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Mcqs

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10.04.2020. Тест. Завучу, Прочее
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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
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