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Hypoglycemia- Part 2
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1. Which of the following inhibits insulin release from pancreas ?
A. Furosemide
B. Thiazide
C. Ethacrynic acid
D. Diazoxide
2. Factitious hypoglycemia due to self-ingestion of sulfonylurea is
best diagnosed by ?
A. High plasma insulin level
B. High plasma C-peptide level
C. High plasma sulfonylurea level
D. All of the above
3. In urgent treatment of hypoglycemia, what should be the
reasonable initial dose of oral glucose ?
A. 10 gram
B. 20 gram
C. 30 gram
D. 40 gram
4. What is the primary mechanism of action of glucagon in treatment
of hypoglycemia ?
A. Stimulates glycogenolysis
B. Stimulates gluconeogenesis
C. Stimulates insulin secretion
D. All of the above
5. Stiff-Person Syndrome is associated with all except ?
A. Diabetes mellitus
B. Small cell cancer of lung
C. Breast cancer
D. Hypertension
6. Bilateral nontender parotid enlargement occurs with all except ?
A. Bulimia
B. Diabetes mellitus
C. Cirrhosis
D. Thyroxine
7. Which of the following is not a cause of bilateral parotid gland
enlargement ?
A. Hypopituitarism
B. Diabetes mellitus
C. Chronic pancreatitis
D. Hepatic cirrhosis
8. Which of the following drugs can cause weight loss ?
A. Serotonin reuptake inhibitors
B. Metformin
C. ACE inhibitors
D. All of the above
9. Acanthosis nigricans is associated with ?
A. Acromegaly
B. Cushing’s syndrome
C. Stein-Leventhal syndrome
D. All of the above
10.Which of the following is false about necrobiosis lipoidica ?
A. Found on thigh
B. Obliterative endarteritis
C. Telangiectasias
D. Erythematous border
11. Which of the following is false about ‘Prayer hand deformity’ ?
A. Type 1 diabetes mellitus
B. Digital sclerosis
C. Contractures
D. None of the above
12. Most frequent cause of neuropathic joint disease is ?
A. Leprosy
B. Meningomyelocele
C. Diabetes mellitus
D. Amyloidosis
13. Joint most commonly affected in diabetes mellitus is ?
A. Knee, hip & ankle
B. Glenohumeral joint
C. Elbow & wrist
D. Tarsal & tarsometatarsal joint
14. Which of the following describes “Rocker foot” ?
A. Calluses over metatarsal heads
B. Convexity of sole
C. Osteophyte protrusion from top of foot
D. All of the above
15. Lisfranc fracture-dislocation is related to ?
A. Knee, hip & ankle
B. Glenohumeral joint
C. Elbow & wrist
D. Tarsometatarsal joint
16. Which of the following tests is not useful in differentiating
neuropathic joint disease from osteomyelitis ?
A. MRI
B. Indium 111 labeled white blood cells
C. Indium 111 labeled immunoglobulin G
D. Technetium bone scan
17. Which of the following is a cause of chronic renal disease with
normal kidney size ?
A. HIV-associated renal disease
B. Amyloidosis
C. Diabetes
D. All of the above
18.Emphysematous pyelonephritis is most common in which of the
following diseases ?
A. HIV
B. Diabetes
C. Tuberculosis
D. All of the above
19. Lipid abnormalities in patients with type 2 diabetes mellitus
include all except ?
A. Elevated plasma triglycerides
B. Elevated dense LDL
C. Elevated plasma LDL-C
20. Syndrome X is characterized by all except ?
A. Hyperinsulinemia
B. Hyperuricemia
C. Hypertriglyceridemia
D. Increased HDL cholesterol
21. Somatostatinoma syndrome consists of all except ?
Harrison’s 16th Ed. 2228
A. Diabetes mellitus
B. Gall-bladder disease
C. Hyperchlorhydria
D. Diarrhea & steatorrhea