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End lecture MCQ test on endocrinology for MBBS students

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End lecture MCQ test on endocrinology for MBBS students

  1. 1. End Lecture MCQ Test on Endocrinology for MBBS studentsAll are true/ false type questions Time: 01 hour1.The secretion of Insulin is stimulated bya) Sympathetic nerve stimulationb) Glucagonc) Dopamined) Somatostatine) Acetylcholine2.Diabetes mellitus may occur as a secondary consequence of the following conditionsa) Chronic pancreatitisb) Albinismc) Acromegalyd) Addisons diseasee) Haemochromatosls3. Dietary treatment of diabetes mellitus should be guided by the following principlesa) Small frequent meals are more suitable than one or two large ones.b) Foods with high fiber content should be avoided because they slow carbohydrate metabolism.c) The carbohydrate content of the diet should provide about half of the total calorie intake.d) Fat should not contribute more than 35% of total calorie intake.e) Mono-unsaturated fatty acid should be excluded from the diet as far as possible.4. The recognized features of Cushings syndrome includea) Growth spurt in childrenb) Distal myopathyc) Proximal sensory neuropathyd) Loss of scalp haire) Bruising5. Outpatient screening methods for confirming the presence Cushings syndrome indudea) Overnight dexamethazone testb) 24 hours urinary free cortisol testc) Insulin tolerance testd) 48 hours low dexamthazone teste) Random cortisol measurements6. In the investigation of Cushingss syndromea) The measurements of free levels of plasma cortisol is the most commonly performed definitivetest.b) The measurement of random morning cortisol levels is a useful diagnostic test.c) Plasma ACTH assay is valuable in defining an adrenal caused) The dexamethasone suppression test has high sensitivity in the diagnoses of Cushings syndromee) Hyperkalaemia is a frequent finding7. The following are recognized features of hypoparathyroidisma) Cataractsb) Convulsionsc) Intracranial calcification
  2. 2. d) Papilloedemae) Osteitis fibrosa cystica8. The following are recognized features of primary hyperparathyroidisma) Renal colicb) Shortened metacarpalsc) Polyuriad) Constipatione) Hyperchloraemic acidosis9. In the differential diagnosis of hypercalcaemia the following should be considereda) Secondary hyperparathyroidismb) Pseudohypoparathyroidismc) Vitamin D intoxicationd) Pagets diseasee) Addisons disease10. The following could be features of hypothyroidisma) Hypercarotenaemiab) Proximal myopathyc) Pretibial myxoedomad) An association with pernicious anemiae) Raised serum triglyceride concentration11. In thyrotoxicosisa) Serum thyroxine(T4) concentration may be normalb) When it occurs as a symptom of Graves disease a high serum TSH level is responsible for thyroidactivityc) The patient may be lethargic & depressedd) Palmar erythema could be a featuree) Onycholysis may occur12. Hypoglycemia may occur as a result ofa) Previous gastric surgeryb) Diabetes mellitus in its early stages before diagnosisc) Glycogen storage diseasesd) Acquired liver diseasee) Addisons disease13- Recognized features of hypoglycemic coma includea) Bradycardiab) Sweatingc) Hyperventilationd) Extensor plantar responsee) Convulsions14. Polyuria and polydypsia occur ina) Acute glomerular nephritisb) Hysterical polydipsiac) Hyperkalaemlad) Hypocalcemia
  3. 3. e) Intracranial sarcoidosis before diagnosis15. Following are true of sulphonylureas in diabetes mellitusa) They can be used as an alternative if the requirement of insulin is more than 75units/dayb) Produce hyponatraemiac) Can be used following pancreatectomyd) Are more likely to cause hypoglycemia than biguanidese) May cause peripheral insulin resistance16. The thyroid gland produces the following hormonesa) Thyroglobulinb) Tetra-iodothyroninec) Tri-iodothyronined) Mono-iodothyroninee) Calcitonin17. Following are recognized features of diabetes mellitusa) Pyoderma gangrenosumb) Erysipelasc) Recurrent boilsd) Symptomatic candidiasise) Lipo-atrophy18. Recognized features of diabetic neuropathy includea) Impotenceb) Diplopiac) Muscle wastingd) Myotoniae) Loss of vibration perception in the legs19. Presenting features of hypothyroidism includea) Deafnessb) Menorrhagiac) Hirsuitismd) Enlarged thyroid glande) Osteoporosis20. The following endocrine diseases could cause hyperpigmentationa) Addisonsb) Diabetes mellitus type 2c) Hypoparathyroidismd) Hyperparathyroidisme) Cushings syndrome

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