Endocrine - Kahoot Quiz Flashcards

1
Q

Which of the following is an anterior pituitary hormone?

  • ACTH
  • Gonadotropin Hormone
  • Cortisol
  • Oxytocin
A
  • ACTH
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2
Q

Which of the following is a posterior pituitary hormone ?

  • Growth hormone
  • Prolactin
  • Anti diuretic hormone
  • Follicle Stimulating hormone
A
  • Antidiuretic hormone
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3
Q

Which drug would be most effective in the maintenance therapy of hypothyroidism?

  • Liothyronine
  • Levothyroxine
  • Carbimazole
  • Thyroid Stimulating hormone
A
  • Leovthyroxine
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4
Q

Why does it take 1-2 weeks for carbimazole to reduce thyroxine in hyperthyroid disease?

  • Slow inhibition of Thyroperoxidase
  • Slow absorption of carbimazole
  • Depletion of thyroxine stores
  • Extensive binding of carbimazole to plasma protein
A
  • Depletion of thyroxine stores
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5
Q

Which drug would be most effective at treating cardiac arrhythmias due to hyperthyroidism?

  • Levothyroxine
  • Propanolol
  • Lidocaine
  • Carbimazole
A
  • Propanolol
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6
Q

A 26-year-old woman presents to her GP with tachycardia, weight loss and nighttime waking in a stressful state.

Her medication list is shown below:

  • Microgynon
  • Ibuprofen
  • Cetirizine
  • Levothyroxine
A
  • Levothyroxine
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7
Q

Which is the first test to check for patients with a sore throat on carbimazole?

  • Neutrophil Count
  • Thyroid function tests
  • Blood cultures
  • Throat swab
A
  • Neutrophil Count
  • It can suppress part of the bone marrow to then influence the production of white cells.
  • May lower the number of white cells in your blood.
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8
Q

A 29-Year-old with Hashimotos Thyroiditis has increasing anxiety, difficulty sleeping and loose stools (stool culture negative). together with levothyroxine 200mcg daily, she is prescribed loperamide and lorazepam. Her following thyroid function gives a TSH level of 0.2 (normal range 0.5- 5_ but t levels are unavailable.

Select the most appropriate treatment option:

  • Increase the dose of lorazepam
  • Increase the dose of thyroxine to 250 mcg daily
  • Decrease the dose of thyroxine to 150 mcg daily.
  • Increase the dose of loperamide
A
  • Decrease the dose of thyroxine to 150 mcg daily.
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9
Q

Which drug is an oral steroid used to treat severe forms of asthma and exacerbations of COPD?

  • Prednisolone
  • Fluticasone
  • Beclometasone
  • Triotropium
A
  • Prednisolone
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10
Q

An 80 year old woman presents to her GP with general lethargy and pain around her shoulders and pelvis. Her ESR is elevated at 70mm/h, and she struggles to lift her arms over her head. A diagnosis of polymyalgia rheumatic is made, and she is commenced on prednisolone 30mg once daily.

You can select the most appropriate piece of information to communicate to the patient.

  • Bisphosphonate should be added to reduce osteoporosis risk
  • Steroids do not increase diabetes mellitus risk
  • No risk of stopping steroids abruptly
  • The risk of hypotension on steroid therapy is increased.
A
  • Bisphosphonate should be added to reduce osteoporosis risk
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11
Q

A 25-year-old male is seen for a follow-up of his ulcerative colitis, for which he takes mesalazine. He has now complained of increasing stool frequency with occasional blood and mucus. It is felt he is having a mild flare of his colitis and is commenced on oral prednisolone 30mg once daily and prednisolone enemas.

Select the most appropriate information to communicate to the patient.

  • Never stop prolonged courses of steroids suddently.
    -GI ulcer risk is reduced.
  • Osteoporosis risk is reduced.
  • Hypertension is reduced.
A
  • Never stop prolonged courses of steroids suddenly.
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12
Q

What is the major site of action for the combined oral contraceptive?

  • Ovary
  • Testes
  • Fallopian tubes
  • Hypothalamus
A

Hypothalamus

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13
Q

Which drug mechanism might be used in the prevention of premature labour ?

  • Progesterone antagonist
  • Prostaglandin analougue
  • Oxytocin
  • Oxytocin antagonist
A
  • Oxytocin antagonist

Atosiban is a synthetic peptide which acts as a competitive antagonist of oxytocin at human uterine oxytocin receptors. Oxytocin causes uterine contractions through a direct effect on membrane bound receptors in the uterus by increasing the concentration of intracellular calcium in the myometrial cells.

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