Internal Med Flashcards by Daniel Hikry

Patient with adrenal hypofunction and severe infection; treatment

a. Stop cortisol
b. Reduction in cortisol
c. Elevation in cortisol
d. Unchanged cortisol

c. Elevation in cortisol

How well did you know this?

Not at all

Perfectly

Cause of Chronic primary adrenal insufficiency

a. Autoimmune adenitis
b. Tuberculosis
c. Amyloidosis
d. Sepsis with adrenal hemorrhage.

a. Autoimmune adenitis

How well did you know this?

Not at all

Perfectly

Treatment of hypothyroidism includes…

a. L-thyroxine
b. High-dose radioiodine
c. Propylthiouracyl
d. Any of the above

a. L-thyroxine

How well did you know this?

Not at all

Perfectly

Treatment for diabetic nephropathy, EXCEPT

a. Optimize glucose control
b. Optimize blood pressure control
c. Limit protein intake to 0,8-1g/kg/day in early chronic kidney disease
d. Treat with ACE inhibitors and ARB if albuminuria

d. Treat with ACE inhibitors and ARB if albuminuria

How well did you know this?

Not at all

Perfectly

Fibrate therapy in dyslipidemia is the most efficient therapy to…

a. Halt the progression of coronary atherosclerosis
b. Decrease triglycerides level
c. Decrease cholesterol level
d. All of the above

b. Decrease triglycerides level

How well did you know this?

Not at all

Perfectly

Glucocorticoids effect on protein metabolism

a. Enhance protein catabolism in the periphery
b. Increase amino acid uptake in extrahepatic tissues
c. Decrease amino acid uptake in liver
d. Stimulates lipolysis

a. Enhance protein catabolism in the periphery

How well did you know this?

Not at all

Perfectly

Cause of secondary amenorrhea

a. Hypothyroidism
b. Prolactinoma
c. Polycystic ovary syndrome
d. All

d. All

How well did you know this?

Not at all

Perfectly

In case of diffuse thyroid tumor, treatment

a. Surgery+high dose of radioiodine+chemotherapy
b. Surgery+chemotherapy+suppressive thyroxine
c. Surgery+high dose radioiodine+suppressive thyroxine
d. Surgery+inhibition of hormone production+chemotherapy

c. Surgery+high dose radioiodine+suppressive thyroxine

How well did you know this?

Not at all

Perfectly

Causes of Cushing’s syndrome, EXCEPT

a. Adrenal adenoma
b. Congenital adrenal hyperplasia
c. Ectopic ACTH production
d. ACTH producing tumor in the pituitary

b. Congenital adrenal hyperplasia

How well did you know this?

Not at all

Perfectly

Diagnosis of pohechromocytoma is based on…

a. Precutaneous biopsy and histologic evaluation of the tumor
b. Measurement of the plasma norepinephrine level
c. Measurement of the urine epinephrine level
d. Measurement of the urine metanephrine level

d. Measurement of the urine metanephrine level

How well did you know this?

Not at all

Perfectly

Prevention of osteoporotic fractures include…

a. Vitamin D and calcium supplementation
b. Biphosphonates
c. PTH analogs
d. Any of the above

d. Any of the above

How well did you know this?

Not at all

Perfectly

Absolute indication for insulin therapy, EXCEPT:

a. Significant hyperglycemia (HbA1c >10%)
b. Type 2 diabetes
c. Metabolic decompensation related to infection
d. Allergy to oral anti diabetic drugs

b. Type 2 diabetes

How well did you know this?

Not at all

Perfectly

The combination of normal TSH and low fT3/fT4 suggests…

a. Subclinical secondary hyperthyroidism
b. Subclinical hypothyroidism
c. Primary hypothyroidism
d. Non-thyroidal illness

d. Non-thyroidal illness

How well did you know this?

Not at all

Perfectly

Effects associated with hypercalcemia, EXCEPT,

a. Constipation
b. Fatigue
c. Nausea
d. Oliguria

d. Oliguria

How well did you know this?

Not at all

Perfectly

Osteoporosis

a. T-score > -2,5
b. T-score < -2,5
c. T-score > 2,0
d. T-score < -1,5

b. T-score < -2,5

How well did you know this?

Not at all

Perfectly

Mitochondrial diabetes

a. Diabetes + deafness
b. Diabetes Mellitus + Diabetes insipidus
c. Diabetes + Hasimoto thyroiditis
d. Diabetes + renal insufficiency

a. Diabetes + deafness

How well did you know this?

Not at all

Perfectly

Autonomous symptoms of hypoglycemia, EXCEPT,

a. Palpitations
b. Tremor
c. Sweating
d. Aggression

d. Aggression

How well did you know this?

Not at all

Perfectly

Treatment of hypercalcemia includes

a. Thiazide diuretics
b. Vitamin D supplementation
c. Biphosphonates
d. Decreased fluid intake

c. Biphosphonates

MEN IIA syndrome, EXCEPT:

a. Ovarian cancer
b. Medullary thyroid carcinoma
c. Pheochromocytoma
d. Hyperparathyroidism

a. Ovarian cancer

Dyslipidemia in metabolic syndrome

a. Elevated cholesterol + elevated triglycerides
b. Elevated triglycerides + decreased LDL
c. Elevated cholesterol + decreased LDL
d. Elevated triglycerides + decreased HDL

d. Elevated triglycerides + decreased HDL

Genetic disease that cause primary hypogonadism in male

a. Turner syndrome
b. Marfan syndrome
c. Tourette syndrome
d. Klinefelter syndrome

d. Klinefelter syndrome

Hirsutism in body parts, EXCEPT

a. Breast
b. Lower back
c. Forearm
d. Upper lip

c. Forearm

Metformin

a. First choice in diabetes with impaired kidney function
b. Increases the risk of hypoglycemia
c. May decrease HbA1c by 1-1,5%
d. Associated with significant weight gain

c. May decrease HbA1c by 1-1,5%

Polycystic ovary syndrome, elevation of hormones, EXCEPT

a. FSH
b. LH
c. Androstenedione
d. Insulin

a. FSH

Paracetamol overdose requires... as an antidote. a. Nothing (as there is no known antidote) b. N-acetylcystein c. Active charcoal d. Flumazenil

b. N-acetylcystein

Syndrome that is NOT associated with hypopituitarism a. Kallman syndrome b. Bardet-Biedl syndrome c. Creutzfeldt-Jakob syndrome d. Prader-Willi syndrome

c. Creutzfeldt-Jakob syndrome

Specific test for pheochromocytoma a. Plasma epinephrine b. Plasma dopamine c. VMA (vanillyl mandelic acid) excretion in urine d. Metanephrine excretion in urine

d. Metanephrine excretion in urine

Klinefelter's syndrome is associated with... a. Elevated FSH and LH levels b. Streak gonade c. Short stature d. 47, XYY karyotype

a. Elevated FSH and LH levels

Characteristics of hyperthyroidism, EXCEPT: a. Lack of lateral eyebrows b. Exophtalmus c. Pretibial myxedema d. Loss of weight despite having appetite

a. Lack of lateral eyebrows

Pancreatic cholera is equivalent to: a. Zollinger-Ellison syndrome b. Somatostatinoma c. Werner-Morrison syndrome d. Waterhouse-Friderichsen syndrome

c. Werner-Morrison syndrome

Diagnostic measures for diabetic ketoacidosis, EXCEPT: a. Elevated blood glucose at least > 20 mmol/l b. Arterial pH <7.3 (or 7.35) c. Plasma bicarbonate < 15 mmol/l d. Increased anion gap

a. Elevated blood glucose at least > 20 mmol/l

Treatment of hypercalcemia includes a. Thiazide diuretics b. Vitamin D supplementation c. Bisphosphonates d. Decrease fluid intake

c. Bisphosphonates

A low TSH and normal fT3/fT4 suggests... a. Secondary hypothyroidism b. Subclinical hypothyroidism c. Subclinical hyperthyroidism d. Non-thyroidal illness

c. Subclinical hyperthyroidism

Acromegaly: a. Consequence of pre-pubertal excess of GH b. Accompanied with excess sweating c. Represents only a cosmetic problem d. Always requires surgical intervention

b. Accompanied with excess sweating

Thyroid scan molecule a. Selenium 74 b. Technetium 99 c. Stronium 89 d. Samarium 153

b. Technetium 99

Treatment of prolactinoma a. Dopamine antagonists b. Transsphenoidal surgery c. Radioiodine treatment d. All

b. Transsphenoidal surgery

Cervical pain is associated with a. Graves’ disease b. Chronic lymphocytic thyroiditis c. Subacute thyroiditis d. Nodular goiter

c. Subacute thyroiditis

True for diabetic ketoacidosis a. It is best treated with large dose of subcutaneous insulin b. Associated with Cheyne-Stokes respiration c. Complication seen only in DM1 d. None of the above

d. None of the above

Disturbed vision in the following, EXCEPT a. Amanita phalloides mushroom poisoning b. Methanol poisoning c. Digitalis poisoning d. Botulism

a. Amanita phalloides mushroom poisoning

Most common malignancy in the background of SIADH a. colorectal carcinoma b. planocellular carcinoma c. small cell lung carcinoma d. multiple myeloma

c. small cell lung carcinoma

Older patients with hyperthyroidism... a. Often have atrial fibrillation b. May not show the classical symptoms of sympathetic hyperactivity c. May present with apathy d. All of the above

d. All of the above

Treatment of acute attack of gout a. Loop diuretics b. Colchicine c. Allopurinol d. Antibiotics

b. Colchicine

Depending on the clinical situation, treatment of prolactinoma may include... a. Bromocriptin, quinagolid b. Transsphenoidal operation c. Irradiation d. Any of the above

d. Any of the above

Tests of pituitary-adrenal responsiveness include... a. Metyrapone test b. Insulin hypoglycemia test c. CRH test d. All of the above

d. All of the above

Internal Med Flashcards

Competition Q