Midterm Lonnn Quiz Flashcards
Growth hormone is also known as
Somatotropin
GH is released from the
Anterior Pituitary
Gold standard for the diagnosis of GH deficiency
Insulin hypoglycemia test
Hirsutism is an effect of high levels of
Androgen
The following are complications a patient with PCOS is at risk for except
Cancer | Diabetes | Obesity | NOTA
NOTA
If one hormonal pill was missed, more than 24 hours of the scheduled dose, the missed dose and the dose for the day will be taken together on the same day.
True/ False
True
According to ADA, a fasting blood glucose of 115mg/dL id classified as
Prediabetes | Normal | Diabetes Stage 1 | Diabetes Stage 2
Prediabetes
Insulin is released from the
Adipocytes | Adrenal | Alpha cells | Beta cells
Beta cells
First line treatment for T2DM
Gliclazide | Insulin | Metformin | Sitagliptin
Metformin
its MOA is to inhibit glucose reabsorption in the kidneys
its MOA is to inhibit glucose reabsorption in the kidneys
Dapagliflozin | Gliclazide | Metformin | Sitagliptin
Dapagliflozin
The following are manifestations of hypothyroidism except
Cold intolerance | Constipation | Tachycardia | Weight gain
Tachycardia
Decreased T3, Decreased T4, Increased TSH
Primary hypothyroidism | Primary hyperthyroidism | Secondary hypothyroidism | Secondary hyperthyroidism
Primary hypothyroidism
Secondary hypothyroidism is due to a problem in the
Anterior pituitary | Hypothalamus | Parathyroid Gland| Thyroid Gland
Anterior pituitary
The following would require increase in the dose of LT4 except
Aging l Cirrhosis | Critical illness | Fiber
Aging
DOC for most hyperthyroidism cases
Aging l MMI | PTU | RAI | AOTA
MMI
Gluccocorticoids are released from the
Zona Esciculata | Zona Glomerulosa | Zona Reticularis| AOTA
Zona Esciculata
Treatment of choice for Cushing syndrome
Hydrocortison Prednisone | Spironolactone | Surgery
Surgery
ACTH is also known
Corticotropin l Cortisol | Cortisone | Progesterone
Corticotropin
ACTH is also known
Corticotropin l Cortisol | Cortisone | Progesterone
Corticotropin
DMARDs should be initiated as soon as a diagnosis of RA is made since they have a very fast onset of action, so discomfort will be alleviated immediately.
True/False
False
The following are known factors that may contribute to the development of RA except
Chronic Illness | Environment | Genetics | Hormones
Environment
The progression of rheumatoid arthritis is driven by
B lymphocytes | Leukocytes | T lymphocytes | TNF
B lymphocytes
Leading cause of chronic mobility disability
Gouty Arthritis
Osteoporosis
OA
RA
OA
Like RA, OA also has an unknown cause and would affect women more than men.
T/F
True
OA has a more rapid onset compared to RA
True/ False
False
Primary gout is caused by increased uric acid production.
True|False
True
These can be given for acute gout attacks except
Allopurinol | Colchicine | NSAIDs | Prednisone
Allopurinol
Uricosuric agent
Allopurinol | Colchicine | Febuxostat | Probenecid
Probenecid
Osteoporosis may be associated with chronic illness.
T/F
True
If drug treatment is necessary, what would be the first line for osteoporosis?
Alendronate | Calcitonin | Denosumab | Raloxifene
Alendronate
The following are adverse effects associated with bisphosphonates given PD except
Dyspepsia | Esophageal pain | Hypocalcemia | Nausea
Dyspepsia
Secondary conditions that may cause hyperlipidemias, except:
CHF | DM | Hyperthyroidism | Renal disease | NOTA
CHF
patient is being started on statin therapy. What should be considered choosing which statin to use?
Cost
Efficacy in reducing LDL-C
Safety
AOTA
NOTA
Efficacy in reducing LDL-C
LDL cholesterol: 130-159 mg/dL
Optimal
Above optimal
Borderline high
High
Very high
Borderline high
Fenolibrate most likely acts by:
A. binding PPARalpha receptors in liver and brown adipose tissue
B. Inhibiting cholesterol uptake from the small intestine
C. inhibiting HMG-CoA reductase
D. sequestering bile acids in the small intestine
A. binding PPARalpha receptors in liver and brown adipo issue
LDL cholesterol is called “bad” cholesterol because
A. It can cause blockage in the arteries
B. It causes low blood counts
C. It changes heart rhythm
D. AOTA
A. It can cause blockage in the arteries
In addition to treatment with statin medications, which of the following drug classes has been proven to reduce cardiovascular mortality from hyperlipidemia?
A. Bile acid sequestrants
B. Cholesterol absorption inhibitors
C. Dietary supplements
D. Nicotinic acid
A. Bile acid sequestrants
Which of the following indicates an optimal LDL?
A. Greater than 190 mg/dL
B. Greater than 60 mg/dL
C. Less than 100 mg/dl.
D. Less than 40 mg/dL
C. Less than 100 mg/dl.
Baseline laboratory test required before statin treatment
A. Complete blood cell count
B. Creatinine clearance
C. Liver function test
D. Serum creatinine
C. Liver function test
The following are all major risk factors (Exclusive of LDL Cholesterol) that modify LDL goals except:
A. Age (men 245 years; women ≥55 years)
B. Family history of premature CHD; CHD in male first degree relative
C. High fat diet
D. Hypertension (BP ≥140/90 mmHg or on
antihypertensive medication)
E. Low HDL cholesterol
E. Low HDL cholesterol
Which drug produces Hypopigmentation?
Azelaic acid | Benzoyl Peroxide | Salicylic acid l AOTA
Azelaic acid
Acne may be inflammatory or noninflammatory and can manifest as several types of lesions. Noninflammatory acne is
characterized by comedones. Comedones are characterized by which of the following?
A. Bacterial colonization of follicles
B. Follicular plugging with keratinocytes
C. Free fatty acids on follicular epithelium
D. Sebaceous plugs impacted within follicles
D. Sebaceous plugs impacted within follicles
A patient diagnosed as having drug-induced acne, what id the most likely drug?
Benzyl peroxide | Carbamazepine | Uthium | Metformin
Carbamazepine
A woman is considered to be in menopause after she has missed how many menstrual cycles?
3
6
9
12
12
Which of the following is the most effective treatment for relieving symptoms associated with menopause?
Acupuncture
Black cohosh
Hormone therapy
Low-dose paroxetine
Hormone therapy
Atopic dermatitis is also often called:
Acne | Eczma | Pimples | Psoriasis
Eczema
Psoriasis is exabated by
Antimalarials | Betablockers | Filgrastim| AOTA | NOTA
Betablockers
Psoriasis is characterized by all the following except:
A. Always associated with nail infection
B. Definite pink plaque with clear margin
C. In children disappears in 2 weeks to reappear again
D. Involves knees and elbows
A. Always associated with nail infection
Triggers that may exacerbate atopic dermats include which of these?
Dry conditions | Hot or cold temperature | Stress l AOTA
AOTA
Most common site of atopic dermatitis
Ante cubital fossa | Face | Scalp Trunk
Ante cubital fossa
Cholestyramine
A. Biled sequestrants
B. Cholesterol absorption inhibitors
C. Dietary supplements
D. HMG-CoA Inhibitor
A. Biled sequestrants
