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1 Which is not a potential etiology of hypoglycemia in adults?

A alcohol B salbutamol C insulinoma D salicylates

✅ Correct Answer: 2

2 Which is the major precipitant of DKA?

A infection B missed doses of insulin C AMI D Pancreatitis

✅ Correct Answer: 1

3 Which is not usually a feature of DKA?

A seen type 1 diabetics mainly B serum osmalality 275-295mmol/l C fluid deficit usually less than that in HHNS D glucose usually lower than that in HHNS

✅ Correct Answer: 2

4 Which is not true regarding the management of DKA?

A the administration of IV fluid immediately on arrival is the life saving event B fluid replacement should be 3-4 litres over the first four hours in a pt who is not shocked C even if the K+ is >5.5 poatssium replacemnt should be commenced D the insulin bolus should be about 0.1 units/kg, with subsequent infusion at 0.1units/kg/hr

✅ Correct Answer: 3

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

A very high glucose, often greater than 40 mmol/l B ph>7.3 C serum osmalality often greater than 350 mmol/L D low bicarbonate

✅ Correct Answer: 4

6 Which statement is false about the fluid deficit in HHNS?

A it is usually 5L B if not shocked then 0.45% saline should be given C fluid replacement should always precede insulin therapy in the non shocked pt D fluid replacement should be done over a longer period of time than in DKA

✅ Correct Answer: 1

7 Which is not true regarding drug therapy in diabetes?

A the use of simvistatin in pts with CHD significantly reduces the risk of future CHD B sulphonylureas stimulate the pancreatic secretion of insulin C Acorbase(Glucobay) interferes with GIT absorption of carbohydrate D Metformin is an oral insulin analogue

✅ Correct Answer: 4

8 The nitroprusside dipstick test of the urine measures?

A acetoacetate B beta hydroxybuterate C acetone D A and C

✅ Correct Answer: 4

9 Which is not a feature of alcoholic ketoacidosis?

A Dehydration B Positive dipstick for ketones C Increased anion gap, regardless of pH D hyperglycemia

✅ Correct Answer: 4

10 Which is false regarding alcoholic ketoacidosis?

A it is usually seen in chronic alcoholics B usually there has been a recent cessation in drinking with several days of vomiting and poor oral intake C Mainstay of treatment is IV fluids, including dextrose D Low dose insulin given judiciously hastens recovery

✅ Correct Answer: 4

11 Which is the most common precipitant of alcoholic ketoacidosis?

A pancreatitis B GI bleed C Alcohol withdrawl without precipitating illness D Infection

✅ Correct Answer: 1

12 Which may not cause an adrenal crisis?

A Waterhouse Freidrichson syndrome B Sheehans syndrome C Acute discontinuation of steroids therapy D Anticoagulant use

✅ Correct Answer: 2

13 What biochemical abnormality is possible in an addisonian crisis?

A hyponatremia B hypokalemia C normokalemia and normonatremia D All of the above

✅ Correct Answer: 4

14 Which statement is incorrect with regards to treatment of an addisonian crisis?

A i.v. normal saline should be given to treat shock B i.v.dextrose will also be required C i.v. fludrocortisone is required D i.v. dexamethase or hydrocortisone should be given

✅ Correct Answer: 3

15 Which is false about chronic steroid administration and illness?

A no suppression of the pituatry-adrenal axis occurs if the dose is <10mg regardless of the duration of administration B no suppression of the axis occurs regardless of the dose as long axis is taken for less than 3 weeks C in a time of physical stress the glucocorticoid dose should be increased 2-3 times for a few days D in a time of physical stress the mineralocorticoid dose should be increased 2-3 times for a few days

✅ Correct Answer: 4

16 Which statement is false about pheochromocytomas?

A clinically they may present with attacks of pallor, palpitations, sweating, headache and anxiety B clinicaaly they present with hypertension alone, or sometime abdominal pain and vomiting C investigations include urinary VMA and catecholamines D beta blockade is the temporary treatment of choice and possibly long term

✅ Correct Answer: 4

17 Which is the most common cause of hyperthroidism in Australia?

A Graves disease B Toxic multinodular goiter C Toxic adenoma D Pituatry aetiology

✅ Correct Answer: 1

18 Which is not a feature of hyperthroidism?

A lid lag B lid retraction C amenorrhea D peripheral neuropathy

✅ Correct Answer: 4

19 Which agent should not be used in the treatment of a thyroid storm?

A propranolol B propylthiouracil C steroids D salicylates

✅ Correct Answer: 4

20 Which is false regarding the treatment of a myxoedema coma?

A thyroxine should be given i.v. initially B thyroxine should be given in full dosage prior to blood results C steroids should be given D hyponatremia should be treated with fluid restriction

✅ Correct Answer: 2

21 Which is not a feature of hypothyroidism?

A loss of outer third of the eyebrow B bradycardia C opthalmopathy D weight gain

✅ Correct Answer: 3

22 Which drug is not a possible precipitant of myxoedema coma?

A lithium B benzodiazepines C phenytoin D ranitidine

✅ Correct Answer: 4

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