{"id":68208,"date":"2017-08-12T05:06:29","date_gmt":"2017-08-12T05:06:29","guid":{"rendered":"http:\/\/news.gyankatta.org\/?p=68208"},"modified":"2017-08-12T05:10:29","modified_gmt":"2017-08-12T05:10:29","slug":"endocrinology-multiple-choice-questions-and-answers","status":"publish","type":"post","link":"https:\/\/news.gyankatta.org\/?p=68208","title":{"rendered":"Endocrinology Multiple Choice Questions and Answers"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Cortisol is secreted from where?<\/p>\n<p>A. Adrenal Medulla<br \/>\nB. Adrenal Cortex: Zona Fasiculata<br \/>\nC. Adrenal Cortex: Zona Reticularis<br \/>\nD. Adrenal Cortex: Zona Glomerulus<br \/>\nE. Anterior Hypophysis<br \/>\nAns: D<\/p>\n<p>Which of these is not secreted from the Anterior Hypohysis?<\/p>\n<p>A. Thyroid Stimulating Hormone<br \/>\nB. Adrenocorticotrophin Hormone<br \/>\nC. Oxytocin<br \/>\nD. Follicular Stimulating Hormone<br \/>\nE. Lutenising Hormone<br \/>\nAns: C<\/p>\n<p>Diabetes Insipidus is a deficiency of what hormone?<\/p>\n<p>A. Atrial Natriuretic Peptide<br \/>\nB. Vasopressin<br \/>\nC. Aldosterone<br \/>\nD. Insulin<br \/>\nE. Progesterone<br \/>\nAns: B<\/p>\n<p>Excess prolactin causes:<\/p>\n<p>A. Acromegaly<br \/>\nB. Gynaecomastia<br \/>\nC. Dwarfism<br \/>\nD. Anaemia<br \/>\nE. Early Menopause<br \/>\nAns: B<\/p>\n<p>Which of the following signs strongly support a diagnosis of pituitary adenoma?<\/p>\n<p>A. Carpopedal Spasm<br \/>\nB. Bitemporal Hemianopsia<br \/>\nC. Chvostek&#8217;s Sign<br \/>\nD. Tremor<br \/>\nE. Clubbing<br \/>\nAns: B<\/p>\n<p>ADH is secreted by the<\/p>\n<p>A. Hypothalamus<br \/>\nB. Posterior lobe of the pituitary<br \/>\nC. Intermediate Lobe of the pituitary<br \/>\nD. Anterior lobe of the pituitary<br \/>\nAns: B<\/p>\n<p>ADH has it greatest influence on the kidneys at<\/p>\n<p>A. Cortex<br \/>\nB. Distal convoluted tubule<br \/>\nC. Medulla<br \/>\nD. Proximal convoluted tubule<br \/>\nAns: C<\/p>\n<p>TSH stimulation in the thyroid causes<\/p>\n<p>A. Decreased blood flow<br \/>\nB. Decrease in gland size<br \/>\nC. Increased in follicular epithelium<br \/>\nD. Increase in colloid<br \/>\nAns: C<\/p>\n<p>&nbsp;<\/p>\n<p>A 16 year old female presents to HMC s\/p boating accident and closed head injury with anterior table non-displaced frontal sinus<br \/>\nfracture. Her urine output on day two is 10 liters a day. You tell the family<\/p>\n<p>A. This is self limited and prognosis is good<br \/>\nB. This requires immediate surgery for decompression and<br \/>\nfracture repair<br \/>\nC. This is idiopathic and has a high mortality<br \/>\nD. This is not my problem as trauma service<\/p>\n<p>Ans: C<\/p>\n<p>In relation to Calcium, phosphorus<\/p>\n<p>A. Increases in serum concentration<br \/>\nB. Decreases in serum concentration<br \/>\nC. Linked to Magnesium<br \/>\nD. Linked to albumin<br \/>\nAns: B<\/p>\n<p>&nbsp;<\/p>\n<p>Long term management of hypercalcemia does not include<\/p>\n<p>A. Bisphosphonates<br \/>\nB. Hydration<br \/>\nC. Calcitonin<br \/>\nD. Loop diuretics<br \/>\nAns: C<\/p>\n<p>&nbsp;<\/p>\n<p>A 37 year old females is s\/p thyroidectomy POD #2 with heart rate of 155, temperature of 102 and altered mental status. Her TSH is 0.01<br \/>\nand T4 is found to be 12.3. First line treatment includes<\/p>\n<p>A. Medication targeted at destroying follicular cells<br \/>\nB. Medication that decreases T4 output in the colloid cells<br \/>\nC. Medication that prevents conversion of T4 to T3<br \/>\nD. Medication targeted centrally to prevent the release of TSH<br \/>\nAns: C<\/p>\n<p>&nbsp;<\/p>\n<p>Which medication should be avoided in a thyroid storm<\/p>\n<p>A. B-blocker<br \/>\nB. Glucocorticosteriods<br \/>\nC. Insulin<br \/>\nD. ASA<br \/>\nAns: D<\/p>\n<p>&nbsp;<\/p>\n<p>A 45 year old man is s\/p total thyroidectomy with numbness in cace and hands and a positve Chovstek sign. The serum calcium is 6.9 the<br \/>\nappropiate step is<\/p>\n<p>A. D\/C with close follow up to home<br \/>\nB. Check a magnesium STAT<br \/>\nC. Calcium gluconate 3 gm IV<br \/>\nD. Oscal with D 4500mg per day<br \/>\nAns: C<\/p>\n<p>Severe hypothyroidism characterized by dry, puffy skin, somnolence, slow mentation, and hoarseness is known as<\/p>\n<p>A. hypoparathryroidsim<br \/>\nB. myxedema<br \/>\nC. pheochromocytoma<br \/>\nD. rickets<br \/>\nAns: B<\/p>\n<p>Insulin shock is characterized by<\/p>\n<p>A. severe hypoglycemia caused by an overdose of insulin<br \/>\nB. severe hyperglycemia<br \/>\nC. too little insulin in the bloodstream<br \/>\nD. an allergic reaction to insulin<br \/>\nAns: A<\/p>\n<p>Which of the following would be an appropriate medication for someone with hypothyroidism?<\/p>\n<p>A. Cymbalta<br \/>\nB. Levoxyl<br \/>\nC. Zelnorm<br \/>\nD. Zithromax<br \/>\nAns: B<\/p>\n<p>Chronic excretion of large amounts of urine of low specific gravity is indicative of<\/p>\n<p>A. diabetes innocens<br \/>\nB. diabetes insipidus<br \/>\nC. diabetes intermittens<br \/>\nD. diabetes mellitus<br \/>\nAns: B<\/p>\n<p>Potassium, sodium, and chloride are<\/p>\n<p>A. catecholamines<br \/>\nB. electrolytes<br \/>\nC. enzymes<br \/>\nD. steroids<br \/>\nAns: B<\/p>\n<p>Enlargement of the bones of the hands, feet, and face due to overproduction of growth hormone is called<\/p>\n<p>A. acromegaly<br \/>\nB. Cushing syndrome<br \/>\nC. polydactyly<br \/>\nD. Addison disease<br \/>\nAns: A<\/p>\n<p>Which of the following is a measure of blood sugar after 4 or<br \/>\nmore hours of no food?<\/p>\n<p>A. fasting glucose<br \/>\nB. glucose tolerance test<br \/>\nC. microalbumin test<br \/>\nD. thyroid function test<br \/>\nAns: A<\/p>\n<p>Which of the following is transcribed correctly?<\/p>\n<p>A. The patient was diagnosed with type 1 diabetes at 4 years of age.<br \/>\nB. The patient was diagnosed with type I diabetes at 4 years of age.<br \/>\nC. The patient was diagnosed with type I diabetes at 4-years of age.<br \/>\nD. The patient was diagnosed with type one diabetes at 4 years of age.<br \/>\nAns: A<\/p>\n<p>Elevated glucose levels, especially in obese persons, may be due to<\/p>\n<p>A. diabetic acidosis<br \/>\nB. glucose intolerance<br \/>\nC. insulin resistance<br \/>\nD. insulin shock<br \/>\nAns: C<\/p>\n<p>Which gland secretes DHEA and cortisol?<\/p>\n<p>A. pituitary<br \/>\nB. adrenal<br \/>\nC. parathyroid<br \/>\nD. pineal<br \/>\nAns: B<\/p>\n<p>Measurement of T3, T4 and TSH is collectively known as<\/p>\n<p>A. TFTs<br \/>\nB. BMP<br \/>\nC. LFTs<br \/>\nD. CMP<br \/>\nAns: A<\/p>\n<p>Which of the following is a hypoglycemic medication?<\/p>\n<p>A. Avandia<br \/>\nB. Ceftin<br \/>\nC. Lipitor<br \/>\nD. Prevacid<br \/>\nAns: A<\/p>\n<p>Overactivity of the thyroid gland is called<\/p>\n<p>A. Addison disease<br \/>\nB. Cushing syndrome<br \/>\nC. hyperthyroidism<br \/>\nD. hypothyroidism<br \/>\nAns: C<\/p>\n<p>Which of the following is a complication of diabetes mellitus?<\/p>\n<p>A. gastropharesis<br \/>\nB. exophthalmos<br \/>\nC. hirsutism<br \/>\nD. moon facies<br \/>\nAns: A<\/p>\n<p>Graves disease is also known as<\/p>\n<p>A. hypothyroidism<br \/>\nB. parathymia<br \/>\nC. hyperinsulinism<br \/>\nD. toxic goiter<br \/>\nAns: D<\/p>\n<p>The &#8220;master gland&#8221; of the endocrine system, located at the base of the brain, is the<\/p>\n<p>A. apical gland<br \/>\nB. Bartholin gland<br \/>\nC. pituitary gland<br \/>\nD. thyroid gland<br \/>\nAns: C<\/p>\n<p>The combining form gonad\/o menas<\/p>\n<p>A. adrenal glands<br \/>\nB. pancreas<br \/>\nC. sex organs<br \/>\nD. thyroid gland<br \/>\nAns: C<\/p>\n<p>Which type of gland secretes hormones directly into the bloodstream rather than into ducts leading to the exterior of the body?<\/p>\n<p>A. endocrine gland<br \/>\nB. exocrine gland<br \/>\nC. serous gland<br \/>\nD. target gland<br \/>\nAns: A<\/p>\n<p>Which test is used to evaluate blood glucose levels over the previous 2 months?<\/p>\n<p>A. methemoglobin<br \/>\nB. C-reactive protein<br \/>\nC. hemoglobin A1c<br \/>\nD. prolactin<br \/>\nAns: C<\/p>\n<p>Enlargement of the thyroid gland is called<\/p>\n<p>A. bruit<br \/>\nB. goiter<br \/>\nC. moon facies<br \/>\nD. thyroiditis<br \/>\nAns: B<\/p>\n<p>What is a possible diagnosis for a middle-age woman with thinning hair, fatigue, irritability, and weight gain?<\/p>\n<p>A. hyperthyroidism<br \/>\nB. hypochondria<br \/>\nC. hypoparathyroidism<br \/>\nD. hypothyroidism<br \/>\nAns: D<\/p>\n<p>Insulin is produced in the<\/p>\n<p>A. gallbladder<br \/>\nB. kidney<br \/>\nC. liver<br \/>\nD. pancreas<br \/>\nAns: D<\/p>\n<p>Which hormone is secreted in the urine of pregnant women?<\/p>\n<p>A. beta hCG<br \/>\nB. oxytocin<br \/>\nC. growth hormone<br \/>\nD. somatotropin<br \/>\nAns: A<\/p>\n<p>Which of the following is secreted by the posterior lobe of the pituitary gland and stimulates contraction of the uterus during labor?<\/p>\n<p>A. estrogen<br \/>\nB. oxytocin<br \/>\nC. progesterone<br \/>\nD. prolactin<br \/>\nAns: B<\/p>\n<p>The class of drugs referred to as glitazones are used to treat<\/p>\n<p>A. diabetes insipidus<br \/>\nB. non-insulin-dependent diabetes mellitus<br \/>\nC. infertility<br \/>\nD. hypothyroidism<br \/>\nAns: B<\/p>\n<p>Which of the following is used to treat diabetes mellitus?<\/p>\n<p>A. Humalog<br \/>\nB. Lotrel<br \/>\nC. Lotensin<br \/>\nD. Neuronitn<br \/>\nAns: A<\/p>\n<p>Which of the following hormones stimulates egg production in the ovaries?<\/p>\n<p>A. FSH<br \/>\nB. PSA<br \/>\nC. TSH<br \/>\nD. prolactin<br \/>\nAns: A<\/p>\n<p>Which of the following secrete estrogen and progesterone?<\/p>\n<p>A. adrenal glands<br \/>\nB. pineal glands<br \/>\nC. ovaries<br \/>\nD. testes<br \/>\nAns: C<\/p>\n<p>What is the name of the gland that is composed of a right and left lobe on either side of the trachea?<\/p>\n<p>A. adrenal gland<br \/>\nB. parathyroid gland<br \/>\nC. pituitary gland<br \/>\nD. thyroid gland<br \/>\nAns: D<\/p>\n<p>An excessive or abnormal hair growth, particularly male pattern hair growth on a woman, is called<\/p>\n<p>A. Addison disease<br \/>\nB. cretinism<br \/>\nC. hirsutism<br \/>\nD. testoxicosis<br \/>\nAns: C<\/p>\n<p>Growth hormone<\/p>\n<p>A. Directly stimulates growth of cartilage and bone<br \/>\nB. Levels are subnormal in acromegaly<br \/>\nC. Promotes lipolysis in adipose tissue<br \/>\nD. Enhance protein breakdown in non-vital organs<br \/>\nE. Enhance insulin-stimulated glucose uptake by tissue<br \/>\nAns: C<\/p>\n<p>What test is most useful for Killer?<\/p>\n<p>A. TSH concentration<br \/>\nB. Skin biopsy<br \/>\nC. Total T4 or fT4<br \/>\nAns: C<\/p>\n<p>&nbsp;<\/p>\n<p>For most dogs, what is the main hormone that is deficient?<\/p>\n<p>A. Thyroxine (T4)<br \/>\nB. Diiodotyrosine (T2)<br \/>\nC. Triiodothyronine (T3)<br \/>\nAns: A<\/p>\n<p>Where is it produced?<\/p>\n<p>A. Thyroid<br \/>\nB. Cellular conversion<br \/>\nC. Brain<br \/>\nAns: A<\/p>\n<p>What is the active form of thyroid hormone?<\/p>\n<p>A. Triiodothyronine T3<br \/>\nB. Diiodotyrosine (T2)<br \/>\nC. Thyroxine (T4)<br \/>\nAns: A<\/p>\n<p>Where is T3 produced?<\/p>\n<p>A. Equally from thyroid and tissue conversion of T4<br \/>\nB. Small amount from thyroid, and mostly from tissue conversion of T4<br \/>\nC. Mostly from thyroid and small amount from tissue conversion of T4<br \/>\nAns: B<\/p>\n<p>What other form of thyroid hormone is produced in the cells?<\/p>\n<p>A. Diiodotyrosine T2<br \/>\nB. Thyroxine T4<br \/>\nC. Reverse T3<br \/>\nAns: C<\/p>\n<p>What is its function?<\/p>\n<p>A. Negative feedback to thyroid<br \/>\nB. Same function as T3<br \/>\nC. Inactive<br \/>\nAns: C<\/p>\n<p>What is the mechanism for deficiency of thyroid hormones in majority of cases?<\/p>\n<p>A. Bilateral thyroid gland destruction<br \/>\nB. Insufficient precursors for production<br \/>\nC. Insufficient pituitary production of TSH<br \/>\nAns: A<\/p>\n<p>How is the gland destroyed?<\/p>\n<p>A. Infection<br \/>\nB. Traumatic injury<br \/>\nC. Immune mediated<br \/>\nAns: C<\/p>\n<p>What are the most common clinical signs?<\/p>\n<p>A. Lethargy and alopecia<br \/>\nB. Weight gain and PU\/PD<br \/>\nC. Alopecia and weight gain<br \/>\nAns: A<\/p>\n<p>Where is the alopecia typically seen?<\/p>\n<p>A. Trunk and belly<br \/>\nB. Base or tip of tail, base of ears, lateral lumbar region<br \/>\nC. Tips of pinnae, base of tail and under chin<br \/>\nAns: B<\/p>\n<p>Other hair coat or skin changes include?<\/p>\n<p>A. Dry hair, Short guard hairs, Fading coat colour<br \/>\nB. Dry hair, Long guard hairs, Fading coat colour<br \/>\nC. Hyperpigmentation, Seborrhea<br \/>\nD. A and C<br \/>\nE. B and C<br \/>\nAns: E<\/p>\n<p>Other common clinical signs include&#8230;<\/p>\n<p>A. Weight gain, Hyperthermia, Bradycardia, Infertility,<br \/>\nconstipation<br \/>\nB. Weight loss, Bradycardia, Constipation<br \/>\nC. Weight gain, Bradycardia, Infertility, Constipation<br \/>\nD. Weight loss, Bradycardia, Infertility, Diarrhoea<br \/>\nAns: C<\/p>\n<p>What non-specific tests are often abnormal on a haematology and biochemistry profile?<\/p>\n<p>A. Anaemia of chronic disease, increased cholesterol, triglycerides, CK<br \/>\nB. Anaemia of chronic disease, increased urea, creatinine and CK<br \/>\nC. Anaemia of chronic disease, decreased cholesterol and CK, increased liver enzymes<br \/>\nAns: A<\/p>\n<p>What was the first specific diagnostic test you did?<\/p>\n<p>A. Free T4<br \/>\nB. TSH concentration<br \/>\nC. TSH stimulation<br \/>\nD. Total T4<br \/>\nE. A &amp; D<br \/>\nAns: E<\/p>\n<p>Why not measure T3= active form?<\/p>\n<p>A. Too expensive<br \/>\nB. Often below normal in hypothyroid dogs<br \/>\nC. Often below normal in euthyroid sick dogs<br \/>\nD. B &amp; C<br \/>\nAns: D<\/p>\n<p>What does &#8216;euthyroid sick&#8217; mean?<\/p>\n<p>A. Any form of thyroid abnormality<br \/>\nB. Synonymous with hypothyroid<br \/>\nC. Decreased TT3, +\/- TT3 and +\/- fT4 in sick (non-hypothyroid) dog<br \/>\nAns: C<\/p>\n<p>Which of the following may affect the measurement of T4 &amp; T3?<\/p>\n<p>A. Phenobarbital<br \/>\nB. Metacam, carprofen<br \/>\nC. Prednisolone<br \/>\nD. General anaesthetic<br \/>\nE. Clomipramine<br \/>\nF. All of the above<br \/>\nAns: F<\/p>\n<p>What did you use as hormone replacement therapy?<\/p>\n<p>A. Triiodothyroine T3<br \/>\nB. Thyroxine T4<br \/>\nC. Reverse T3<br \/>\nAns: B<\/p>\n<p>Which of the following are signs of overdosing?<\/p>\n<p>A. Clinical signs of overdosing do not occur with T4 therapy<br \/>\nB. Nervousness, restlessness, panting, tachycardia, PU\/PD<br \/>\nC. Lethargy, dullness, inappetance<br \/>\nAns: B<\/p>\n<p>How common is secondary (pituitary dependent. or tertiary (hypothalamic. hypothyroidism in dogs?<\/p>\n<p>A. Common<br \/>\nB. Rare<br \/>\nC. Never occurs<br \/>\nAns: B<\/p>\n<p>68. How would you distinguish between primary, secondary and tertiary<br \/>\nhypothyroidism?<\/p>\n<p>A. Measure TSH<br \/>\nB. Biopsy gland<br \/>\nC. Give TRH and measure T4<br \/>\nD. All of the above<br \/>\nAns: D<\/p>\n<p>How common is hypothyroidism in dogs?<\/p>\n<p>A. Rare<br \/>\nB. Relatively common<br \/>\nC. Similar occurrence to other endocrinopathies<br \/>\nAns: B<\/p>\n<p>How common is hypothyroidism in cats?<\/p>\n<p>A. Rare<br \/>\nB. Most common endocrinopathy<br \/>\nC. Similar occurrence to other endocrinopathies<br \/>\nAns: A<\/p>\n<p>What are the most likely diseases for PU\/PD &amp; alopecia?<\/p>\n<p>A. Diabetes mellitus, Hyperadrenocorticism, GH responsive<br \/>\nalopecia<br \/>\nB. Hyperadrenocorticism, Diabetes mellitus<br \/>\nC. Chronic renal failure, hypoadrenocorticism, hepatic neoplasia<br \/>\nAns: B<\/p>\n<p>What are the steps needed to diagnose hyperA?<\/p>\n<p>A. Look for adrenal tumour, if negative look for pituitary tumour<br \/>\nB. Confirm hyperA but it is not possible to determine whether aetiology is pituitary or adrenal<br \/>\nC. Confirm hyperA then differentiate between pituitary and adrenal dependent<br \/>\nAns: C<\/p>\n<p>What test\/s can be used to confirm\/ deny hyperA?<\/p>\n<p>A. Low dose dexamethasone suppression test<br \/>\nB. High dose dexamethasone suppression test<br \/>\nC. ACTH concentration<br \/>\nD. ACTH stimulation test<br \/>\nE. Both A and D<br \/>\nAns: E<\/p>\n<p>&nbsp;<\/p>\n<p>What are the causes of HyperA<\/p>\n<p>A. Neoplasia + iatrogenic (exogenous steroids)<br \/>\nB. Neoplasia + iatrogenic + immune mediated<br \/>\nC. Neoplaia + iatrogenic + diet<br \/>\nAns: A<\/p>\n<p>What is the primary hormone in excess in a pituitary tumour?<\/p>\n<p>A. ACTH<br \/>\nB. Cortisol<br \/>\nC. TSH<br \/>\nAns: A<\/p>\n<p>What is the primary hormone in excess in an adrenal tumour<\/p>\n<p>A. ACTH<br \/>\nB. Cortisol<br \/>\nC. TSH<br \/>\nAns: B<\/p>\n<p>What are the major effects of excess cortisol?<\/p>\n<p>A. Catbolic + immunosuppression<br \/>\nB. Catabolic + anabolic<br \/>\nC. Catabolic + immune stimulation<br \/>\nAns: A<\/p>\n<p>Which of the following could be used to determine PDH vs AT?<\/p>\n<p>A. 4 hour sample in the LDD<br \/>\nB. High dose dexamethasone suppression test<br \/>\nC. Ultrasound &amp;\/ or x-ray of adrenals<br \/>\nD. ACTH concentration<br \/>\nE. All of the above<br \/>\nAns: E<\/p>\n<p>What is the rationale for using radiography?<\/p>\n<p>A. Different adrenal size<br \/>\nB. Identify other abdominal problems<br \/>\nC. Mineralisation of the adrenals<br \/>\nAns: C<\/p>\n<p>What are the implications of a pituitary tumour?<\/p>\n<p>A. Most are large tumours that will kill the dog due to space occupation in the brain<br \/>\nB. Most are small tumours, but dog is likely to die from metastasis.<br \/>\nC. Most are small tumours; tumour invasion and metastasis rarely cause death<br \/>\nAns: C<\/p>\n<p>How would you test for iatrogenic hyperA?<\/p>\n<p>A. ACTH stimulation<br \/>\nB. Low dose dexamethasone suppression test<br \/>\nC. High dose dexamethasone suppression test<br \/>\nD. ACTH concentration<br \/>\nAns: A<\/p>\n<p>What was your final diagnosis for Sheena?<\/p>\n<p>A. Pituitary dependent hyperadrenocorticism + bacterial cystitis<br \/>\nB. Adrenal dependent hyperadrenocorticism + renal failure<br \/>\nC. Adrenal dependent hyperadrenocorticism + cystitis<br \/>\nAns: C<\/p>\n<p>What treatment would you recommend?<\/p>\n<p>A. Surgery<br \/>\nB. Euthanasia<br \/>\nC. No treatment is necessary<br \/>\nAns: A<\/p>\n<p>What test\/s should be performed prior to surgery?<\/p>\n<p>A. Chest radiograph and abdominal ultrasound<br \/>\nB. Chest radiograph and brain MRI or CT scan<br \/>\nC. Chest radiograph and cardiac ultrasound<br \/>\nAns: A<\/p>\n<p>If surgery was not an option?<\/p>\n<p>A. Euthanasia<br \/>\nB. Drug therapy<br \/>\nC. No treatment necessary<br \/>\nAns: B<\/p>\n<p>What drugs?<\/p>\n<p>A. Mitotane +\/- prednisolone or trilostane<br \/>\nB. Mitotane +\/- prednisolone or selegiline\/ L-deprenyl<br \/>\nC. Ketoconazole +\/- prednisolone or selegiline\/ L-deprenyl<br \/>\nAns: A<\/p>\n<p>How do you assess the response to treatment?<\/p>\n<p>A. Feed and water intake<br \/>\nB. ACTH stimulation test<br \/>\nC. Both of the above<br \/>\nAns: C<\/p>\n<p>Choose the intermediate-acting insulin(s)<\/p>\n<p>A. Lispro<br \/>\nB. Aspart<br \/>\nC. Regular<br \/>\nD. NPH<br \/>\nE. Glargine<br \/>\nAns: D<\/p>\n<p>The main mechanism of _____ is to block TH iodination; also prevent peripheral conversion of T4 &#8211;&gt;T3.<\/p>\n<p>A. Propylthiouracil<br \/>\nB. Methimazole<br \/>\nC. Triiodothyronine<br \/>\nD. Iodine<br \/>\nE. Potassium thiocyanate<br \/>\nF. Beta-blockers<br \/>\nG. Radioactive iodine (I131)<br \/>\nAns: A<\/p>\n<p>The main indication for _____ is intravenous calcium replacement<br \/>\nfor hypocalcemia.<\/p>\n<p>A. Calcium gluconate<br \/>\nB. Calcium carbonate<br \/>\nC. Calcium citrate<br \/>\nD. Raloxifene<br \/>\nE. Bisphosphonates (&#8220;-dronate&#8221;)<br \/>\nF. Calcitonin<br \/>\nG. Denosumab<br \/>\nH. Teriparatide<br \/>\nAns: A<\/p>\n<p>Monoclonal antibody that binds to Her2\/neu receptor on breast cancer cells<\/p>\n<p>A. Estrogen replacement<br \/>\nB. Gonadotropins<br \/>\nC. Tamoxifen<br \/>\nD. Anastrozole<br \/>\nE. Trastuzumab<br \/>\nF. Goserelin<br \/>\nAns: E<\/p>\n<p>Glipizide has the following main side-effects:<\/p>\n<p>A. Hypoglycemia<br \/>\nB. Lactic acidosis<br \/>\nC. Weight gain<br \/>\nD. Hepatotoxicity<br \/>\nE. CV toxicity<br \/>\nF. Nausea and vomitting<br \/>\nG. Pancreatitis<br \/>\nH. Edema<br \/>\nAns: A<\/p>\n<p>&nbsp;<\/p>\n<p>Partial estrogen agonist (SERM) in breast tissue &#8211; used to treat and prevent ER-positive breast cancer<\/p>\n<p>A. Estrogen replacement<br \/>\nB. Gonadotropins<br \/>\nC. Tamoxifen<br \/>\nD. Anastrozole<br \/>\nE. Trastuzumab<br \/>\nF. Goserelin<br \/>\nAns: C<\/p>\n<p>The main mechanism of _____ is to block TH iodination; contraindicated in pregnancy due to possibly teratogenicity.<\/p>\n<p>A. Propylthiouracil<br \/>\nB. Methimazole<br \/>\nC. Triiodothyronine<br \/>\nD. Iodine<br \/>\nE. Potassium thiocyanate<br \/>\nF. Beta-blockers<br \/>\nG. Radioactive iodine (I131)<br \/>\nAns: B<\/p>\n<p>The main mechanism of _____ is symptomatic relief of hyperthyroidism.<\/p>\n<p>A. Propylthiouracil<br \/>\nB. Methimazole<br \/>\nC. Triiodothyronine<br \/>\nD. Iodine<br \/>\nE. Potassium thiocyanate<br \/>\nF. Beta-blockers<br \/>\nG. Radioactive iodine (I131)<br \/>\nAns: F<\/p>\n<p>The main indication for _____ is dietary calcium supplementation; need to take with a meal and can take less.<\/p>\n<p>A. Calcium gluconate<br \/>\nB. Calcium carbonate<br \/>\nC. Calcium citrate<br \/>\nD. Raloxifene<br \/>\nE. Bisphosphonates (&#8220;-dronate&#8221;)<br \/>\nF. Calcitonin<br \/>\nG. Denosumab<br \/>\nH. Teriparatide<br \/>\nI. Calcitriol<br \/>\nAns: B<\/p>\n<p>&nbsp;<\/p>\n<p>_____ treat osteoporosis by inhibiting (killing) osteoclasts.<\/p>\n<p>A. Calcium gluconate<br \/>\nB. Calcium carbonate<br \/>\nC. Calcium citrate<br \/>\nD. Raloxifene<br \/>\nE. Bisphosphonates (&#8220;-dronate&#8221;)<br \/>\nF. Calcitonin<br \/>\nG. Denosumab<br \/>\nH. Teriparatide<br \/>\nI. Calcitriol<\/p>\n<p>&nbsp;<\/p>\n<p>The main mechanism of _____ is to replace thyroxine (T4).<\/p>\n<p>A. Propylthiouracil<br \/>\nB. Methimazole<br \/>\nC. Triiodothyronine<br \/>\nD. Iodine<br \/>\nE. Potassium thiocyanate<br \/>\nF. Beta-blockers<br \/>\nG. Radioactive iodine (I131)<br \/>\nAns: C<\/p>\n<p>The main mechanism of _____ is closing K+ membrane channels on beta cells which triggers insulin release.<\/p>\n<p>A. Glizipide<br \/>\nB. Metformin<br \/>\nC. Sitagliptin<br \/>\nD. Exenatide<br \/>\nE. Pioglitazone\/Rosiglitazone<br \/>\nAns: A<\/p>\n<p>Choose the slow-acting insulin(s):<\/p>\n<p>A. Lispro<br \/>\nB. Aspart<br \/>\nC. Regular<br \/>\nD. NPH<br \/>\nE. Glargine<br \/>\nAns: E<\/p>\n<p>GnRH analog that can suppress fertiltiy if given continuously<\/p>\n<p>A. Estrogen replacement<br \/>\nB. Gonadotropins<br \/>\nC. Tamoxifen<br \/>\nD. Anastrozole<br \/>\nE. Trastuzumab<br \/>\nF. Goserelin<br \/>\nAns: B<\/p>\n<p>The main mechanism of _____ is to block secretion of preformed thyroid hormone.<\/p>\n<p>A. Propylthiouracil<br \/>\nB. Methimazole<br \/>\nC. Triiodothyronine<br \/>\nD. Iodine<br \/>\nE. Potassium thiocyanate<br \/>\nF. Beta-blockers<br \/>\nG. Radioactive iodine (I131)<br \/>\nAns: D<\/p>\n<p>&nbsp;<\/p>\n<p>Metformin has the following main side-effects:<\/p>\n<p>A. Hypoglycemia<br \/>\nB. Lactic acidosis<br \/>\nC. Weight gain<br \/>\nD. Hepatotoxicity<br \/>\nE. CV toxicity<br \/>\nF. Nausea and vomitting<br \/>\nG. Pancreatitis<br \/>\nH. Edema<br \/>\nAns: B<\/p>\n<p>_____ is indicated for use in emergent hypercalcemia to quickly reduce serum calcium; given in combnation with bisphosphonates which take ~48 hours to reduce serum calcium.<\/p>\n<p>A. Calcium gluconate<br \/>\nB. Calcium carbonate<br \/>\nC. Calcium citrate<br \/>\nD. Raloxifene<br \/>\nE. Bisphosphonates (&#8220;-dronate&#8221;)<br \/>\nF. Calcitonin<br \/>\nG. Denosumab<br \/>\nH. Teriparatide<br \/>\nI. Calcitriol<br \/>\nAns: F<\/p>\n<p>This main mechanism of _____ is to act as an analog of incretin (GLP-1) which increases glucose dependent insulin secretion and reduces glucagon release.<\/p>\n<p>A. Glizipide<br \/>\nB. Metformin<br \/>\nC. Sitagliptin<br \/>\nD. Exenatide<br \/>\nE. Pioglitazone\/Rosiglitazone<br \/>\nAns: D<\/p>\n<p>The main mechanism of _____ is to inhibit DPP-4.<\/p>\n<p>A. Glizipide<br \/>\nB. Metformin<br \/>\nC. Sitagliptin<br \/>\nD. Exenatide<br \/>\nE. Pioglitazone\/Rosiglitazone<br \/>\nAns: C<\/p>\n<p>&nbsp;<\/p>\n<p>The main mechanism of _____ is killing thyroid cells.<\/p>\n<p>A. Propylthiouracil<br \/>\nB. Methimazole<br \/>\nC. Triiodothyronine<br \/>\nD. Iodine<br \/>\nE. Potassium thiocyanate<br \/>\nF. Beta-blockers<br \/>\nG. Radioactive iodine (I131)<br \/>\nAns: G<\/p>\n<p>&nbsp;<\/p>\n<p>The main mechanism of _____ is inhibition of gluconeogenesis in the liver.<\/p>\n<p>A. Glizipide<br \/>\nB. Metformin<br \/>\nC. Sitagliptin<br \/>\nD. Exenatide<br \/>\nE. Pioglitazone\/Rosiglitazone<br \/>\nAns: B<\/p>\n<p>The main indication for _____ is vitamin D replacement.<\/p>\n<p>A. Calcium gluconate<br \/>\nB. Calcium carbonate<br \/>\nC. Calcium citrate<br \/>\nD. Raloxifene<br \/>\nE. Bisphosphonates (&#8220;-dronate&#8221;)<br \/>\nF. Calcitonin<br \/>\nG. Denosumab<br \/>\nH. Teriparatide<br \/>\nI. Calcitriol<br \/>\nAns: I<\/p>\n<p>The main mechanism of _____ is to increase insulin sensitivity in peripheral tissue.<\/p>\n<p>A. Glizipide<br \/>\nB. Metformin<br \/>\nC. Sitagliptin<br \/>\nD. Exenatide<br \/>\nE. Pioglitazone\/Rosiglitazone<br \/>\nAns: E<\/p>\n<p>&nbsp;<\/p>\n<p>The main mechanism of _____ is to inhibit iodide transport.<\/p>\n<p>A. Propylthiouracil<br \/>\nB. Methimazole<br \/>\nC. Triiodothyronine<br \/>\nD. Iodine<br \/>\nE. Potassium thiocyanate<br \/>\nF. Beta-blockers<br \/>\nG. Radioactive iodine (I131.<br \/>\nAns: E<\/p>\n<p>Aromatase inhibitor used in postmenopausal women with breast cancer to block peripheral estrogen production.<\/p>\n<p>A. Estrogen replacement<br \/>\nB. Gonadotropins<br \/>\nC. Tamoxifen<br \/>\nD. Anastrozole<br \/>\nE. Trastuzumab<br \/>\nF. Goserelin<br \/>\nAns: D<\/p>\n<p>_____ is used to treat hypogonadism or ovarian failure, menstrual abnormalities; risk of endometrial cancer, bleeding, vaginal clear cell adenocarcinoma, thrombi formation<\/p>\n<p>A. Estrogen replacement<br \/>\nB. Gonadotropins<br \/>\nC. Tamoxifen<br \/>\nD. Anastrozole<br \/>\nE. Trastuzumab<br \/>\nF. Goserelin<br \/>\nAns: A<\/p>\n<p>&nbsp;<\/p>\n<p>_____ is a selective estrogen receptor modulator and is indicated for treatment of osteoporosis and prevents breast cancer.<\/p>\n<p>A. Calcium gluconate<br \/>\nB. Calcium carbonate<br \/>\nC. Calcium citrate<br \/>\nD. Raloxifene<br \/>\nE. Bisphosphonates (&#8220;-dronate&#8221;)<br \/>\nF. Calcitonin<br \/>\nG. Denosumab<br \/>\nH. Teriparatide<br \/>\nI. Calcitriol<br \/>\nAns: D<\/p>\n<p>The main indication for _____ is dietary calcium supplementation; don&#8217;t need to take with a meal but have to take more.<\/p>\n<p>A. Calcium gluconate<br \/>\nB. Calcium carbonate<br \/>\nC. Calcium citrate<br \/>\nD. Raloxifene<br \/>\nE. Bisphosphonates (&#8220;-dronate&#8221;)<br \/>\nF. Calcitonin<br \/>\nG. Denosumab<br \/>\nH. Teriparatide<br \/>\nI. Calcitriol<br \/>\nAns: C<\/p>\n<p>_____ is a monoclonal antibody that binds RANKL and inhibits<br \/>\nosteoclast differentiation.<\/p>\n<p>A. Calcium gluconate<br \/>\nB. Calcium carbonate<br \/>\nC. Calcium citrate<br \/>\nD. Raloxifene<br \/>\nE. Bisphosphonates (&#8220;-dronate&#8221;)<br \/>\nF. Calcitonin<br \/>\nG. Denosumab<br \/>\nH. Teriparatide<br \/>\nI. Calcitriol<br \/>\nAns: G<\/p>\n<p>T4 is converted to T3 by _____.<\/p>\n<p>A. TBG<br \/>\nB. thyroglobulin<br \/>\nC. peripheral tissue<br \/>\nAns: C<\/p>\n<p>118. Adrenal hemorrhage and insufficiency due to Neisseria<br \/>\nmeningitidis is called _____.<\/p>\n<p>A. Addison&#8217;s<br \/>\nB. Cushing&#8217;s<br \/>\nC. Conn&#8217;s<br \/>\nD. Waterhouse-Friderichsen syndrome<br \/>\nAns: D<\/p>\n<p>&nbsp;<\/p>\n<p>Subacute thyroiditis causes chronic hyperthyroidism.<\/p>\n<p>A. True<br \/>\nB. False<br \/>\nAns: B<\/p>\n<p>&nbsp;<\/p>\n<p>GnRH, oxytocin, ADH, and TRH signal via&#8230;<\/p>\n<p>A. cAMP<br \/>\nB. cGMP<br \/>\nC. IP3<br \/>\nD. Cytosolic steroid receptor<br \/>\nE. Nuclear steroid receptor<br \/>\nF. Tyrosine (MAP) kinase pathway<br \/>\nG. JAK\/STAT pathway<br \/>\nAns: C<\/p>\n<p>&nbsp;<\/p>\n<p>Insulin and IGF-1 signal via&#8230;<\/p>\n<p>A. cAMP<br \/>\nB. cGMP<br \/>\nC. IP3<br \/>\nD. Cytosolic steroid receptor<br \/>\nE. Nuclear steroid receptor<br \/>\nF. Tyrosine (MAP) kinase pathway<br \/>\nG. JAK\/STAT pathway<br \/>\nAns: F<\/p>\n<p>&nbsp;<\/p>\n<p>Refractory hyperparathyroidism due to chronic renal disease; very elevated PTH and elevated Ca2+<\/p>\n<p>A. Primary hyperparathyroidism<br \/>\nB. Secondary hyperparathyroidism<br \/>\nC. Tertiary hyperparathyroidism<br \/>\nAns: C<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; Cortisol is secreted from where? A. Adrenal Medulla B. Adrenal Cortex: Zona Fasiculata C. Adrenal Cortex: Zona Reticularis D. Adrenal Cortex: Zona Glomerulus E. Anterior Hypophysis Ans: D Which of these is not secreted from the Anterior Hypohysis? A. Thyroid Stimulating Hormone B. Adrenocorticotrophin Hormone C. Oxytocin D. Follicular Stimulating Hormone E. Lutenising [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-68208","post","type-post","status-publish","format-standard","hentry","category-gk","cat-12-id"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Endocrinology Multiple Choice Questions and Answers - Gyankatta<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.gyankatta.org\/?p=68208\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endocrinology Multiple Choice Questions and Answers - Gyankatta\" \/>\n<meta property=\"og:description\" content=\"&nbsp; &nbsp; Cortisol is secreted from where? A. Adrenal Medulla B. Adrenal Cortex: Zona Fasiculata C. Adrenal Cortex: Zona Reticularis D. Adrenal Cortex: Zona Glomerulus E. Anterior Hypophysis Ans: D Which of these is not secreted from the Anterior Hypohysis? A. Thyroid Stimulating Hormone B. Adrenocorticotrophin Hormone C. Oxytocin D. Follicular Stimulating Hormone E. 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A. Adrenal Medulla B. Adrenal Cortex: Zona Fasiculata C. Adrenal Cortex: Zona Reticularis D. Adrenal Cortex: Zona Glomerulus E. Anterior Hypophysis Ans: D Which of these is not secreted from the Anterior Hypohysis? A. Thyroid Stimulating Hormone B. Adrenocorticotrophin Hormone C. Oxytocin D. Follicular Stimulating Hormone E. 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