Mix MCQ Flashcards
12 years old boy known case of DM type 1 since 4 years came to your clinic with his parents 1 months before ramadan for preparation and modification of insulin dosage during fasting hour.
Which of the following factor increase the risk of complications during fasting:
A- Duration of 4 years of DM.
B- Type 1 DM.
C- Self monitoring of blood glucose as indicated.
D- Alc of 5.8%
Answer B
The test for checking mean plasma glucose concentration over the previous 8-10 weeks is:
a) Hemoglobin Alc
b) Oral glucose tolerance test (OGTT)
c) Fructosamine test
d) Fasting plasma glucose concentration
Answer A
According to the recommendations for the nutritional management of patients with diabetes, the consumption of saturated fat should be:
a) <10% of total daily energy
b) <12%
c) <15%
d) <16%
Answer A
9 years old came to ER with history of URTI found to have blood sugar of 250 mg / dl given bolus of 10 ml/kg blood gas was
PH 7.36 HCO3 21 repeated blood sugar after 1hr showed 56 mg/dl. As you plane to include this patient in clinical trial. which of the following diagnostic test is recommended as the gold standard for staging children for recruitment into clinical trials of type 1 DM?
A- 6-12 monthly HbA1c.
B- Random blood sugar.
C- Fasting blood sugar.
D- OGTT.
Answer D
You have called for 5 days old admitted to Nicu as SGA and to rule out sepsis found to have hyperglycemia started on low dose of insulin examination was normal except for mild prominent of tongue and umbilical hernia.
Which of the following explain most likely diagnosis for this patient:
A- Stress induced hyperglycemia.
B- GLIS3
C- PDX1
D- PLAGL1 /HYMAI
Answer D
An 8-year-old girl presents with a nodular mass in the anterior neck, elevated thyroid-stimulating hormone (TSH) level, triiodothyronine (T3) and thyroxine (T4) levels that are within the reference range, and high-frequency hearing loss.
What is the MOST likely inheritance pattern for this syndrome?
A. Autosomal recessive
B. Autosomal dominant
C. Sex-linked dominant
D. Sex-linked recessive
Answer A
Thyroid Cancer awareness month is:
A- September.
B- October.
C- November.
D- December.
Answer A
7 years old girl referred from general pediatric as thyroid nodule by exam. Which of the following consider initial assessment of this patient:
A- US of thyroid gland.
B- TSH.
C- Thyroid scan.
D- Thyroid antibodies
Answer B
4 years old known case of Dawn syndrome came with history of exopthalmus and TSH was <0.01 ft4: 32 which of the following consider best treatment of this patient:
A- RAI therapy.
B- Methamazole.
C- Surgery.
D- Reassurance as it is one of the phases of hashimoto thyroiditis.
Answer B
You have called from nursery as newborn screen showed high TSH for patient 3 days old girl on exam found to have goiter which confirm later by us and thyroid scan showed no uptake.
Which of the following consider most likely cause:
A- Sodium-lodine Symporter Defects.
B- Thyroid Dysgenesis.
C- Thyroperoxidase Defects.
D- Thyroid-Stimulating Hormone Receptor Mutations.
Answer A
