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stringclasses 11
values | answer
stringclasses 9
values |
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One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP
complaining change of her breath sound. she first noted numbness, particular in her toes and
finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her
blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019)
A. Obstructive sleep apnea
B. Secondary hypoparathyroidism
C. Primary hypoparathyroidism
D. Gullian-barre syndrome
E. Raynaud's syndrome | Answer: C |
A 42-year-old female presented with visual disturbance. she reports have double vision which intermittent initially but has now become much more frequent. Ln addition, she become breathless very easily and experiences palpitations. On examination, raised, painless lesions are observed on the front of her shins and finger clubbing, all of the following true except : (6/2019) A. This condition is due to IgG antibodies binding to the TSH receptor B. This condition associated with multinodular goiter C. This condition associated with pernicious anemia and high T3, T4 D. This condition in long tern can lead to osteoporosis E. This condition can be t•eated with radioactive iodine | Answer: B |
Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019)
A. Decrease renin activity
B. Vasodilation
C. Decrease aldosterone
D. Decrease sodium absorption
E. Decrease potassium excretion | Answer: A |
A 38-year-old female patient, who has BMI 29 and type 2 DM, she has been taking metformin
with good effect for the last four months. He has started to lose weight and maintained good
glucose control. In the last two months, however, the patient has been persistently hyperglycemic
despite increased metformin dosage and HbAlc targets have not been achieved and now HbA1c
is 11%. The most appropriate management? (6/2019)
A. Add thiazolidinedione
B. Add insulin therapy
C. Add sulfonylurea
D. Increase metforrnin dose
E. Add exenatide | Answer: C |
A 41 -year-old male has been recently diagnosed with type 2 DM and has been following a plan
lifestyle measures to improve his diet and increase his level of exercise, as well as he is on
metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9.()
mmoVL, blood pressure 133/84 mmHg and Hbalc is 11%. The most appropriate treatment:
(6/2019)
A. Increase metformin dose
B. Increase sulfonylurea dose
C. Add insulin
D. Add exenatide
E. Further diet and exercise | Answer: C
This patient need triple therapy including insulin as his HbAlc more than 10%
We use exenatide when BMI is very high |
A 35-year-old woman presents with visual disturbances. She reports having double vision which
was intermittent initially but has now become much more frequent. In addition, she becomes
breathless very easily and experiences palpitations. On examination, raised, painless lesions are
observed on the front of her shins and finger clubbing. The most specific test to make the
expected diagnosis is: (6/2019)
A. Serum free T3 level
B. Serum free T4 level
C. Serum TSH level
D. Serum thyroid stimulating immunoglobulin antibodies
E. Serum total T4 level | Answer: D |
A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of breath . There is history of fever and sore throat two days back . The most likely cause of his
symptoms is ? (4/2019)
A . DKA
B . Gastritis .
C . Hypoglycemia .
D . Renal failure .
E . Non ketotic hyperosmolar coma | Answer: A
This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection |
A forty year old lady gives history of weight gain and hoarseness of voice . On examination her pulse is 54 per minute and skin is pale , coarse and dry . The most important Investigation to find diaglosis in this case is ? (4/2019)
A . ACTH
B . Cortisol level .
C . Gonadotrophin levels
D . IGF
E.TFT | Answer: E
This female has clinical pictures of hypothyroidism which need thyroid function test in diagnosis |
A forty -year- old man presents with cold intolerance and weight gain. Examination reveals
goiter. The most likely finding on central nervous system examination is: (4/2019)
A. Ataxia
B. Delayed of ankle jerk
C. Hypertonia
D. Hyper reflexia
E. Loss of sensations | Answer: B
Clinical pictures of hypothyroidism:
lethargy, constipation, cold intolerance, stifress & cramping of muscles, carpal tunnel
syndrome, menorrhagia, slow motor activity, decrease appetite, weight increase, hair & skin dry, |
In a patient with centripetal obesity, acne and hirsutism. The most likely diagnosis is: (4/2019)
A. Cushing's syndrome
B. Diabetes mellitus
C. Hypogonadism
D. Hypothyroidism
E. Simple obesity | Answer: A
Clinical pictures of Cushing's syndrome:
fat deposition: moon face, buffalo hump, mesenteric bed, truncal obesity
2- HTN
3- muscle weakness + fatigability
4- osteoporosis
5_ cutaneous striae
6- easy bruisability
7- acne, hirsutism, amenorrhea
8- emotional changes irritability >> depression >> confusion
9- glucose intolerance >> DM
10- hypokalemia
ll- leukocytosis
12- delayed wound healing
13- Renal calculi I
14- glaucoma
15- pyuria
16- susceptibility to infection. |
One of the following is a known cause of gynecomastia: (6/2019)
A. Hepatitis A infection
B. Acute renal failure
C. Hyperparathyroidism
D. Hyperpituitarism
E. Furosemide diuretic | Answer: D |
A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP
complaining change of her breath sound. she first noted numbness, particular in her toes and
finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her
blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019)
A. Obstructive sleep apnea
B. Secondary hypoparathyroidism
C. Primary hypoparathyroidism
D. Gullian-barre syndrome
E. Raynaud's syndrome | Answer: C |
A 42-year-old female presented with visual disturbance. she reports have double vision which intermittent initially but has now become much more frequent. Ln addition, she become breathless very easily and experiences palpitations. On examination, raised, painless lesions are observed on the front of her shins and finger clubbing, all of the following true except : (6/2019) A. This condition is due to IgG antibodies binding to the TSH receptor B. This condition associated with multinodular goiter C. This condition associated with pernicious anemia and high T3, T4 D. This condition in long tern can lead to osteoporosis E. This condition can be t•eated with radioactive iodine | Answer: B |
Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019)
A. Decrease renin activity
B. Vasodilation
C. Decrease aldosterone
D. Decrease sodium absorption
E. Decrease potassium excretion | Answer: A |
A 38-year-old female patient, who has BMI 29 and type 2 DM, she has been taking metformin
with good effect for the last four months. He has started to lose weight and maintained good
glucose control. In the last two months, however, the patient has been persistently hyperglycemic
despite increased metformin dosage and HbAlc targets have not been achieved and now HbA1c
is 11%. The most appropriate management? (6/2019)
A. Add thiazolidinedione
B. Add insulin therapy
C. Add sulfonylurea
D. Increase metforrnin dose
E. Add exenatide | Answer: C |
A 41 -year-old male has been recently diagnosed with type 2 DM and has been following a plan
lifestyle measures to improve his diet and increase his level of exercise, as well as he is on
metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9.()
mmoVL, blood pressure 133/84 mmHg and Hbalc is 11%. The most appropriate treatment:
(6/2019)
A. Increase metformin dose
B. Increase sulfonylurea dose
C. Add insulin
D. Add exenatide
E. Further diet and exercise | Answer: C
This patient need triple therapy including insulin as his HbAlc more than 10%
We use exenatide when BMI is very high |
A 35-year-old woman presents with visual disturbances. She reports having double vision which
was intermittent initially but has now become much more frequent. In addition, she becomes
breathless very easily and experiences palpitations. On examination, raised, painless lesions are
observed on the front of her shins and finger clubbing. The most specific test to make the
expected diagnosis is: (6/2019)
A. Serum free T3 level
B. Serum free T4 level
C. Serum TSH level
D. Serum thyroid stimulating immunoglobulin antibodies
E. Serum total T4 level | Answer: D |
A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of breath . There is history of fever and sore throat two days back . The most likely cause of his
symptoms is ? (4/2019)
A . DKA
B . Gastritis .
C . Hypoglycemia .
D . Renal failure .
E . Non ketotic hyperosmolar coma | Answer: A
This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection |
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