Rafi Endocrine- Questions & Answers
What heart condition is Turner's syndrome associated with?
Truncus arteriosus
Patent ductus arteriosus
Tricuspid atresia
Coarctation of the aorta" Correct Ans-Coarctation of the aorta
"
You are a junior doctor on your primary care rotation. You see Pascal, a man recently diagnosed
with lung cancer. He wants to discuss a 'rash' that has been gradually arising in his axillae, and
also now on his abdomen. While talking to him, you notice that he has moon facies and facial
plethora.
To what type of lung cancer can these symptoms all be attributed?
Squamous cell lung cancer
Adenocarcinoma of the lung
Large cell lung cancer
Small cell lung cancer" Correct Ans-Small cell lung cancer
"
,ou are working in general practice when one of your patients presents with a thyroid nodule.
History reveals that the patient has been feeling anxious recently, struggles to swallow and has a
hoarse voice. Examination reveals a single solitary nodule about the size of a grape in the
anterior triangle of the neck.
You decide to do a thyroid function test which reveals that the patient has elevated thyroid
stimulating hormone (TSH).
Which of the following is your immediate next step?
Fine needle aspiration
Thyroidectomy in the next 2 weeks
Watch and wait
Radioiodine destruction of thyroid gland
Levothyroxine" Correct Ans-Fine needle aspiration
"
A 72-year-old female presents with a 5-day history of confusion. The family informs you that she
has hypertension and is taking hydrochlorothiazide (Ridaq). She is on no other medication, is not
a diabetic and a random blood glucose is within normal limits. You decide to order some blood
tests.
Which of the following would be the most likely finding accounting for her confusion?
,Hypoglycaemia
Hypokalaemia
Hyponatraemia
Hypomagnesemia" Correct Ans-"Hyponatraemia
*using thiazide diuretic which removes water and sodium"
"
A healthy and asymptomatic 58-year-old lady is found to have the following thyroid function
tests in a routine employment healthcare check-up:
TSH: 0.1 mU/L (0.4-4.0 mU/L)
T4: 20 pmol/L (9-24 pmol/L)
T3: 6.1 pmol/L (3.5-7.8 pmol/L)
What is the most appropriate next step in her management?
Re-check thyroid function in 3 months
MRI pituitary
Thyroid antibody tests
Initiate carbimazole therapy
Refer to an endocrinologist" Correct Ans-Re-check thyroid function in 3 months
"
, During a routine physical examination, a 65-year-old woman with diabetes mellitus has her
balance checked. She is first asked to stand with her feet together (eyes open) and does this well.
When she closes her eyes, she begins to fall and is caught by the examiner. Additional
neurological findings include absent ankle jerk reflexes and absent perception of vibration at her
toes bilaterally.
A lesion to which of the following is the most likely cause of her balance difficulty?
Peripheral nerves
Vestibular system
Upper motor neurons
Cerebellum
Basal ganglia" Correct Ans-Peripheral nerve
"
In which of the following cases would synthetic GnRH antagonists and GnRH agonists both be
used?
Uterine fibroids
Triggering ovulation in IVF
Hormone dependent prostate cancer
Endometriosis Correct Ans-Triggering ovulation in IVF
What heart condition is Turner's syndrome associated with?
Truncus arteriosus
Patent ductus arteriosus
Tricuspid atresia
Coarctation of the aorta" Correct Ans-Coarctation of the aorta
"
You are a junior doctor on your primary care rotation. You see Pascal, a man recently diagnosed
with lung cancer. He wants to discuss a 'rash' that has been gradually arising in his axillae, and
also now on his abdomen. While talking to him, you notice that he has moon facies and facial
plethora.
To what type of lung cancer can these symptoms all be attributed?
Squamous cell lung cancer
Adenocarcinoma of the lung
Large cell lung cancer
Small cell lung cancer" Correct Ans-Small cell lung cancer
"
,ou are working in general practice when one of your patients presents with a thyroid nodule.
History reveals that the patient has been feeling anxious recently, struggles to swallow and has a
hoarse voice. Examination reveals a single solitary nodule about the size of a grape in the
anterior triangle of the neck.
You decide to do a thyroid function test which reveals that the patient has elevated thyroid
stimulating hormone (TSH).
Which of the following is your immediate next step?
Fine needle aspiration
Thyroidectomy in the next 2 weeks
Watch and wait
Radioiodine destruction of thyroid gland
Levothyroxine" Correct Ans-Fine needle aspiration
"
A 72-year-old female presents with a 5-day history of confusion. The family informs you that she
has hypertension and is taking hydrochlorothiazide (Ridaq). She is on no other medication, is not
a diabetic and a random blood glucose is within normal limits. You decide to order some blood
tests.
Which of the following would be the most likely finding accounting for her confusion?
,Hypoglycaemia
Hypokalaemia
Hyponatraemia
Hypomagnesemia" Correct Ans-"Hyponatraemia
*using thiazide diuretic which removes water and sodium"
"
A healthy and asymptomatic 58-year-old lady is found to have the following thyroid function
tests in a routine employment healthcare check-up:
TSH: 0.1 mU/L (0.4-4.0 mU/L)
T4: 20 pmol/L (9-24 pmol/L)
T3: 6.1 pmol/L (3.5-7.8 pmol/L)
What is the most appropriate next step in her management?
Re-check thyroid function in 3 months
MRI pituitary
Thyroid antibody tests
Initiate carbimazole therapy
Refer to an endocrinologist" Correct Ans-Re-check thyroid function in 3 months
"
, During a routine physical examination, a 65-year-old woman with diabetes mellitus has her
balance checked. She is first asked to stand with her feet together (eyes open) and does this well.
When she closes her eyes, she begins to fall and is caught by the examiner. Additional
neurological findings include absent ankle jerk reflexes and absent perception of vibration at her
toes bilaterally.
A lesion to which of the following is the most likely cause of her balance difficulty?
Peripheral nerves
Vestibular system
Upper motor neurons
Cerebellum
Basal ganglia" Correct Ans-Peripheral nerve
"
In which of the following cases would synthetic GnRH antagonists and GnRH agonists both be
used?
Uterine fibroids
Triggering ovulation in IVF
Hormone dependent prostate cancer
Endometriosis Correct Ans-Triggering ovulation in IVF
