A patient with hypothyroidism would demonstrate which of the following symptoms?
- Exopthalmos
- Increased HR
- Heat intolerance
- Increased protein catabolism
- Lethargy
Lethargy
Goitre is a common symptom of thyroid dysfunction, What pathology would it NOT be present in?
- Primary hypothyroidism
- Secondary hypothyroidism
- Primary hyperthyroidism
- Secondary hyperthyroidsim
- Graves disease
Secondary hypothyroidism
a decrease in circulating cortisol levels would result in which of the following physiological responses?
- Enhanced gluconeogenesis in liver?
- Hypotension
- Decreased ACTH secretion from the ant pit
- Elevated levels of fatty acids in plasma
- suppression of the immune system
-Hypotension
A person with primary hypercortisolism would demonstrate?
- Depressed ACTH
- Elevated CRH
- Hypotension
- Hypoglycaemia
- Increased bone density
-Depressed ACTH
Chronic glucocorticoid therapy is associated with which of the following?
- Enhanced cortisol release from the adrenal glands
- Enhanced ACTH release from ant pit
- Enhanced CRH release from the hypothalalmus
- Adrenal insufficiency
- Adrenal hypertrophy
Adrenal insufficiency
Which of the following will elevated free levels of calcium in plasma?
- Alkalosis
- Activation of oestoblasts
- Increased phosphate excretion of the kidneys
- Calcitonin
- All of the above
-Increased phosphate excretion in the kidneys
Regarding GH which of the following is correct?
- Its called somatostatin
- Its called somatomedian
- Its a steroid hormone
- levels ins adults are at there highest during REM sleep
- Its its relatively insignificant in terms of foetal and neonatal growth
D
Which of the following responses would ypu expect following insulin release?
- hepatic gluconeogenesis
- Increased ketone fromation
- Increased uptake of glucose by the brain
- Adipose lipolysis
- Stimulation of Na=/K+ pase
Stimulation of Na/K+ ATPase
Which of the following is not a glucose counter regulatory hormone?
- Thyroid hormone
- Epinephrine
- Glucagon
- Cortisol
- GH
-Thyroid hormone stimulates gluconeogenesis, the increase in blood glucose stimulates the release of insulin
A 53 y/o man has T2DM. he has loast 1 stone what is the next step for his management plan?
-Biguanide-Metformin
Which symptom below is NOT typical of hypoglycaemia?
- Headache
- Itch
- poor concentration
- Sweating
- irritability
Itch
32 y/o patient with T1DM blood sugar is 3.2mmol/L and he tells you he is feeling well?
- Adminster IM glucagon
- Send him home for lunch
- Give 200ml of Orange juice
- Give a digestive biscuit
- Administer his lunchtime insulin
-Give 200ml of OJ
23 y/o is diagnosed with hyperthyroidism and has been commenced on Carbimazole, what do you need to counsel him regarding?
-Neutropenia
All of the conditions below are well recognised causes of secondary diabetes except one. which is it?
- Acromegaly
- Haemochromatosis
- Addisons disease
- Cushings disease
- Chronic Pancreatitis
-Acromegaly
