MEDICINE: PRACTICE 13

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

           

1.        Intensive glycaemic control is usually contraindicated in children less than 7 years of age to prevent:
   a.       Brain damage from hypoglycaemia
   b.      Arrhythmia from hypoglycaemia
   c.       Anxiety and tremors from hypoglycaemia
   d.      Infection from multiple injections
   e.      Keloids from continuous injection
   2.       Goitre is highly characteristic of the following causes of hypothyroidism except:
   a.       Riedel’s thyroiditis
   b.      Hashimoto’s thyroiditis
   c.       Sarcoidosis and amyloidosis
   d.      Iodine deficiency in mountainous regions
   e.      Pendred’s syndrome
   3.       Infiltrative causes of hypothyroidism include the following except:
   a.       Amyloidosis
   b.      De Quervain’s thyroiditis
   c.       Sarcoidosis
   d.      Riedel’s thyroiditis
   e.      None of the above
   4.       The following can cause both hyperthyroidism and hypothyroidism except:
   a.       Amiodarone therapy
   b.      De Quervain’s thyroiditis
   c.       Postpartum thyroiditis
   d.      Lithium therapy
   e.      None of the above
   5.       Cutaneous findings in hypothyroidism does not usually include:
   a.       Lemon-yellow tint to the skin
   b.      Purplish lips
   c.       Facial pallor
   d.      Granny’s tartan
   e.      Acanthosis nigricans
   6.       Transient hypothyroidism is seen in the following except:
   a.       After subtotal thyroidectomy
   b.      After  ¹³¹Iodine treatment
   c.       Post thyrotoxic phase of subacute thyroiditis
   d.      After total thyroidectomy
   e.      Post-partum thyroiditis
   7.       When treating hypothyroidism, the following will usually necessitate increasing the dose of levothyroxine except:
   a.       Coeliac disease
   b.      Elderly patients
   c.       Rifampicin therapy
   d.      If the patient is taking carbamazepine
   e.      Dietary fibre supplements
   8.       Thyroid function test result showing undetectable thyroid stimulating hormone (TSH), and normal triiodothyronine (T₃) and thyroxine (T₄) , most likely suggest:
   a.       Sick euthyroidism
   b.      Hashitoxicosis
   c.       Subclinical thyrotoxicosis  
   d.      Subclinical hypothyroidism
   e.      Myxoedema coma
   9.       The autoantibodies in Grave’s disease are usually:
   a.       IgG
   b.      IgA
   c.       IgM
   d.      IgE
   e.      IgD
   10.   The most common manifestation of Grave’s disease is:
   a.       Ophthalmopathy
   b.      Thyrotoxicosis
   c.       Pretibial myxoedema
   d.      Diffuse goitre
   e.      Suppurative thyroiditis 
   
   
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