A 54-year-old obese patient with type 2 diabetes and a history of alcoholism probably should not receive metformin because it can increase his risk of:
Anonymous Quiz
31%
disulfiram-like reaction.
7%
excessive weight gain.
7%
hypoglycemia.
55%
lactic acidosis.
A 34 years old female patient was diagnosed with myxedema coma. Both levothyroxine and liothyronine were available but it was decided to give her levothyroxine (T4).
Which of the following could be a logical reason for this choice?
Which of the following could be a logical reason for this choice?
Anonymous Quiz
92%
The patient has a cardiac disease and levothyroxine would be safer to the heart.
8%
Levothyroxine would have a faster onset of action.
0%
It would be possible to give levothyroxine orally in that case, but it would not be possible to
0%
It would not be necessary to give corticosteroids if we give levothyroxine, but not if we give l
patient with hyperthyroidism is going to perform surgery to remove most of the hyperfunctioning gland. Which of the following drugs can be used to prepare her for surgery one week before the operation and would decrease the release of hormones from gland
Anonymous Quiz
63%
Potassium iodide.
13%
Propranolol.
13%
Cabergoline.
13%
A somatostatin analogue.
Which of the following is the most suitable treatment of hypoglycemia in an unconscious patient?
Anonymous Quiz
4%
Oral glucose
75%
.IV glucose 5%
13%
.SC glucagon.
8%
IV adrenaline.
Which of the following is the most commonly encountered side effect of sulfonylurea use?
Anonymous Quiz
5%
Agranulocytosis.
5%
Somogyi effect.
14%
Cholestatic jaundice.
77%
Hypoglycemia.
One of the following is a Di-Peptidyl Peptidase-4 inhibitor:
Anonymous Quiz
18%
Liraglutide
6%
Canagliflozin
6%
Glibenclamide
71%
Sitagliptin
Which of the following diabetes drugs acts by decreasing the amount of glucose produced by the liver?
Anonymous Quiz
12%
Sulfonylureas
18%
Meglitinides
59%
Biguanides
12%
Alpha-glucosidase inhibitors
Which of the following insulin preparations produces constant basal insulin level and action?
Anonymous Quiz
10%
Neutral Protamine Insulin
85%
Insulin glargine
5%
Regular soluble insulin
0%
Insulin Aspart
One of the following is a synthetic analog of Glucagon like Peptide-1 used subcutaneously:
Anonymous Quiz
67%
a) Liraglutideb
0%
b) Canagliflozinc
0%
c) Glimepirided
33%
d) Sitagliptin
Which of the following drugs acts by reducing hepatic glucose production by activating the enzyme AMP-dependent protein kinase?
Anonymous Quiz
5%
a) Pioglitazone
0%
b) Glyburide
89%
c) Metformin
5%
d) Pramlintide
Which of the following is a precaution with the treatment of patients with myxoedema coma?
Anonymous Quiz
17%
Give thyroxine orally
4%
Use cold fomentations
8%
Give insulin with thyroxine
71%
Give a loading dose
39) Which of the following insulin preparations would be the MOST suitable to give in two daily doses to fully control blood glucose, basally and with meals?
Anonymous Quiz
0%
a) Insulin aspart
4%
b) Regular soluble insulin
87%
c) Premixed 70%NPH + 30% regular insulin
9%
d) Insulin detemir
Carbimazole acts by inhibiting..........
Anonymous Quiz
8%
lodide trapping.
85%
Oxidation of iodide & iodination of tyrosine.
4%
Proteolysis of thyroglobulin.
4%
Synthesis of thyroglobulin protein
Which of the following is sodium glucose cotransporter 2 (SGLT2) inhibitor:
Anonymous Quiz
7%
Liraglutide
90%
Dapagliflozin
0%
Pramlintide
3%
Vildagliptin
Which of the following is NOT a rapid acting insulin analog?
Anonymous Quiz
7%
Insulin Lispro
7%
Insulin Glulisine
81%
Insulin Glargine
4%
Insulin Aspart
Which of the following regimens offers the best blood glucose control for persons with type 1 diabetes?
Anonymous Quiz
0%
A single anti-diabetes drugs
38%
Once daily insulin injections
4%
A combination of oral anti-diabetic medications
58%
Three or four injections per day of different types of insulin.
Which of the following would be a suitable treatment of hyperthyroidism for a 55 years old patient who is unfit for surgery and who failed to be controlled with carbimazole?
Anonymous Quiz
12%
Propylthiouracil
88%
Radioactive iodine
0%
Propranolol
0%
Thyrotropin
Which of the following is a permanent absolute contra-indication for the use of sulfonylureas?
Anonymous Quiz
27%
Pregnancy
57%
Sever Type 1 diabetes mellitus
3%
Stress
13%
Mild renal impairment
Which of the following oral antidiabetics would Increase glucosuria?
Anonymous Quiz
0%
Pramlintide
16%
Metformin
8%
Rosiglitazone
76%
Canagliflozin
Which of the following Insulin preparations can be given intravenously?
Anonymous Quiz
6%
Neutral Protamine Insulin
6%
Insulin glargine
88%
Regular soluble insulin
0%
Insulin detemir
Which of the following is an idiosyncratic adverse effect of sulfonylureas?
Final Results
29%
Hypoglycemia
0%
Secondary failure
71%
Hemolytic anemia
0%
Weight gain