Biology/Biology Endocrinology Sample Test,Sample questions

 Which is false about chronic steroid administration and illness? suppression of the pituatry-adrenal axis occurs if the dose is <10mg regardless of the duration of administration

2. no suppression of the axis occurs regardless of the dose as long axis is taken for less than 3 weeks

3. in a time of physical stress the glucocorticoid dose should be increased 2-3 times for a few days

4. in a time of physical stress the mineralocorticoid dose should be increased 2-3 times for a few days

Posted Date:-2022-07-24 12:06:05

 Which is not a feature of hyperthroidism?

1. lid lag

2. lid retraction


4. peripheral neuropathy

Posted Date:-2022-07-24 12:12:31

 Which is not a potential etiology of hypoglycemia in adults?





Posted Date:-2022-07-24 11:32:41

 Which is not true regarding the management of DKA?

1. the administration of IV fluid immediately on arrival is the life saving event

2.fluid replacement should be 3-4 litres over the first four hours in a pt who is not shocked

3.even if the K+ is >5.5 poatssium replacemnt should be commenced

4.the insulin bolus should be about 0.1 units/kg, with subsequent infusion at 0.1units/kg/hr

Posted Date:-2022-07-24 11:36:29

 Which statement is false about pheochromocytomas?

1. clinically they may present with attacks of pallor, palpitations, sweating, headache and anxiety

2. clinicaaly they present with hypertension alone, or sometime abdominal pain and vomiting

3. investigations include urinary VMA and catecholamines

4.beta blockade is the temporary treatment of choice and possibly long term

Posted Date:-2022-07-24 12:07:16

 Which statement is incorrect with regards to treatment of an addisonian crisis?

1.i.v. normal saline should be given to treat shock

2.i.v.dextrose will also be required

3. i.v. fludrocortisone is required

4.i.v. dexamethase or hydrocortisone should be given

Posted Date:-2022-07-24 12:04:40

The nitroprusside dipstick test of the urine measures?


2.beta hydroxybuterate


4.A and C

Posted Date:-2022-07-24 11:58:55

What biochemical abnormality is possible in an addisonian crisis?



3. normokalemia and normonatremia

4.All of the above

Posted Date:-2022-07-24 12:03:45

Which agent should not be used in the treatment of a thyroid storm?





Posted Date:-2022-07-24 12:13:23

Which drug is not a possible precipitant of myxoedema coma?

1. lithium




Posted Date:-2022-07-24 12:19:36

Which is false regarding alcoholic ketoacidosis? is usually seen in chronic alcoholics

2.usually there has been a recent cessation in drinking with several days of vomiting and poor oral intake

3. Mainstay of treatment is IV fluids, including dextrose

4. Low dose insulin given judiciously hastens recovery

Posted Date:-2022-07-24 12:00:57

Which is false regarding the treatment of a myxoedema coma?

1.thyroxine should be given i.v. initially

2. thyroxine should be given in full dosage prior to blood results

3.steroids should be given

4.hyponatremia should be treated with fluid restriction

Posted Date:-2022-07-24 12:16:35

Which is not a feature of alcoholic ketoacidosis?


2.Positive dipstick for ketones

3. Increased anion gap, regardless of pH


Posted Date:-2022-07-24 11:59:47

Which is not a feature of Hyperosmolar, hyperglycemic non ketotic states?

1.very high glucose, often greater than 40 mmol/l>7.3

3. serum osmalality often greater than 350 mmol/L

4.low bicarbonate

Posted Date:-2022-07-24 11:37:38

Which is not a feature of hypothyroidism?

1. loss of outer third of the eyebrow



4.weight gain

Posted Date:-2022-07-24 12:18:32

Which is not true regarding drug therapy in diabetes?

1. the use of simvistatin in pts with CHD significantly reduces the risk of future CHD

2.sulphonylureas stimulate the pancreatic secretion of insulin

3. Acorbase(Glucobay) interferes with GIT absorption of carbohydrate

4. Metformin is an oral insulin analogue

Posted Date:-2022-07-24 11:40:50

Which is not usually a feature of DKA?

1.seen type 1 diabetics mainly

2. serum osmalality 275-295mmol/l

3. fluid deficit usually less than that in HHNS

4.glucose usually lower than that in HHNS

Posted Date:-2022-07-24 11:34:42

Which is the major precipitant of DKA?


2.missed doses of insulin



Posted Date:-2022-07-24 11:33:30

Which is the most common cause of hyperthroidism in Australia?

1.Graves disease

2.Toxic multinodular goiter

3.Toxic adenoma

4.Pituatry aetiology

Posted Date:-2022-07-24 12:08:11

Which is the most common precipitant of alcoholic ketoacidosis?

1. pancreatitis

2.GI bleed

3.Alcohol withdrawl without precipitating illness


Posted Date:-2022-07-24 12:01:53

Which may not cause an adrenal crisis?

1.Waterhouse Freidrichson syndrome

2.Sheehans syndrome

3.Acute discontinuation of steroids therapy

4.Anticoagulant use

Posted Date:-2022-07-24 12:03:07

Which statement is false about the fluid deficit in HHNS? is usually 5L

2.if not shocked then 0.45% saline should be given

3. fluid replacement should always precede insulin therapy in the non shocked pt

4.fluid replacement should be done over a longer period of time than in DKA

Posted Date:-2022-07-24 11:39:22


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