Quiz: practical — AUA MCQ

1. deficiency of which vitamin causes Rickets in children?

A A: VitaminA B B: Vitamin B C C: Vitamin C D D. Vitamin D

2. Earliest sign of rickets is

A A- A Rickety rosary B B- B Craniotabes C C- C Bow legs D D- D Harrison's groove

3. Daily requirements of vitamin D is

A A- A: 100 IU B B- B:500 IU C C- C:400 IU D D- D: 1000 IU

4. Rickets in infancy is characterised by the following except:

A A- Craniotabes B B- Rachitic rosary C C- Wide open fontanelles D D- Bow legs

5. True about cow's milk are all true, except:

A a) Cow's milk contains 80% whey protein not casein B b) Cow milk has less carbohydrate than mother's milk C c) Has more K+ and Na+ than infant formula feeds D d) Has more protein than breast milk

6. Compared with cow's milk, mother's milk has more:

A A- Lactose B B- vitamin D C C- Proteins D D- Fat

7. The investigations required to diagnose Rickets, include all the following except:

A a. Serum calcium B b. Serum phosphorous C c. Alkaline phosphatase D d. Serum magnesium.

8. Closterum is Breast milk secreted in the first post natal:

A a. 2-3 days B b. one week. C c. 3-5 days D d. One month

9. 29-Compared to breast milk; caw milk is characterized by the following exce

A a. Same fat content B b. High lactose content C c. Same energy content D d. high protein content

10.Which of the following consider to be an advantage of breast feeding for

A a. Contraceptive method B b. Rapid uterine involution C c. Less incidence of breast cancer D d. All of the above

11.All the following are correct about breast milk except:

A a. High lactose content B b. Adequate amount of iron C c. High level of vit. D D d. Optimal calcium phosphorus ratio

12.Which of the following is breast feeding reflex in the baby:

A a. Moro reflex B b. Rooting reflex C c. Blinking reflex D d. Gag reflex

13.Which of the following is not correct about nutritional rickets

A A- Low level of vit. D B B- High alkaline phosphatase C C- Low serum calcium D D- Normal serum phosphorus

14.All the following are clinical signs in rickets except:

A A- Large head B B- Bow leg C C- Marfan sign D E- Hepatomegaly

1. Which one of the following is the rate limiting enzyme of ketogenesis?

A Thiolase B B. HMG CoA synthase C C. HMG CoA lyase D D. 3-Hydroxybutyrate dehydrogenase

2. Ketolysis does not occur in the liver because it lacks:

A Thiophorase B Thiolase C C. 3-Hydroxybutyrate dehydrogenase D D. HMG CoA Lyase

3. Which one of the following is the first response to hypoglycemia?

A A. Insulin production decreases B B. Epinephrine and Glucagon production increases C C. Growth hormone production increases D D. Cortisol production increases

4. What is the most participating factor for DKA?

A Infection B B. Stress C C. Steroid thereby D D. trauma

5-Normal BMI is:

A A- 25 - 29.9kg / (m ^ 2) B 18.5 to 24.9kg / (m ^ 2) C C- 30 - 39.9kg / (m ^ 2) D D- 40kg / (m ^ 2)

6-A male person 25 years old, 65 kg and 180 cm, Body Mass Index =

A X- 20.1kg / (m ^ 2) (Normal) B B- 17kg / (m ^ 2) (Underweight) C- 29.9kg / (m ^ 2) (Overweight) C 65/((1.8) * (1.8) ^ 2) = D D- 50kg / (m ^ 2) (Extreme obesity)

7-All of the followings are endocrinal causes of obesity except:

A A- Hyperinsulinism B B- Myxedema C C-Diabetes mellitus D D-Cushing syndrome

8-What is the BMI for someone who is obese:

A A-17 B B-19 C C-24 D D-39

9-What is the definition of overweight? not obese.

A A - BMP > 25kg / (m ^ 2) B B - BMI = 25kg / (m ^ 2) C C - BMI * 25 - 29.9kg / (m ^ 2) D D - BMI > 40kg / (m ^ 2)

10-This refers specifically to adults with a BMI of 30 or higher

A A-Underweight B B-Basal metabolic rate C C-Normal weight D D-Obesity

11- On average, man have a higher basal metabolic rate (BMR) than women, mainl because the body of the man has lower percentage of........:

A A- Body fat percentage B B- Glycogen C Water D Bone and minerals

12-Which of the following doesn't increase the risk of obesity developing

A A-Type 2 diabetes B B-Heart disease C C-Fatty liver disease D D-Thyrotoxicosis

I-Diabetic ketoacidosis characterized by

A hypoglycemia B b. metabolic alkalosis C c. low free fatty acids level D d. low acetone level

2. Treatment Diabetic ketoacidosis requires hospitalization to correct

A a. hypoglycemia B b. low free fatty acid level C c. hypoglycemia D d. volume depletion

3. Diabetic ketoacidosis occurs primarily in patients with

A a. hypertension B b. type 1 diabetes mellitus C c. low protein intake D d. alcohol drinking

4. The risk for death with DKA has typically been about

A 1% B 2% C c.3% D d.4%

5. Deaths with DKA are concentrated primarily in

A hypertensive B elderly persons C children D cancer patients

6. Prevention of DKA-related morbidity and mortality can be occurred by

A a. oral hypoglycemic B b. potassium repletion C c. increase protein intake D d. dehydration

7. Although most patients with DKA have type 1 diabetes, ....have type 2 diabetes

A A- 10 - 30% B b. 5 - 15% C c. 2 - 6% D d. 1-3%

8. all patients with diabetes need to monitor blood. DKA to prevent

A acetone B b. 3-B-hydroxybutyrate C pressure D d.insulin

9. many conditions that can precipitate DKA, Except

A a. pneumonia B b. urinary tractinfection C drug misuse D pregnancy

10. The most prevalent contributing factor to DKA is

A a. alcohol misuse B b. psychological stress C pregnancy D d. poor adherence to diabetes treatment program

11. All patients with positive ketones, constitutional symptoms, or suspicion of DKA and significantly elevated blood glucose levels

A a.> 250mg / d * l B b.> 300mg / d * l C c.> 350mg / d * l D .> 400mg / d * l

12. patients with DKA should have electrolytes and blood gases checked to look for

A a. an anion gapmetabolic alkalosis B b. an anion gapmetabolic acidosis C pH D P*O_{2}

13. In type 1 diabetes, DKA can develop within ... if insulin injections are stopped

A days B minutes C hours D weeks

14. Euglycemic DKA occurs more often in patients

A a. who have not taken insulin B b. who have take small dose of insulin C c. who have take large dose of insulin D d. who have not eaten but who continue to take insulin.

15.......is well-known causes of hyperglycemia that may lead to DKA

A Thyroxines B androgens C mineralocorticoids D glucocorticoids

16. About the energy balance.

A a. In normal adults energy intake is greater than energy output. B b. During growth energy intake is equal to energy output. C With a negative energy balance there is loss of body weight. D d. In obesity there is increased protein content of the body.

17. Most of the energy released from catabolic processes.

A a. Appear as thermal energy B b. Is stored as high energy phosphate bonds. C c. Is used by the kidneys to perform osmotic work. D d. Is used for building new protoplasm.

18. About the BMR all the following is true except:

A a. It is expressed in Kcal/square meter/hour. B b. Normally it is about 40 Kcal in young adult males. C c. It represents energy expenditure needed for vital organ. D d. It is measured immediately after dinner at temperature 10 C

19. After several hours of fasting:

A a. The blood glucose level drops below fasting level. B b. The brain metabolism is decreased by 30 - 50% C c. Fainting usually occurs. D The blood glucagon and cortisol are elevated.

20. About obesity all the following is true except:

A a. It is the commonest nutritional disorder B b. It is associated with a fall in body specific gravity C c. It is produced by deposition of excess protein in body D d. It occurs as a result of positive energy balance.

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