MEDICINE PRACTICE 5

     INSTRUCTION: SELECT THE SINGLE BEST OPTION:
 

1.         The adrenal insufficiency precipitated by inappropriate withdrawal of suppressive glucocorticoid therapy, is known as:
   a.       Addison’s disease
   b.      Secondary adrenal insufficiency
   c.       Primary adrenal insufficiency
   d.      Simmond’s disease
   e.      Sipple’s syndrome
   2.       The following investigations are usually done for a patient with adrenal insufficiency except:
   a.       Short synacthen test
   b.      Random plasma cortisol
   c.       Long ACTH stimulation test
   d.      Measurement of dehydroepiandrosterone level in men
   e.      Chest X-ray
   3.       In the management of Addisonian crisis, the following are among the initial steps except:
   a.       Giving intravenous saline to correct volume depletion
   b.      Giving intravenous hydrocortisone succinate
   c.       Administration of 10% dextrose water
   d.      Administration of fludrocortisone usually in acute phase of treatment.
   e.      Treatment of acute precipitants
   4.       The dose of synacthen used for tetracosactrin test , is usually:
   a.       125 microgram
   b.      250 microgram
   c.       500 microgram
   d.      375 microgram
   e.      875 microgram
   5.       The following are usual findings in autoimmune polyendocrinopathy type 2 (Schmidt’s syndrome) except:
   a.       Addison’s disease
   b.      Type 2 diabetes mellitus
   c.       Primary hypothyroidism
   d.      Primary hypogonadism
   e.      Graves’ disease
   6.       Which of the following is incorrect about the management of adrenal insufficiency?
   a.        Dehydroepiandrosterone is usually given to male patients
   b.      Adequacy of fludrocortisone therapy is objectively assessed by measurement of plasma rennin activity
   c.       Hydrocortisone is usually the drug of choice
   d.      Aggressive correction of hyperkalaemia may lead to pontine demyelination
   e.      In patients already receiving glucocorticoids, short synacthen test is usually performed first thing in the morning.
   7.       Acquired ventricular septal defect is usually a complication of:
   a.       Mitral regurgitation
   b.      Myocardial infarction
   c.       Tetralogy of Fallot
   d.      Eissenmenger syndrome
   e.      Dressler’s syndrome
   8.       Considering the most correct, the following features are primarily ascribed to pulmonary oedema except:
   a.       Breathlessness
   b.      Cyanosis
   c.       Oliguria
   d.      Inspiratory crackles
   e.      Hypoxaemia
   9.       Swan Ganz catheter is used to measure...................... to guide fluid replacement:
   a.       Pulmonary congestion
   b.      Pulmonary artery wedge pressure
   c.       Central venous pressure
   d.      Tidal volume of respiration
   e.      Urine ouput
   10.   The phenomenon whereby the viable myocardium surrounding a fresh infarct, contracts poorly for a few days and recovers, in a patient with recent myocardial infarction, is known as:
   a.       Dressler’s syndrome
   b.      Myocardial stunning
   c.       Conversion disorder
   d.      Raynauld’s phenomenon
   e.      Sokolow-Lyon index
   
   
   
   
   
   
   ANSWERS:
   1. b
   2. d
   3. d
   4. b
   5. b
   6. a
   7. b
   8. c
   9. b
   10. b