MEDICINE PRACTICE 1

 
             INSTRUCTION: SELECT THE SINGLE BEST OPTION.

1.        The following features are found in both Bartter’s sydrome and Gitelman’s syndrome except:
   a.       Hypokalaemia
   b.      Hypomagnesaemia
   c.       Normal to low blood pressure
   d.      Hypercalciuria
   e.      Hypochloraemic metabolic alkalosis
   2.       The following drugs may cause hypokalaemia except:
   a.       Carbenoxolone
   b.      Frusemide
   c.       Thiazide
   d.      Captopril
   e.      Salbutamol
   3.       The following are usually found in patients with Conn’s syndrome and Liddle’s syndrome except:
   a.       Elevated serum sodium
   b.      Reduced serum potassium
   c.       Elevated serum bicarbonate
   d.      Low to normal aldosterone levels
   e.      None of the above
   4.       The treatment of Liddle syndrome is with low sodium diet and diuretics which is usually:
   a.       Spironolactone
   b.      Amiloride
   c.       Furosemide
   d.      Thiazide
   e.      Mannitol
   5.       The following conditions present with hypertension and hypokalaemia except:
   a.       Conn’s syndrome
   b.      Bartter’s syndrome
   c.       Liddle syndrome
   d.      Cushing’syndrome
   e.      None of the above
   6.       The following conditions present with acidosis and hypokalaemia except:
   a.       Villous adenoma
   b.      Renal tubular acidosis type 1
   c.       Renal tubular acidosis type 2
   d.      Gitelman’s syndrome
   e.      None of the above
   7.       The following are electrocardiogram findings in hypokalaemia except:
   a.       Presence of ‘U’ waves
   b.      Widened QRS complex
   c.       ST segment depression
   d.      Flattened ‘T’ wave
   e.      Peaked ‘P’ wave
   8.       The following features are found in patients with hypokalaemia except:
   a.       Paralytic ileus
   b.      Oliguria
   c.       Muscle weakness
   d.      Arrhythmias
   e.      Acquired nephrogenic diabetes insipidus
   9.       A low urine chloride is characteristic of:
   a.       Spontaneous or self induced vomiting
   b.      Bartter’s syndrome
   c.       Gitelman’s syndrome
   d.      Diuretic therapy
   e.      None of the above
   10.   Considering the most correct, generally, when treating hypokalaemia, potassium chloride is usually advised not to exceed 20 mmol per............
   a.       Day
   b.      Week
   c.       Hour
   d.      Minute
   e.      Second
   
   
   
   
   
   
   ANSWERS:
   1. d
   2. d
   3. d
   4. b
   5. b
   6. d
   7. b
   8. b
   9. a
   10. c