Free PreviewSample Endocrinology questions
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Sample MCQ 1A patient with a pituitary macroadenoma develops bitemporal hemianopia. Which structure is compressed?
A. Optic chiasm
B. Optic nerve within orbit only
C. Occipital cortex
D. Oculomotor nucleus
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Correct Answer: Option AA superiorly expanding pituitary mass can compress the optic chiasm, causing loss of temporal visual fields.
Sample MCQ 2A patient with severe thyrotoxicosis has fever, agitation, tachyarrhythmia and heart failure. What life-threatening condition is this?
A. Thyroid storm
B. Myxedema coma
C. Addisonian crisis
D. Hyperosmolar state
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Correct Answer: Option ADecompensated thyrotoxicosis with hyperthermia, CNS disturbance and cardiovascular dysfunction is thyroid storm.
Sample MCQ 3A diabetic patient has albuminuria and established cardiovascular disease. Which glucose-lowering class has important cardiorenal benefits in many such patients?
A. SGLT2 inhibitor
B. Short-acting sulfonylurea only
C. Acarbose only
D. Meglitinide only
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Correct Answer: Option ASGLT2 inhibitors reduce heart-failure and kidney outcomes in appropriate patients with diabetes, CKD and cardiovascular risk.
Sample MCQ 4A patient taking long-term high-dose glucocorticoids should not stop them abruptly mainly because of risk of:
A. Adrenal crisis from HPA-axis suppression
B. Thyroid storm
C. Hyperparathyroidism
D. SIADH
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Correct Answer: Option AChronic exogenous glucocorticoids suppress ACTH and adrenal cortisol production, so abrupt withdrawal can precipitate adrenal insufficiency.
Sample MCQ 5A 19-year-old with type 1 diabetes becomes confused during exercise. Capillary glucose is 42 mg/dL and he can swallow safely. What is the immediate treatment?
A. Fast-acting oral carbohydrate
B. Long-acting insulin
C. Fluid restriction
D. Metformin
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Correct Answer: Option AConscious hypoglycemic patients who can swallow should receive rapidly absorbed oral carbohydrate and have glucose rechecked.