http://yogacentralwichita.com/demo/ PG NEET MCQs Medicine 3 – Endocrinology – Diabetes Mellitus

Order Tramadol Cod 1.Which is an insulin secretagogue

  1. metformin
  2. sulfonylurea
  3. pioglitazone
  4. none of the others are right

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Tramadol Online Pay With Mastercard 2. A patient is to be insulin resistant if he needs more than ——– units of insulin per day

  1. 100
  2. 150
  3. 200
  4. 250

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source url 3. Hypoglycemia is seen in

  1. acromegaly
  2. cushings syndrome
  3. hyperthyroidism
  4. hypopitutarism

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Order Tramadol Next Day Delivery 4. The main side effect of rosiglitazone

  1. CHF
  2. alopecia
  3. vomiting
  4. pruritis

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http://compufact.com/wp-cron.php?doing_wp_cron=1553312830.7587199211120605468750 5. Insulin resistance is seen in all except

  1. Werner’s syndrome
  2. Addison’s disease
  3. ataxia telangiectasia
  4. lipodystrophy

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go to site 6. Causes of fasting hypoglycemia are all the following except

  1. excess glucagon
  2. glucose 6 phosphatase deficiency
  3. hepatic cirrhosis with liver cell damage
  4. glycogen synthetase deficiency

Ans (1)

7. Which of the following oral drug can also be given in type 1 diabetes mellitus

  1. alpha-glucosidase inhibitor
  2. sitagliptin
  3. meglitinide
  4. none are right

Ans (1)

8. An obese NIDDM patient present with FBS = 180 mg% and PPBS = 260 mg%. Initial management should include

  1. glibenclamide
  2. diet therapy + exercise
  3. diet therapy + exercise+metformin
  4. insulin
  5. chlorpropamide

Ans (2)

9. Hypoglycemia is associated with

  1. renal cell cancer
  2. adrenal cancer
  3. small cell carcinoma of the lung
  4. hepatocellular carcinoma

Ans (4)

10. Insulin + acarbose given to patient and hypoglycemia seen. What is the treatment

  1. sucrose
  2. maltase
  3. glucose
  4. galactose

Ans (3)

11. A 40-year-old patient is suffering from type 2 diabetes mellitus and hypertension. Which of the following antihypertensive drug should not be used

  1. lisinopril
  2. hydrochlorothiazide
  3. losartan
  4. trandolapril

Ans (2)

12. Hypoglycemia is a recognized feature of all of the following condition except

  1. uremia
  2. acromegaly
  3. Addison’s disease
  4. hepatocellular failure

Ans (4)

13. True about repaglinide

  1. insulin secretagogue
  2. short half life
  3. suitable for PP hyperglycemia
  4. all are right

Ans (4)

14. Which of the following is not a test for diabetes mellitus

  1. fasting blood glucose
  2. random blood glucose
  3. D Xylose test
  4. oral GTT

Ans (3)

15. Which of the following is not used in the diagnosis of insulinoma

  1. 72 hours of fasting blood glucose level
  2. C peptide levels
  3. insulin/glucose ratio
  4. D xylose test

Ans (4)

16. Which of the following is a GLP 1 agonist

  1. sitagliptin
  2. glulisine
  3. exenatide
  4. none are right

Ans (3)

17. Which fo the following can establish a diagnosis of diabetes mellitus

  1. fasting blood glucose 100mg/dl and 2 hours PPBS is 140mg/dl
  2. fasting blood glucose 125mg/dl and 2 hours PPBS is 199mg/dl
  3. symptoms of diabetes plus random blood glucose is 190mg/dl
  4. HbA1C is >6.5%

Ans (4)

18. Gold standard test for diagnosis of insulinoma is

  1. 72 hours fast test
  2. plasma glucose level < 3 mmol/l
  3. plasma insulin level > 6µU/ml
  4. C peptide levels < 50 mmol/lit

Ans (1)

19. Which of the following is an oral drug

  1. exenatide
  2. vildagliptin
  3. glulisine
  4. none are right

Ans (2)

20. Impaired glucose tolerance on an oral GTT is indicated by

  1. FBS>126mg/dl
  2. RBS>200mg/dl
  3. FBS<90mg/dl
  4. FBS<140mg/dl and PPBS>200mg/dl
  5. FBS<126mg/dl and PPBS>140-200mg/dl

Ans (4)

21. Which of the following can be used to differentiate insulinoma from sulfonylurea-induced hypoglycemia

  1. insulin/glucose ratio after 72 hours of fast
  2. C peptide levels
  3. lactic acid levels
  4. norepinephrine and epinephrine levels

Ans (1)

22. Which of the following is amylin agonist drug

  1. glargine
  2. aspart
  3. pramlintide
  4. none are right

Ans (3)

23. For diagnosis of diabetes mellitus, the FBS should be more than

  1. 126mg/dl
  2. 140mg/dl
  3. 100mg/dl
  4. 200mg/dl

Ans (1)

24. Glucagonoma is characterized by which of the following skin disorder

  1. Necrolytic migratory erythema
  2. erythema chronicum migrans
  3. erythema gyratum repens
  4. acrodermatitis enteropathica

Ans (1)

25. Which of the following is an antidiabetic drug

  1. bromocriptine
  2. phenytoin
  3. ropinirole
  4. none are right

Ans (1)

26. A 42-year-old male has a strong positive Benedict’s test RBS>163mg% FBS>200mg%. Next line of investigation is

  1. urine glucose charting 5 hourly
  2. oral GTT
  3. repeat Benedict’s test
  4. 24 hours urine sugar estimation

Ans (2)

27. True about Dawn phenomena

  1. reduce tissue sensitivity to insulin between 5 to 8 AM
  2. reduce tissue sensitivity to insulin between 10 PM to 1 AM
  3. increase tissue sensitivity to insulin between 5 to 8 AM
  4. increase tissue sensitivity to insulin between 10 PM to 1 AM

Ans (1)

28. Insulin is used in which of the following

  1. to assess anterior pituitary function
  2. to assess completeness of truncal vagotomy
  3. to treat a case of hyperkalemia
  4. all are right

Ans (4)

29. True about Somogyi phenomena

  1. 3 AM hypoglycemia and 8 AM hypoglycemia
  2. 3 AM hypoglycemia and 8 AM hyperglycemia
  3. 3 AM hyperglycemia and 8 AM hyperglycemia
  4. 3 AM hyperglycemia and 8 AM hypoglycemia

Ans (2)

30. Weight loss may be seen in all of the following except

  1. uremia
  2. pheochromocytoma
  3. adrenal insufficiency
  4. insulinoma

Ans (4)

31. Which of the following is an ultra-short-acting insulin

  1. regular insulin
  2. glargine
  3. detemir
  4. aspart

Ans (4)

32. False about nesidioblastosis

  1. endogenous hyperinsulinemia
  2. beta cell hypertrophy
  3. common in elderly
  4. all are true

Ans (3)

33. Which is not a feature of metabolic syndrome

  1. central obesity
  2. type 2 diabetes
  3. raised LDL cholesterol
  4. hypertension

Ans (3)

34. Which of the following is an ultra-short-acting insulin

  1. lente
  2. NPH
  3. glargine
  4. glulisine

Ans (3)

35. The risk factors for type 1 diabetes include all of the following except:

  1. Diet
  2. Genetic
  3. Autoimmune
  4. Environmental

Ans (1)

36. Type 2 diabetes accounts for approximately what percentage of all cases of diabetes in adults?

  1. 55%-60%
  2.  35%-40%
  3. 90-95%
  4.  25-30%

Ans (3)

37. Detemir is a

  1. sulphonylurea
  2. insulin
  3. thioglitazone
  4. alpha-glucosidase inhibitor

Ans (2)

38. Risk factors for type 2 diabetes include all of the following except:

  1. Advanced age
  2. Obesity
  3. Smoking
  4. Physical inactivity

Ans (3)

39. What percentage of women with gestational diabetes is diagnosed with type 2 diabetes following pregnancy?

  1. 25%-30%
  2. 5%-10%
  3. <5%
  4. 20%-25%

Ans (2)

40. Colesevelam is a

  1. HMG coenzyme inhibitor
  2. blue acid sequestrant
  3. alpha-glucosidase inhibitor
  4. insulin secretagogue

Ans (2)

41. Prediabetes is associated with all of the following except:

  1. Increased risk of developing type 2 diabetes
  2. Impaired glucose tolerance
  3. Increased risk of heart disease and stroke
  4. Increased risk of developing type 1 diabetes

Ans (4)

42. Of the two types of diabetes mellitus, unique feature of type 2 is

  1. increased plasma sugar
  2. insufficient insulin secretion
  3. inability to respond to insulin
  4. glucose in urine

Ans (3)

43. Sergliflozin is a

  1. renal glucose transport inhibitor
  2. insulin secretagogue
  3. alpha-glucosidase inhibitor
  4. sulfonylurea

Ans (1)

44. The following is an important predictor of overt progressive nephropathy in type 1 DM

  1. GFR
  2. thickening of glomerular capillary BM
  3. microalbuminuria
  4. overt proteinuria

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45. The following is not a cause of DM

  1. pentamidine
  2. CMV
  3. hypothyroidism
  4. cushing’s syndrome

Ans (1)

46. Lorcaserin is a

  1. 5HT2C agonist
  2. GABA INHIBITOR
  3. SNR1
  4. none are right

Ans (1)

47. Diabetics are at increased risk of heart disease if they also:

  1. Smoke
  2. Have high HDL cholesterol levels
  3. Take aspirin
  4. Consume a high-fiber diet

Ans (1)

48. Among female children and adolescents, the first sign of type 1 diabetes may be:

  1. Rapid weight gain
  2. Constipation
  3. Genital candidiasis
  4. Insomnia

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49. Which of the following drug does not cause hypoglycemia

  1. metformin
  2. alpha-glucosidase inhibitor
  3. DPP-IV inhibitor
  4. all are right

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50. The goal of treatment in a diabetic patient is

  1. 6%
  2. 6.5%
  3. 7%
  4. 7.5%

Ans (3)

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