Quiz: Questions 2024

1. Surgery is NOT indicated in which of the following cases of hyperthyroidism:

A A. Diffuse toxic goiter. B B. Relapse after Graves' disease. C C. Toxic nodule. D D. Multinodular goiter.

2. Presentation of “Myxedema” include all of the following, EXCEPT:

A A. Heart block. B B. Ventricular tachycardia. C C. Depression. D D. Shortness of breath.

3. As regards “Medullary carcinoma” which of the following is FALSE?

A A. May be presented with MEN syndrome. B B. It is not depending on TSH. C C. Have poor prognosis. D D. May be presented with diarrhea.

4. Which of the following is FALSE as regards “Thyroid cancer”?

A A. Papillary carcinoma is the commonest. B B. Men are commonly affected than women. C C. Thyroid cancer is common after the age of 70. D D. C cells is the origin of medullary carcinoma.

5. Signs and symptoms of unsuspected “Addison's disease” include:

A A. Hypothermia B B. Hypokalemia. C C. Hyperglycemia. D D. Hyponatremia.

6. “Riedel's thyroiditis” is best treated by:

A A. Observation. B B. Antibiotic. C C. Corticosteroids. D D. Surgery.

7. The commonest Etiology for supportive “Thyroiditis” is:

A A. E. Coli. B B. Pseudomonas. C C. Streptococcus. D D. Staphylococcus aureus.

7. The commonest Etiology for supportive “Thyroiditis” is:

A A. E. Coli. B B. Pseudomonas. C C. Streptococcus. D D. Staphylococcus aureus.

8. Treatment of “Lingual thyroid” is:

A A. Observation. B B. Radioactive iodine. C C. Radiotherapy D D. Surgery.

9. What is the first to be done for “Solitary thyroid nodule”?

A A. Radioactive iodine. B B. CT scan. C C. Fine needle biopsy. D D. Core biopsy.

10. All the following cancer occur in “Thyroglossal cyst”, EXCEPT:

A A. Medullary carcinoma. B B. Follicular carcinoma. C C. Papillary carcinoma. D D. Anaplastic carcinoma

11. Which of the following conditions is NOT presented with “Hyperthyroidism”?

A A. Graves' disease. B B. Toxic nodule. C C. Thyroid malignancy. D D. De-Quervain's disease.

12. About medical management of “Hyperparathyroidism”, the following are true, EXCEPT:

A A. The use of diuretics. B B. Intravenous saline for hypercalcemic crisis. C C. Serum calcium 14 is an emergency. D D. Bisphosphinate is used to reduce calcium level

13. The commonest position of The recurrent laryngeal nerve is:

A A. Anterior to the inferior thyroid artery. B B. Posterior to the inferior thyroid artery. C C. Between branches of the inferior thyroid artery. D D. Nonrecurring recurrent laryngeal nerve.

14. The superior thyroid artery arises from

A A. The internal carotid artery. B B. Thyrocervical trunk. C C. External carotid artery D D. Subclavian artery.

15. Propylthiouracil:

A A. Given once daily for hyperthyroidism. B B. Lead to agranulocytosis. C C. Have no effect on conversion of peripheral T4 to T3. D D. Never cross the placenta.

16. “Hypercalcemia” can NOT be seen in

A A. 2 ry hyperparathyroidism: B B. Multiple myeloma. C C. Vitamin A toxicity. D D. Sarcoidosis.

17. In patients with “Hypercalcemia” all of the following will occur, EXCEPT

A A. Activation of calcium sensing receptors. B B. Inhibition of PTH secretion C C. Inhibition of calcitonin secretion. D D. Increased urinary calcium excretion

18. In “1 ryhyperparathyroidism” all are correct, EXCEPT:

A D. Increased urinary calcium excretion B B. Female to male ratio 2:1 to 3:1. C C. Increased in postmenopausal women D D. Increased in patients of thyrotoxicosis managed by the present does of radioactive iodin.

19. “Hypercalcemia” NOT presented by:

A A. Constipation. B B. Nephrocalcinosis. C C. Long QT interval in ECG. D D. Depression.

20. “Diabetes insipidus” is mainly due to damage or dysfunction of:

A A. Pancreases. B B. Anterior pituitary gland. C C. Adrenal gland. D D. Posterior pituitary gland.

21. “Diabetes insipidus” is due to deficiency of:

A A. Growth hormone. B B. Catecholamine. C C. Glucocorticoid. D D. Antidiuretic hormone.

22. A key feature in the syndrome of inappropriate antidiuretic hormone hyper secretion:

A A. Hypokalemia. B B. Hyperkalemia. C C. Hypocalcaemia. D D. Hypernatremia.

23. “Hyperuricemia” occurs frequently with:

A A. Central diabetes insipidus only. B B. Primary polydipsia only. C C. Nephrogenic diabetes insipidus only. D D. Both central and nephrogenic diabetes insipidus.

24. In “Diabetes insipidus”, infusion of hypertonic saline after a water load, there is:

A A. Sharp fall in urine flow. B B. Sharp rise in urine flow. C C. No response. D D. None of the above.

25. Chlorpropamide (Oral hypoglycemic drug) can be used in the treatment of:

A A. Primary central diabetes insipidus. B B. Secondary central diabetes insipidus C C. Nephrogenic diabetes insipidus. D D. Primary polydipsia.

26. Synthesis of Antidiuretic hormone (ADH) and Oxytocin take place in:

A A. Adrenal gland. B B. Anterior pituitary. C C. Posterior pituitary. D D. Hypothalamus.

27. Causes of endocrinal hypertension include the following, EXCEPT:

A A. Pheochromocytoma. B B. Reno vascular hypertension. C C. Hypothyroidism D D. Hyperthyroidism.

28. Treatment of HTN in case of :Pheochromocytoma” must be begin with:

A A. Alpha blockers then beta blockers. B B. Beta blockers then alpha blockers. C C. Calcium channel blockers. D D. None of the above.

29. The most common cause of “Delayed puberty” is:

A A. Gonadal failure. B B. Gonadal deficiency C C. Constitutional delay of growth and puberty. D D. None of the above.

30. “Hypertrichosis” defined as excess hair growth:

A A. In a normal site of hair distribution. B B. In abnormal site of hair distribution C C. With sings of androgen excess. D D. None of the above.

31. The most common cause of “Hirsutism” is:

A A. Cushing’s syndrome. B B. Drugs. C C. Polycystic ovarian syndrome. D D. Hypothyroidism.

32. Features of “Hypoglycemia” do NOT include:

A A. Drenching sweat. B B. Tachycardia. C C. Tachypnea D D. Brisk jerk.

33. All are features of “Diabetic ketoacidosis”, EXCEPT:

A A. Hyperthermia. B B. Drowsiness. C C. Dehydration. D D. Air hunger.

34. Commonest cause of coma in a diabetic is:

A A. Diabetic ketoacidosis. B B. Lactic acidosis. C C. Hyperosmolar non-ketotic coma. D D. Hypo glycaemia.

35. In Smoggy phenomenon commonly associated with “Type 2 diabetes mellitus”, the dose of insulin should be:

A A. Increased. B B. Stopped. C C. Decreased. D D. Needs no change.

36. One of the following is a sign of “Congenital hypothyroidism

A A. Excessive cry. B B. Prolonged neonatal jaundice. C C. Weight gain. D D. Hyperthermia.

37. Which of the following bone mineral density (BMD) scores in a postmenopausal woman or in a man ≥ 50 years of age indicates osteopenia?

A A. BMD within 2 standard deviations (SDs) below the mean of bone density for young adult women and a T-score ≥ -1. B B. BMD 1 SD below the mean and a T-score of 1. C C. BMD ≥ 2.5 SDs below the mean and a T-score ≤ -2.5. D D. BMD 1-2.5 SDs below the mean and a T-score between -1 and -2.5

38. Which one preparation of insulin can be given intravenously?

A A. Insulin glargine. B B. Humiline Lent. C C. NPH insulin. D D. Humuline regular.

39. Which of the following is false about “Hashimoto’s thyroiditis”?

A A. Lymphocytic infiltration B B. Atrophy of thyroid follicles. C C. No fibrosis D D. May progress to atrophic thyroiditis.

40. The following clinical feature of “Diabetes insipidus” is FALSE:

A A. Daily urine volume is >50 mL/kg body weight. B B. Urine osmolarity is <300 mosmol/L. C C. Dehydration is common. D D. Enuresis is common.

41. The criteria for the diagnosis of “DKA” include the following, EXCEPT:

A A. Hyperglycemia (Blood glucose >200 mg/dl). B B. Serum bicarbonate <15 mmol/l (Metabolic acidosis). C C. Ketonemia or ketonuria. D E. Coma.

42. One of the following factors inhibit GH release:

A A. Sleep. B B. Exercise. C C. Hyperglycemia. D D. Acute illness.

43. The most common site of “Thyroglossal cyst” is:

A A. Subhyoid B B. Suprahyoid. C C. Sublingual. D D. At thyroid cartilage.

44. Hours post-thyroidectomy, 30 years old woman developed agitation and difficulty breathing, tachycardia and dry dressing but inferior cervical swelling. The most appropriate immediate step is:

A A. Insertion of an oro-tracheal tube B B. Reopening of the cervical wound. C C. Estimation of serum calcium level. D D. IV morphine

45. All are causes of “Hypercalcemia”, EXCEPT:

A A. Metastatic cancer. B B. Sarcoidosis. C C. Multiple myeloma. D E. Medullary carcinoma of the thyroid.

46. Which of the following is the MOST sensitive test for “Pheochromocytoma”?

A A. 24-h urine vanillylmandelic acid. B B. 24-h urine metanephrine. C C. 24-h urine epinephrine. D D. 24-h urine norepinephrine.

47. Most diagnostic single investigation for “Toxic adenoma” is:

A A. T3-T4. B B. US. C C. Thyroid scan. D D. FNABC.

48. Asthenia, Hypoglycemia, Hyperkalemia and Postural hypotension are manifestations of:

A A. Cushing syndrome. B B. Conn’s disease C C. Addisson’s disease. D D. Acromegaly.

49. Precocious puberty is onset of secondary sexual characteristics:

A A. Before 11 in girls, and before 12 in boys. B B. Before 13 in girls and before 14 in boys. C C. Before 8 in girls and 9 in boys. D D. Before 10 in girls and 11 in boys.

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