Endocrine

Question 1

Which of the following drugs is not associated with causing hypoglycaemia?
A. Metformin
B. Gliclazide
C. Gliblenclamide
D. Tolbutamide

Answer 1

A. Metformin

Question 2

What should the Hb1Ac be before you offer an additional antidiabetic agent to help control her diabetes?
A. 46mmol/mol
B. 52mmol/mol
C. 54mmol/mol
D. 58mmol/mol

Answer 2

D. 58mmol/mol

Question 3

Which one of the drugs below may be contributing to Mrs Chloe Trimazol recurrent episodes of vaginal thrush?
A. Atorvastatin
B. Metformin
C. Levothyroxine
D. Dapagliflozin

Answer 3

D. Dapagliflozin

Question 4

Which of the following statements below would NOT warrant Mrs Eve O’Roll to stop taking HRT and seek immediate medical attention?
A. Sudden severe chest pain
B. Sudden onset of diarrhoea
C. Raised BP> 160/95mmHg
D. Unexplained swelling or severe pain in calf of one leg

Answer 4

B. Sudden onset of diarrhoea

Question 5

What are mineral corticoid side effects

Answer 5

hypertension,
sodium retention,
water retention,
potassium loss,
calcium loss

Question 6

When someone’s thyroid level is stabilised how often should you monitor TSH levels?
A. Monthly
B. Every 3 months
C. Every 6 months
D. Yearly

Answer 6

D. Yearly

Question 7

When should GLP-1 mimetics should be continued to treat Type 2 diabetes?

Answer 7

Patient has a reduction of at least 3% initial body weight and 1% reduction of Hb1Ac
within 6 months

Question 8

What action length is Insulin Isophane

Answer 8

Intermediate

Question 9

What action length are Aspart and Lispro

Answer 9

Rapid

Question 10

What action length is insuline glargine

Answer 10

Long

Question 11

Usually how long would you expect this “block and replace” regimen to be given?
A. 3 months
B. 6 months
C. 12 months
D. 18 months

Answer 11

D. 18 months

Question 12

What symptoms should you stop taking Bisphosphanates

Answer 12

oesphageal reactions

Question 13

What is an example of Insulin glargine

Answer 13

Lantus

Question 14

What is an example of Isophane Insulin

Answer 14

Humulin I

Question 15

What is an example of Insulin Aspart

Answer 15

NovoRapid

Question 16

What is an example of Insulin Lispro

Answer 16

Humalog

Question 17

What are ACEi cautioned in and why

Answer 17

diabetes (as they can lower blood glucose levels)

Question 18

What is the HB1AC levels of someone with Type 1 diabetes

Answer 18

48mmol/L

Question 19

Which of the following is used to treat hyponatraemia due to the above, if fluid restriction alone does not restore sodium levels?
A. Tetracycline
B. Desmopressin C. Vasopressin
D. Lymecycline
E. Demeclocycline

Answer 19

E. Demeclocycline

Question 20

Which antidiabetic medication has a higher risk of gential / urinary infections

Answer 20

SGLT-2i

Question 21

Mr C 82 years old has come to see you at the practice for his annual diabetes review. He is a Type II diabetic, with a very stable HBA1C of 53 mmol/mol, which has been the same for a number of years. He does not have any other medical conditions. He is very keen to manage his health as much as he can, and often monitors blood pressure at home to ensure that it is well controlled.
What should a target HBPM be for Mr C?
A. <140/90 mmHg
B. <135/85 mmHg
C. <150/90 mmHg
D. <145/85 mmHg

Answer 21

D. <145/85 mmHg