ENDOCRINOLOGY Flashcards

1
Q

At which SINGLE THRESHOLD birth weight of a previous baby should an expectant mother be offered a screening test for gestational diabetes mellitus? Select ONE option only.

  1. 9 kg
  2. 3 kg
  3. 5 kg
  4. 7 kg
  5. 1 kg
A

4.5KG

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2
Q

Which SINGLE ONE of the following patients is eligible for screening for diabetic retinopathy? Select ONE option only.

A 19-year-old woman with a family history of type 1 diabetes

A 38-year-old woman with a previous history of gestational diabetes

A 55-year-old man with type 2 diabetes who is under the care of a consultant ophthalmologist for proliferative diabetic retinopathy

A 13-year-old girl with type 1 diabetes

A five-year-old boy with type 1 diabetes

A

A 13-year-old girl with type 1 diabetes

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3
Q

A 35-year-old woman is being investigated for suspected Addison’s disease.

Which ONE of the following biochemical abnormalities is the SINGLE MOST likely to be found in this patient? Select ONE option only.

Hyperkalaemia and hypernatraemia

Hypokalaemia and hypernatraemia

Hyperkalaemia and hyponatraemia

Hypokalaemia and hyponatraemia

High serum cortisol

A

Hyperkalaemia and hyponatraemia

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4
Q

According to the National Institute for Health and Care Excellence (NICE) guidance, which glycosylated haemoglobin (HbA1c) range is MOST LIKELY to identify a high risk of future diabetes but is NOT diagnostic of diabetes? Select ONE option only.

32–36 mmol/mol

37–41 mmol/mol

42–47 mmol/mol

48–52 mmol/mol

53–57 mmol/mol

A

42–47 mmol/mol

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5
Q

A 28-year-old woman presents with tiredness all the time, and has been seeing the health visitor who suspects postnatal depression. She had a post-partum haemorrhage following the delivery of her first child two years ago. She has put on a stone in weight, is cold and amenorrhoeic. She is unhappy, but not depressed. She desperately wants to conceive, and has been trying for a year. You check a subfertility screen. She is not ovulating. Free thyroxine (Free T4) and thyroid-stimulating hormone (TSH) are both very low, as is prolactin, luteinizing hormone (LH) and folicle stimulating hormone (FSH).

Which one of the following is the SINGLE MOST likely diagnosis? Select ONE option only.

Kallman’s syndrome

Polycystic ovarian syndrome

Hypothyroidism

Sheehan’s syndrome

Cushing’s syndrome

A

Sheehan’s syndrome

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6
Q

A 66-year-old man has type 2 diabetes and requires dietary advice.

Which is the SINGLE MOST appropriate advice to give on foodstuffs to include in a healthy diet? Select ONE option only.

Low glycaemic index

Low fibre

High glycaemic index

Products marketed specifically for people with diabetes

High trans fatty acids

A

Low glycaemic index

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7
Q

Which is the SINGLE MOST appropriate antiplatelet drug, if any, for adults with type 2 diabetes who do NOT have cardiovascular disease? Select ONE option only.

Aspirin

Clopidogrel

Dipyridamole

Prasugrel

No antiplatelet therapy

A

No antiplatelet therapy

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