carcinoma
- Nelson syndrome