Quiz about Endocrinology

Question 1

Which is not a potential etiology of hypoglycemia in adults?

Accepted Answer

salbutamol

Answer

alcohol

Answer

insulinoma

Answer

salicylates

Answer

adrenal insufficiency

Question 2

Which is the major precipitant of DKA?

Accepted Answer

infection

Answer

missed doses of insulin

Answer

AMI

Answer

Pancreatitis

Answer

PE

Question 3

Which is not usually a feature of DKA?

Accepted Answer

serum osmalality 275-295mmol/l

Answer

seen type 1 diabetics mainly

Answer

fluid deficit usually less than that in HHNS

Answer

glucose usually lower than that in HHNS

Answer

acidosis

Question 4

Which is not true regarding the management of DKA?

Accepted Answer

even if the K+ is >5.5 poatssium replacemnt should be commenced

Answer

the administration of IV fluid immediately on arrival is the life saving event

Answer

fluid replacement should be 3-4 litres over the first four hours in a pt who is not shocked

Answer

the insulin bolus should be about 0.1 units/kg, with subsequent infusion at 0.1units/kg/hr

Answer

cerebral oedema responds to mannitol

Question 5

Which is not a feature of Hyperosmolar, hyperglycemic non ketotic states?

Accepted Answer

low bicarbonate

Answer

very high glucose, often greater than 40 mmol/l

Answer

ph>7.3

Answer

serum osmalality often greater than 350 mmol/L

Answer

lack of ketones in the urine

Question 6

Which statement is false about the fluid deficit in HHNS?

Accepted Answer

it is usually 5L

Answer

if not shocked then 0.45% saline should be given

Answer

fluid replacement should always precede insulin therapy in the non shocked pt

Answer

fluid replacement should be done over a longer period of time than in DKA

Answer

normal saline should be given to the shocked patient

Question 7

Which is not true about non ketotic hyperosmolar states?

Accepted Answer

total body potassium is not reduced as in DKA as there is no acidosis

Answer

these patients usually present with a GCS >8

Answer

focal neurological deficits are sometimes seen

Answer

they are prone to arterial and vascular thrombosis

Answer

insulin administration should be at the same rate as in DKA

Question 8

Which is not true regarding drug therapy in diabetes?

Accepted Answer

Metformin is an oral insulin analogue

Answer

the use of ACEI even in normotensive patients, delays the onset of diabetic nephropathy

Answer

the use of simvistatin in pts with CHD significantly reduces the risk of future CHD

Answer

sulphonylureas stimulate the pancreatic secretion of insulin

Answer

Acorbase(Glucobay) interferes with GIT absorption of carbohydrate

Question 9

The nitroprusside dipstick test of the urine measures?

Accepted Answer

A and C

Answer

acetoacetate

Answer

beta hydroxybuterate

Answer

acetone

Answer

All of the above

Question 10

Which is not a feature of alcoholic ketoacidosis?

Accepted Answer

hyperglycemia

Answer

Dehydration

Answer

Positive dipstick for ketones

Answer

ABG = acidosis, alkalsos or normal

Answer

Increased anion gap, regardless of pH

Practice Test On: Endocrinology

Practice Test On:
Endocrinology