Free Exam: RamCharanMRCP2Endocrine.
Number of Questions in Test: 54
Number of Questions in Preview: 5
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A 23-year-old woman presents to the clinic with asymptomatic hypercalcaemia.
She admits to intermittent indigestion and has some problems with loss of libido, but no other symptoms of note.
On examination her BP is 124/72 mmHg, pulse is 78 and regular. Her BMI is 22.
Respiratory and abdominal examination is unremarkable.
Investigations show:
[cmimg]0/6490444_S3SNK29R.png[/cmimg]
[table][tr][td][size=1]Prolactin[/size][/td][td][size=1]1350 mU/l[/size][/td][td][size=1](<520)[/size][/td][/tr][/table]
Which of the following is the most likely pancreatic tumour for her to have?
She admits to intermittent indigestion and has some problems with loss of libido, but no other symptoms of note.
On examination her BP is 124/72 mmHg, pulse is 78 and regular. Her BMI is 22.
Respiratory and abdominal examination is unremarkable.
Investigations show:
[cmimg]0/6490444_S3SNK29R.png[/cmimg]
[table][tr][td][size=1]Prolactin[/size][/td][td][size=1]1350 mU/l[/size][/td][td][size=1](<520)[/size][/td][/tr][/table]
Which of the following is the most likely pancreatic tumour for her to have?
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |
Question 2
A 35-year-old woman is referred to the clinic for evaluation of her blood
pressure.
She is currently treated with ramipril 10 mg daily and amlodipine 10 mg daily. She is having headaches nearly every morning which are increasingly severe.
On examination her BP is 155/100 mmHg, pulse is 80 and regular. You are
suspicious there may be a thyroid mass on examination of her neck. Her chest is clear, abdominal examination is unremarkable, her BMI is 23.
Investigations show:
[cmimg]0/6490444_4VVK78ZY.png[/cmimg]
[cmimg]0/6490444_8P95FRNI.png[/cmimg]
Which of the following is the most appropriate additional medication to control her
blood pressure?
pressure.
She is currently treated with ramipril 10 mg daily and amlodipine 10 mg daily. She is having headaches nearly every morning which are increasingly severe.
On examination her BP is 155/100 mmHg, pulse is 80 and regular. You are
suspicious there may be a thyroid mass on examination of her neck. Her chest is clear, abdominal examination is unremarkable, her BMI is 23.
Investigations show:
[cmimg]0/6490444_4VVK78ZY.png[/cmimg]
[cmimg]0/6490444_8P95FRNI.png[/cmimg]
Which of the following is the most appropriate additional medication to control her
blood pressure?
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |
Question 3
A 52-year-old man presents for review of rosacea complaining of polyuria and
polydipsia.
His rosacea has been treated with tetracycline based antibiotics for the past three months and he has hypertension for which he takes amlodipine.
On examination his pulse is 85 and regular, BP is 110/70 mmHg. He has a skin rash consistent with rosacea but nil else of note. His BMI is 28.
Investigations show:
[cmimg]0/6490444_IOSZIG2S.png[/cmimg]
Which of the following is the investigation most likely to reveal the underlying
diagnosis?
polydipsia.
His rosacea has been treated with tetracycline based antibiotics for the past three months and he has hypertension for which he takes amlodipine.
On examination his pulse is 85 and regular, BP is 110/70 mmHg. He has a skin rash consistent with rosacea but nil else of note. His BMI is 28.
Investigations show:
[cmimg]0/6490444_IOSZIG2S.png[/cmimg]
Which of the following is the investigation most likely to reveal the underlying
diagnosis?
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |
Question 4
A 56-year-old woman is referred to the endocrine clinic with lethargy, weight gain and hair loss. Her problems have become worse over the past three to six months.
Past history of note includes hypertension for which she takes indapamide. On
examination her pulse is 66 and regular and BP is 152/88 mmHg. Her BMI is 31. She has obvious generalised thinning of her hair.
Investigations show:
[cmimg]0/6490444_D8PJMXBS.png[/cmimg]
Which of the following lipid abnormalities would you most expect to find?
Past history of note includes hypertension for which she takes indapamide. On
examination her pulse is 66 and regular and BP is 152/88 mmHg. Her BMI is 31. She has obvious generalised thinning of her hair.
Investigations show:
[cmimg]0/6490444_D8PJMXBS.png[/cmimg]
Which of the following lipid abnormalities would you most expect to find?
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |
Question 5
A 67-year-old woman with severe osteoporosis, (T score -4.0 at the femoral
neck) has failed to tolerate bisphosphonate therapy and wants to try teriparatide therapy as an injectable alternative.
Which of the following correctly represents an aspect of the mode of action for
teriparatide?
neck) has failed to tolerate bisphosphonate therapy and wants to try teriparatide therapy as an injectable alternative.
Which of the following correctly represents an aspect of the mode of action for
teriparatide?
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |