3-22 years old female known to have ovary cysts Presented with hirsutism hypertension insulin

insensitivity anovulation & other symptoms What is your Dx?

C. Hypothyroidism

Which hormone is altered in menopause?

The government did a health campaign to encourage the consumption of low-fat products and a

low salt intake in order to prevent hypertension and diabetes. Why type of prevention is this?

"case of subclinical hypothyroidism" labs showed: high TSH (15) normal T4 Pt is

(asymptomatic)what to do?

6- pt with US showed 2 cm solid thyroid nodule, what is the most appropriate next step?

184- 28 year old female presented following radiation of neck with neck swelling. Ultrasound

showed swelling in the left lobe of the thyroid of 3x4cm of papillary thyroid cancer. Which of the

following is the best management?

C) Subtotal Thyroidectomy

D) Total Thyroidectomy

A 69-year-old man known to have diabetes mellitus, presented to Emergency department with 4-

day history of productive cough and tachypnea. On examination, oriented to time place and person.

mentioned a lot of hypothyroid symptoms.. labs showed low Hg, low sodium, Low T4. What is the

appropriate thing to do:

C- Thyroid Function Test.

A. Vaginal ring containing hormones

A 52-year-old woman presented with a 3-month history of a progressive anterior neck swelling with

stridor. She has a 12-year history of Hashimoto's thyroiditis. Physical examination confirmed a

diffuse, large, non- tender thyroid swelling with retrosternal extension. A core needle biopsy was

ordered (see reports).Ultrasound: Diffuse thyroid enlargement, encasing bilateral carotid sheaths.

Histopathology: Malignant thyroid tumour. Which of the following is the most likely tumour?

D Lymphoma if not in the choice go with papillary thyroid ca.

55 years old patient was diagnosed with autoimmune thyroiditis, with a history of progressive

enlargement of right lobe of the thyroid. FNA report: malignant cells. Which of the following is most

likely the type of thyroid malignancy?

D thyroid induced orbitopathy

The government did a health campaign to encourage the consumption of lowfat products and a low

salt intake in order to prevent hypertension and diabetes. Why type of prevention is this?

D-gonadotropin releasing hormone agonist(forgot for how long)

Neck swelling LN `e thyroid tissue ??? ????

A- Insulin

A.Insulin B.Glucagon C.Tg

Abdulrahman: The answer is insulin because it is an anabolic hormone. The hormonal response of

physiologic stress includes elevation in the serum levels of glucagon, glucocorticoids, and

catecholamines and reduction in insulin.

35- 70 year old male came to clinic with 2 year history of Slow and Progressive Memory Loss,

then the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years

ago he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other

neurological symptoms What is the diagnosis?

70ish year old male came to clinic with 2 year history of Slow and Progressive Memory Loss, then

the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years ago

he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other neurological

symptoms What is the diagnosis?

B- IV insulin

A- Pituitary hormone deficiency

B. Hypothyroidism

B- Associated with maternal diabetes

- Radiopaedia: The estimated prevalence is ~0.4-1% of pregnancies. There may be an increased

incidence of twin pregnancies and maternal diabetes.

A-I.v insulin

"non tender" , "mobile" , "hormone dependent (didn't say cycle)" , & in "UTD" written increases in

size "

B. Insulin

Patient with DM admitted to ICU for infection his glc: 13 asking about how to give insulin.

A. SQ insulin

B. IV insulin

72 yo male history if unindepentdent insulin DM , came with BP 170/90 for the first time , he has 2

previous normal measrment .what is the appropriate traematment ?

A patient post thyroidectomy was unable to maintain a high-pitched voice. Which of the following is

the injured nerve?

A 22-year-old woman has multiple small cysts within the ovary, as well as excessive androgen

production from the ovaries, anovulation, insulin resistance, hypertension, and hirsutism.

A 19-year-old woman is evaluated for management of type 1 diabetes. She was diagnosed 4

months ago after presenting to the Emergency Department with diabetic ketoacidosis. Her

hemoglobin A1c level at the time of diagnosis was 14.5%. She was discharged from the hospital on

a basal and prandial insulin regimen with minor adjustments required as an outpatient.

A. Decrease insulin glargine, decrease insulin aspart

B. Continue same doses of insulin glargine and aspart

C. Discontinue insulin glargine, discontinue insulin aspart

D. Discontinue insulin glargine, change insulin aspart to a sliding-scale regimen

511- Pt known know case of diabetes Mellites came with abnormal liver function test LFTS were all

high:

270- Long question about male in his 40's and diabetic ( they didn't mention the type of DM, but I

think diagnosed 3 years ago or I forget), came to the clinic for follow up, he has elevated LFT levels
for months (maybe 6 mothes) and asymptomatic.I, no history of of alcohol or drugs except diabetes

medication. the lab showed high hepatic enzymes only not biliary Pt weight is 90 kg Most likely

cause of high LFT:

A 69-year-old man known to have diabetes mellitus, presented to Emergency department with 4-day

history of productive cough and tachypnea. On examinaton, oriented to time place and person.

Chest exam revealed right lower lobe crepitaton. Respiratory rate 23 /min Temperature

75-year-old type 2 diabetic undergoes a bowel resection for colon cancer. He is well priar to the

operation with well-controlled diabetes and no other underlying condition. The operation is

successful and the patient is given postoperative insulin and IV dextrose. 2 days after the operation

he becomes very agitated

A? NPH insulin BID

B? Mixed insulin BID

C? (Some long name) with glargine insulin

A patient post thyroidectomy was unable to maintain a high-pitched voice. Which of the following is

the injured nerve?

B. insulin and salbutamol

The government did a health campaign to encourage the consumption of low- fat products and a low

salt intake in order to prevent hypertension and diabetes. Why type of prevention is this?

loW insulin ???? ??? ??? ??????? ?? B

Patient with family history of diabetes came for screening Results showed Fasting blood glucose 7.3

A1C 6.3 What us the next step:

B. Hypothyroidism

Target hba1c in 55 yo female kc of type 2 diabetes for 20 years

Patient with hypothyroidism plane for Elective surgery what to do regarding thyroxine?

? Wait till patient Euthyroid then do surgery

B. Sliding scale insulin

C. Pre and post prandial insulin

A/ Diabetes insipidus

Medications are aspart insulin, glargine, aspirin, metoprolol, atorvastatin, and lisinopril. On physical

examination, findings are compatible with distal symmetrical polyneuropathy. Which of the following

is the most appropriate management of this patient's neuropathy ?

A 70-year-old man with hypertension, diabetes and aortic sclerosis discovered to have atrial

fibrillation on routine health check-up. He denies dyspnea, chest pain or palpitations. Which of the

following drugs is recommended to prevent systemic embolization?

C. Increased thyroid hormones

D. A Follicle Stimulating Hormone to Luteinizing Hormone ratio of 1:3

Q15. A 37-year-old man with type 1 diabetes mellitus presents to the office with history of prolonged

hypoglycemia during intense exercise, despite eating a meal prior to the activity. He is using insulin

glargine and insulin aspart with meals (see lab result). Test Result Normal Value ?6?1C 7.0 4.7-5.6

% Which of the following is the most appropriate management of this patient's hypoglycemia on the

days that he exercises?

A. Decrease meal-time insulin aspart dose prior to exercise, continue insulin glargine dose

B. Increase meal-time protein prior to exercise, continue current insulin doses

C. Switch insulin aspart to a sliding-scale regimen, continue insulin glargine dose

D. Discontinue insulin glargine, continue insulin aspart dose

Oxygen saturation 97 % BMI 23 kg/m2 Test Result Normal Values Thyroid-Stimulating Hormone 4.4

0.4 - 5.0 jU/mL Thyroxine (T4 free serum) 9.5 8.5 - 15.2 pmol/L Which of the following is the most

appropriate treatment of this patient's hypothyroidism now?

C. Sliding-scale insulin

D. Basal and prandial insulin

Q34. A 20-year-old woman is diagnosed of type 1 diabetes mellitus after presenting with diabetic

ketoacidosis. Her blood sugars are now stable and she is ready for discharge. Which of the following
is the best insulin regime she should be offered as outpatient?

A. Twice daily NPH insulin

B. Once daily mixtard insulin

C. Basal-bolus insulin regimen with once-daily insulin glargine

D. Rapid-acting insulin analogue before each meal with no longer acting insulin

Parathyroid hormone (intact PTH levels) 4.5 1.1-5.3 pmol/L 25-Hydroxy Vitamin D3 (Women) 10

25-90 mol/L

D. Thyroid-associated orbitopathy

Q62. Post-menopausal women asked her gynecologist for hormone replacement therapy. The

gynecologist explained to the women that no evidence support the use of hormone replacement

therapy in her case. The women insisted. Which of the following is the most appropriate action?

B. Prescribe the hormone replacement therapy

D. Refuse to prescribe the hormone replacement therapy

C. Hypothyroidism

D. Insulin infusion

A. Bri]le diabetes

108. Patient known case of CHF and DM on insulin, ACEI and Furosemide and now came with

signs of DVT and started on heparin. Labs: K: 6

B- Insulin

Which hormone responsible of violance?

B- hypothyroidism

- Lateral neck mass, moving with swallowing, 3 cm, homogenous, thyroid cancer, calcitonin high,

type of cancer?

- DM1, started on short & long acting insulin, fainting, hypoglycemic attacks, HbA1C <6, Mx?

decrease both T

Woman has controlled hypothyroidism on 175 mcg levothyroxine. In the last 3 months, the doctor
raised the dose to 200 mcg. She is otherwise normal (see labs).

C. Ectopic thyroid.

D. Secondary hypothyroidism.

A new screening test for diabetes has a sensitivity of 90% and specificity of 80%, which of the

following is the best interpretation?

Which of the following is the most appropriate hormone to measure first?

D. Luteinizing hormone

Which of the following is the most appropriate diabetes treatment for this patient while hospitalized?

C. Sliding-scale insulin

D. Basal and prandial insulin

B- Previous gestetional diabetes

A- Inappropriate antidiuretic hormone

# pt hypothyroid and doctor increase dose , TSH high

2- sick euthyroid syndrome

3- Primary Hypothyroidism

A 40 years old female with chronic kidney disease secondary to diabetes mellitus. Came for

follow-up with no active complaints. Investigations:

- C. Congenital hypothyroidism

A 22-year-old woman has multiple small cysts within the ovary, as well as excessive androgen

production from the ovaries, anovulation, insulin resistance, hypertension, and hirsutism. Which of

the following is the most likely diagnosis?

C. Congenital hypothyroidism

- Insulin

53-year-old woman admitted to the hospital with pneumonia. She has diabetes, hypertension and is

on hemodialysis for end-stage renal disease (see lab results).

- D- covered with lead or water shield and thyroid shield collar thickness of 0.25 cm or ml
- A- IV insulin

- B- subcutaneous insulin

70ish year old male came to clinic with 2 year history of Slow and Progressive Memory Loss, then

the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years ago

he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other neurological

symptoms What is the diagnosis?

Hypothyroidism Rubella infection DM

61 male on obese known Dm on insulin with benign prostatic hyperplasia most causative risk for

BPH

Patient is suffering from hoarseness of voice after thyroidectomy procedure. Which nerve is injured?

B) Sex Hormone Binding Globulin (SHBG)

A 23 year old female presented with tender thyroid swelling. TSH is high, T4 is low and ESR is high.

What is the most likely diagnosis?

A) Subacute thyroiditis

B) Hashimoto's thyroiditis

C) Sick euthyroid state

D) Riedel's thyroiditis

A 19-year-old patient is diagnosed with type 1 diabetes and initiated on aspart and glargine insulin

therapy. However, the patient has been experiencing episodes of hypoglycemia, and the most

recent A1C level is 7. What would be the most appropriate change in the treatment plan for this

patient?

A) Change to NPH insulin twice daily

B) Stop aspart and only use glargine insulin

C) Decrease the dose of aspart and glargine insulin!"

D) Switch to mixtard insulin

D. Thyroid functionA
D- Hypothyroidism

3- diabetes mellitus

Accordingly. she was counselled for hormone replacement therapy and agreed. Which of the

following is the most appropriate hormone replacement therapy regimens?

Q12- a researcher doing a study about incidence, prevalence, and burden of diabetes mellitus after

insulin brought to the world as a therapy in 1960 which of the following is mostly found:

70ish year old male came to clinic with 2 year history of Slow and Progressive Memory Loss, then

the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years ago

he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other neurological

symptoms What is the diagnosis?

A 75-year-old type 2 diabetic undergoes a bowel resection for colon cancer. He is well prior to the

operation with well-controlled diabetes and no other underlying condition. The operation is

successful and the pa7ent is given postoperative insulin and IV dextrose. 2 days after the operation

he becomes very agitated (see lab results).

D. Inappropriate ant-diure7c hormone

3- diabetes mellitus

Replace fluid Insulin

A 40-year-old diabetic man was treated appropriately with small doses of insulin. On next follow-up

visit, he bought a very expensive watch as a gesture of gratitude to his physician. Which of the

following is the most appropriate response?

C. Increased thyroid hormones

D. A Follicie Stimulating Hormone to Leutenizing Hormone ratio of 1:3 !"#

D. Thyroid function TTT

12 years old girl , asymptomatic, accidentally discovered a thyroid nodule ,, TSH normal,, FNA

inadequate.. What is the most appropriate next step ?

- thyroidectomy
- start thyroid medication

**D. Cricothyroidotomy D

•Female patient came Complaining of fatigue for 2 months Lab: High TSH T4 within normal

(Subclinical hypothyroidism) High triglycerides + cholesterol (not too high just 1-2 of upper limit) How

to treat dyslipidemia in this patient:

Follicle stimulating hormone 4.5 5-20 IUIL

Luteinizing hormone 3.9 5-22 U/L

A 55-year-old man with a family history of type 2 diabetes undergoes screening (see lab results).

Blood pressure 130/85 mmH

D. Cricothyroidotomy

Thyroid-Stimulating Hormone 0.1 0.4 - 5.0 U/L

B. Primary hypothyroidism

A/ Diabetes insipidus

A. Reduced insulin resistance

33-year old presented with a lump in her neck. Physical examination confirmed enlarged right

cervical lymph' nodes with normal thyroid gland. She underwent percutaneous biopsy of the lymph

nodes (see report). Histopathology: Normal follicular thyroid cells. Which of the following is the most

appropriate next step?

C. Cricothyroidotomy

A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-

oophorectomy for a benign reason. Immediately post operation, she started to have acute

vasomotor symptoms. Accordingly. she was counselled for hormone replace ment therapy and

agreed. Which of the following is the most appropriate hormone replacement therapy regimens?

A 50-year-old man with diabetes, hypertension and chronic kidney disease. presents to the

Nephrology Clinic for follow-up. Blood pressure 160/98 mmHg

C. Insulin with dextrose

2. Thyroid Function test

A- Insulin

12 years old girl , asymptomatic, accidentally discovered a thyroid nodule ,, TSH normal,, FNA

inadequate.. What is the most appropriate next step ?

- thyroidectomy

- start thyroid medication

53-year-old woman admitted to the hospital with pneumonia. She has diabetes, hypertension and is

on hemodialysis for end-stage renal disease (see lab results).

D- hypothyroidism

A 69-year-old man known to have diabetes mellitus, presented to Emergency department with 4-

day history of productive cough and tachypnea. On examination, oriented to time place and person.

Chest exam revealed right lower lobe crepitation. Respiratory rate 23 /min Temperature 38.5 °C

Test Result Normal Values WBC 12 4.5-10.5 x 109/L Urea 5 2.75-

A 25-year-old man underwent a thyroidectomy due to multinodular goiter. Post-operatively, he was

unable to maintain high pitch sound. Which of the following nerves is most likely injured?

A 40-year -old man patient comes to the clinic after developing hoarseness of the voice and

aspiration when drinking fluids. History reveals, he underwent thyroidectomy surgery 2 weeks prior

to these symptoms. Which of the following is the most likely damaged laryngeal nerve?

comparing the association of green tea and black tea with diabetes. Over 10 years, the risk ratio of

green tea (exposed) was 0.85 compared with black tea (unexposed). Which of the following is the

correct interpretation?

cohort study was carried out comparing the association of green tea and black tea with diabetes.

Over 10 years, the risk ratio of green tea (exposed) was 0.85 compared with black tea (unexposed).

Which of the following is the correct interpretation?

A 55-year-old man with a family history of type 2 diabetes undergoes screening (see lab results).

Blood pressure 130/85 mmH

D- Hypothyroidism

A) Associated with maternal diabetes B Major malformation in 80% of cases

D- Hypothyroidism

He was on metformin 1000mg years ago but his DM wasn't controlled and since then he use insulin,

HbA1c was always 9 or 10 for several years. What to GIVE?

A 62-year-ald man presents with progressive lower limbs edema for the last 4 months otherwise he

is asymptomatic. He is known to have diabetes complicated with diabetic nephropathy and

hypertension. His current medications are insulin,

A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-

oophorectomy for a benign reason. Immediately post operation, she started to have acute

vasomotor symptoms. Accordingly. she was counselled for hormone replacement therapy and

agreed. Which of the following is the most appropriate hormone replacement therapy regimens?

**C. Diabetes mellitus

D. Thyroid function

Follicle-stimulating hormone 10 5-20 IU/L Luteinizing hormone 28 5-22 U/L Prolactin 890 < 870

pmol/L

A. Thyroid stimulating hormone and free T3 and T4

B. Progesterone and thyroid stimulating hormone

A 53-year-old woman admitted to the hospital with pneumonia. She has diabetes, hypertension and

is on hemodialysis for end-stage renal disease (see lab results).

He is well priar to the operation with well-controlled diabetes and no other underlying condition.

The operation is successful and the patient is given postoperative insulin and IV dextrose.

D. Inappropriate anti-diuretic hormone secretion

A 75-year-old type 2 diabetic undergoes a bowel resection for colon cancer. He is well prior to the

operation with well-controlled diabetes and no other underlying condition. The operation is

successful and the patient is given postoperative insulin and IV dextrose. 2 days after the operation
he becomes very agitated (see lab results). Test Result Normal Values

** D. Inappropriate ant-diuretic hormone T

C. Increased thyroid hormones

**D. A Follicle Stmulatng Hormone to Leutenizing Hormone rato of 1:3 T

C. Thyroid function test

A 49-year-old smoker man has type 2 diabetes mellitus, morbid obesity and a recent diagnosis of

symptomatc peripheral arterial disease. He is started on atorvastatn (Lipitor), ofered a supervised

exercise program and discussed smoking cessaton and interventons. Which of the following should

be recommended to prevent cardiovascular events?

A. Thyroid stimulating hormone and free T3 and T4

B. Progesterone and thyroid stimulating hormone

52- A researcher conducts observational studies including incidence, prevalence and the burden of

disease on the subject of type 1 DM since the invention of insulin therapy in the 1960s. Which of the

following most likely corresponds to his findings?

B. Hypothyroidism

94- A 55-year-old man with a family history of type 2 diabetes undergoes screening (see lab results).

118- 70 year old male came to clinic with 2 year history of Slow and Progressive Memory Loss, then

the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years ago

he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other neurological

symptoms What is the diagnosis?

185- A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-

oophorectomy for a benign reason. Immediately post operation, she started to have acute

vasomotor symptoms. Accordingly. she was counselled for hormone replacement therapy and

agreed. Which of the following is the most appropriate hormone replacement therapy regimens?

B. Insulin

209- A 22-year-old woman has multiple small cysts within the ovary, as well as excessive androgen
production from the ovaries, anovulation, insulin resistance, hypertension, and hirsutism. Which of

the following is the most likely diagnosis?

Thyroid -Stimulating Hormone 0.15 0.4 5.0 uUIL WBC 5.2.4.5-10.5 X 109/L

B. Subacute thyroiditis

C. Hashimoto's thyroiditis

32- Q about sx of hypothyroidism with sleepiness and cold intolerance, wt gain Labs

Thyroid peroxidase antibodies (TPO) High

B. Hashimoto thyroiditis

C. Subacute thyroiditis

D. Euthyroid sick syndrome Ans: B

Parathyroid hormone (intact PTH levels) 4.5 1.1-5.3 pmol/L 25-Hydroxy Vitamin D3 (Women) 10

25-90 mol/L

43- 45 years old male, known case of type 2 diabetes, presented with all signs and symptoms of

pneumonia. CXR shows right lobar pneumonia. All the vitals are stable.

B. Diabetes insipidus Ans: B

61- A 70-year-old woman was admitted 1 week ago to the Intensive Care Unite with pneumonia

requiring intubation, intravenous fluids, and dopamine support for her blood pressure. On physical

examination, her skin is warm and dry, no proposis, examination or the neck shows a normal-sized

thyroid without nodules. Cardiovascular examination reveals regular tachycardia otherwise

unremarkable systemic examination (see lab results).

Thyroid-Stimulating Hormone 0.1 0.4 - 5.0 U/mL

Which of the following is the most likely cause of this patients abnormal thyroid function? A. Grave's

disease

B. Subacute thyroiditis

C. Hashimoto thyroiditis

D. Euthyroid sick syndrome Ans: D

112- 64 YO with hypertension and diabetes came with AF what is the best anti thrombotic for him ?

B. Growth hormone deficiency

15- B A 69-year-old man known to have diabetes mellitus, presented to Emergency department with

4-day history of productive cough and tachypnea. On examinaton, oriented to time place and

person. Chest exam revealed right lower lobe crepitaton. Respiratory rate 23 /min Temperature 38.5

°C Test Result Normal Values WBC 12 4.5-10.5 x 109/L Urea 5 2.75-7.4 mmol/L Chest X-Ray:

Right lower lobe infiltrate. Which of the following is the most appropriate management approach?

D) lead apron 0.25 lead equivalent with thyroid collar

D) covered with lead or water shield and thyroid shield collar thickness of 0.25 cm or ml

38- thyroid swelling move with swallowing and protrusion of the tongue : A- Thyroglossal cyst

C. Cricothyroidotomy

C. Cricothyroidotomy

C. Hypothyroidism

55- Pt k/c of type 1 dm on short acting and long acting insulins regimen, presented to ER as case of

DKA took fluid and electrolytes were corrected what insulin to give him now?

-iv insulin

-sc insulin

A 20-year-old man with type 1 diabetes presents to the Emergency Department with vomiting and

abdominal pain. He has been suffering from diarrhea for 2 days and then became severely

dehydrated and started to vomit. He has not had his insulin for the last 24 hours. Normally, he

glucose, and was diagnosed with diabetic ketoacidosis. He is started on IV fluid What insulin should

he be prescribed now?

B. Sliding scale SC insulin

C. Fixed rate IV insulin

D. Insulin mixtard bid

61- 53-year-old woman admitted to the hospital with pneumonia. She has diabetes, hypertension
and is on hemodialysis for end-stage renal disease (see lab results). Hb 98 120-160 g/L

I choose insuline + dextrose Recall:

-insulin and dextrose

**C. Insulin dextrose infusion

136- 55-year-old woman has had type 2 diabetes for the past 20 years. She is on an 1800 kcal/day

diet and takes mejormin 850 mg 3 7mes a day (see lab results).

- Cricothyroid

19-38 year old Female came for diabetes screening hba1c 5.5 Wheight 91 kg and height 160 what

to give ?

A-insulin

A woman in her 50s , complaining of a huge thyroid swelling that is rapidly growing , with associated

weight loss . She has a history of hashimoto thyroiditis 25 years ago . What's the most likely

diagnosis ?

A.Hemorrhagic lymphoma B.Subacute thyroiditis C.Papillary carcinoma

47- thyroid swelling move with swallowing and protrusion of the tongue : A- Thyroglossal cyst

C- Refer for thyroidectomy

Follicle-stimulating hormone 10 5-20 IU/L Luteinizing hormone 28 5-22 U/L Prolactin 890 <

A. Thyroid stimulating hormone and free T3 and T4

B. Progesterone and thyroid stimulating hormone

- Hypothyroidism

- hyperthyroidism

- hypoparathyroidism

81- 38 year old Female came for diabetes screening hba1c 5.5 , Wheight 91 kg and height 160 what

to give ?

A-insulin

- hypothyroidism
A. Reduced insulin resistance

Follicle-stimulating hormone 10 (5-20 IU/L)

Luteinizing hormone 28 (5-22 U/L)

a. Thyroid stimulating hormone and free T3 and T4

b. Progesterone and thyroid stimulating hormone

115- A 65-year old post-menopausal woman complains of on and off vaginal bleeding that started 2

months ago. The amount of bleeding is mild to moderate of fresh blood. The woman is

diabetic.hypertensive and obese. she has used hormone replacement therapy to control post

menopausal symptoms.

A- Calcium B- Parathormone

Physical examination confirmed dry mucous membranes and a generally reduced skin tone. After

running several exams, the paediatrician started IV treatment with ringer lactate plus added

electrolytes and a low-dose insulin infusion (see lab results).

B: insulin and dextrose C: iv chloride

222- B A 69-year-old man known to have diabetes mellitus, presented to Emergency department

with 4-day history of productive cough and tachypnea. On examinaton, oriented to time place and

person. Chest exam revealed right lower lobe crepitaton. Respiratory rate 23 /min Temperature 38.5

°C Test Result Normal Values WBC 12 4.5-10.5 x 109/L Urea 5 2.75-7.4 mmol/L Chest X-Ray:

Right lower lobe infiltrate. Which of the following is the most appropriate management approach?

LH and FSH Thyroid function test

3-22 years old female known to have ovary cysts Presented with hirsutism hypertension insulin

insensitivity anovulation & other symptoms What is your Dx?

C. Hypothyroidism

Which hormone is altered in menopause?

The government did a health campaign to encourage the consumption of low-fat products and a

low salt intake in order to prevent hypertension and diabetes. Why type of prevention is this?
 "case of subclinical hypothyroidism" labs showed: high TSH (15) normal T4 Pt is

(asymptomatic)what to do?

6- pt with US showed 2 cm solid thyroid nodule, what is the most appropriate next step?

184- 28 year old female presented following radiation of neck with neck swelling. Ultrasound

showed swelling in the left lobe of the thyroid of 3x4cm of papillary thyroid cancer. Which of the

following is the best management?

C) Subtotal Thyroidectomy

D) Total Thyroidectomy

A 69-year-old man known to have diabetes mellitus, presented to Emergency department with 4-

day history of productive cough and tachypnea. On examination, oriented to time place and person.

mentioned a lot of hypothyroid symptoms.. labs showed low Hg, low sodium, Low T4. What is the

appropriate thing to do:

C- Thyroid Function Test.

A. Vaginal ring containing hormones

A 52-year-old woman presented with a 3-month history of a progressive anterior neck swelling with

stridor. She has a 12-year history of Hashimoto's thyroiditis. Physical examination confirmed a

diffuse, large, non- tender thyroid swelling with retrosternal extension. A core needle biopsy was

ordered (see reports).Ultrasound: Diffuse thyroid enlargement, encasing bilateral carotid sheaths.

Histopathology: Malignant thyroid tumour. Which of the following is the most likely tumour?

D Lymphoma if not in the choice go with papillary thyroid ca.

55 years old patient was diagnosed with autoimmune thyroiditis, with a history of progressive

enlargement of right lobe of the thyroid. FNA report: malignant cells. Which of the following is most

likely the type of thyroid malignancy?

D thyroid induced orbitopathy

The government did a health campaign to encourage the consumption of lowfat products and a low

salt intake in order to prevent hypertension and diabetes. Why type of prevention is this?
D-gonadotropin releasing hormone agonist(forgot for how long)

Neck swelling LN `e thyroid tissue ??? ????

A- Insulin

A.Insulin B.Glucagon C.Tg

Abdulrahman: The answer is insulin because it is an anabolic hormone. The hormonal response of

physiologic stress includes elevation in the serum levels of glucagon, glucocorticoids, and

catecholamines and reduction in insulin.

35- 70 year old male came to clinic with 2 year history of Slow and Progressive Memory Loss,

then the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years

ago he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other

neurological symptoms What is the diagnosis?

70ish year old male came to clinic with 2 year history of Slow and Progressive Memory Loss, then

the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years ago

he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other neurological

symptoms What is the diagnosis?

B- IV insulin

A- Pituitary hormone deficiency

B. Hypothyroidism

B- Associated with maternal diabetes

- Radiopaedia: The estimated prevalence is ~0.4-1% of pregnancies. There may be an increased

incidence of twin pregnancies and maternal diabetes.

A-I.v insulin

"non tender" , "mobile" , "hormone dependent (didn't say cycle)" , & in "UTD" written increases in

size "

B. Insulin

Patient with DM admitted to ICU for infection his glc: 13 asking about how to give insulin.
A. SQ insulin

B. IV insulin

72 yo male history if unindepentdent insulin DM , came with BP 170/90 for the first time , he has 2

previous normal measrment .what is the appropriate traematment ?

A patient post thyroidectomy was unable to maintain a high-pitched voice. Which of the following is

the injured nerve?

A 22-year-old woman has multiple small cysts within the ovary, as well as excessive androgen

production from the ovaries, anovulation, insulin resistance, hypertension, and hirsutism.

A 19-year-old woman is evaluated for management of type 1 diabetes. She was diagnosed 4

months ago after presenting to the Emergency Department with diabetic ketoacidosis. Her

hemoglobin A1c level at the time of diagnosis was 14.5%. She was discharged from the hospital on

a basal and prandial insulin regimen with minor adjustments required as an outpatient.

A. Decrease insulin glargine, decrease insulin aspart

B. Continue same doses of insulin glargine and aspart

C. Discontinue insulin glargine, discontinue insulin aspart

D. Discontinue insulin glargine, change insulin aspart to a sliding-scale regimen

511- Pt known know case of diabetes Mellites came with abnormal liver function test LFTS were all

high:

270- Long question about male in his 40's and diabetic ( they didn't mention the type of DM, but I

think diagnosed 3 years ago or I forget), came to the clinic for follow up, he has elevated LFT levels

for months (maybe 6 mothes) and asymptomatic.I, no history of of alcohol or drugs except diabetes

medication. the lab showed high hepatic enzymes only not biliary Pt weight is 90 kg Most likely

cause of high LFT:

A 69-year-old man known to have diabetes mellitus, presented to Emergency department with 4-day

history of productive cough and tachypnea. On examinaton, oriented to time place and person.

Chest exam revealed right lower lobe crepitaton. Respiratory rate 23 /min Temperature
75-year-old type 2 diabetic undergoes a bowel resection for colon cancer. He is well priar to the

operation with well-controlled diabetes and no other underlying condition. The operation is

successful and the patient is given postoperative insulin and IV dextrose. 2 days after the operation

he becomes very agitated

A? NPH insulin BID

B? Mixed insulin BID

C? (Some long name) with glargine insulin

A patient post thyroidectomy was unable to maintain a high-pitched voice. Which of the following is

the injured nerve?

B. insulin and salbutamol

The government did a health campaign to encourage the consumption of low- fat products and a low

salt intake in order to prevent hypertension and diabetes. Why type of prevention is this?

loW insulin ???? ??? ??? ??????? ?? B

Patient with family history of diabetes came for screening Results showed Fasting blood glucose 7.3

A1C 6.3 What us the next step:

B. Hypothyroidism

Target hba1c in 55 yo female kc of type 2 diabetes for 20 years

Patient with hypothyroidism plane for Elective surgery what to do regarding thyroxine?

? Wait till patient Euthyroid then do surgery

B. Sliding scale insulin

C. Pre and post prandial insulin

A/ Diabetes insipidus

Medications are aspart insulin, glargine, aspirin, metoprolol, atorvastatin, and lisinopril. On physical

examination, findings are compatible with distal symmetrical polyneuropathy. Which of the following

is the most appropriate management of this patient's neuropathy ?

A 70-year-old man with hypertension, diabetes and aortic sclerosis discovered to have atrial
fibrillation on routine health check-up. He denies dyspnea, chest pain or palpitations. Which of the

following drugs is recommended to prevent systemic embolization?

C. Increased thyroid hormones

D. A Follicle Stimulating Hormone to Luteinizing Hormone ratio of 1:3

Q15. A 37-year-old man with type 1 diabetes mellitus presents to the office with history of prolonged

hypoglycemia during intense exercise, despite eating a meal prior to the activity. He is using insulin

glargine and insulin aspart with meals (see lab result). Test Result Normal Value ?6?1C 7.0 4.7-5.6

% Which of the following is the most appropriate management of this patient's hypoglycemia on the

days that he exercises?

A. Decrease meal-time insulin aspart dose prior to exercise, continue insulin glargine dose

B. Increase meal-time protein prior to exercise, continue current insulin doses

C. Switch insulin aspart to a sliding-scale regimen, continue insulin glargine dose

D. Discontinue insulin glargine, continue insulin aspart dose

Oxygen saturation 97 % BMI 23 kg/m2 Test Result Normal Values Thyroid-Stimulating Hormone 4.4

0.4 - 5.0 jU/mL Thyroxine (T4 free serum) 9.5 8.5 - 15.2 pmol/L Which of the following is the most

appropriate treatment of this patient's hypothyroidism now?

C. Sliding-scale insulin

D. Basal and prandial insulin

Q34. A 20-year-old woman is diagnosed of type 1 diabetes mellitus after presenting with diabetic

ketoacidosis. Her blood sugars are now stable and she is ready for discharge. Which of the following

is the best insulin regime she should be offered as outpatient?

A. Twice daily NPH insulin

B. Once daily mixtard insulin

C. Basal-bolus insulin regimen with once-daily insulin glargine

D. Rapid-acting insulin analogue before each meal with no longer acting insulin

Parathyroid hormone (intact PTH levels) 4.5 1.1-5.3 pmol/L 25-Hydroxy Vitamin D3 (Women) 10
25-90 mol/L

D. Thyroid-associated orbitopathy

Q62. Post-menopausal women asked her gynecologist for hormone replacement therapy. The

gynecologist explained to the women that no evidence support the use of hormone replacement

therapy in her case. The women insisted. Which of the following is the most appropriate action?

B. Prescribe the hormone replacement therapy

D. Refuse to prescribe the hormone replacement therapy

C. Hypothyroidism

D. Insulin infusion

A. Bri]le diabetes

108. Patient known case of CHF and DM on insulin, ACEI and Furosemide and now came with

signs of DVT and started on heparin. Labs: K: 6

B- Insulin

Which hormone responsible of violance?

B- hypothyroidism

- Lateral neck mass, moving with swallowing, 3 cm, homogenous, thyroid cancer, calcitonin high,

type of cancer?

- DM1, started on short & long acting insulin, fainting, hypoglycemic attacks, HbA1C <6, Mx?

decrease both T

Woman has controlled hypothyroidism on 175 mcg levothyroxine. In the last 3 months, the doctor

raised the dose to 200 mcg. She is otherwise normal (see labs).

C. Ectopic thyroid.

D. Secondary hypothyroidism.

A new screening test for diabetes has a sensitivity of 90% and specificity of 80%, which of the

following is the best interpretation?

Which of the following is the most appropriate hormone to measure first?

D. Luteinizing hormone

Which of the following is the most appropriate diabetes treatment for this patient while hospitalized?

C. Sliding-scale insulin

D. Basal and prandial insulin

B- Previous gestetional diabetes

A- Inappropriate antidiuretic hormone

# pt hypothyroid and doctor increase dose , TSH high

2- sick euthyroid syndrome

3- Primary Hypothyroidism

A 40 years old female with chronic kidney disease secondary to diabetes mellitus. Came for

follow-up with no active complaints. Investigations:

- C. Congenital hypothyroidism

A 22-year-old woman has multiple small cysts within the ovary, as well as excessive androgen

production from the ovaries, anovulation, insulin resistance, hypertension, and hirsutism. Which of

the following is the most likely diagnosis?

C. Congenital hypothyroidism

- Insulin

53-year-old woman admitted to the hospital with pneumonia. She has diabetes, hypertension and is

on hemodialysis for end-stage renal disease (see lab results).

- D- covered with lead or water shield and thyroid shield collar thickness of 0.25 cm or ml

- A- IV insulin

- B- subcutaneous insulin

70ish year old male came to clinic with 2 year history of Slow and Progressive Memory Loss, then

the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years ago

he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other neurological

symptoms What is the diagnosis?

Hypothyroidism Rubella infection DM

61 male on obese known Dm on insulin with benign prostatic hyperplasia most causative risk for

BPH

Patient is suffering from hoarseness of voice after thyroidectomy procedure. Which nerve is injured?

B) Sex Hormone Binding Globulin (SHBG)

A 23 year old female presented with tender thyroid swelling. TSH is high, T4 is low and ESR is high.

What is the most likely diagnosis?

A) Subacute thyroiditis

B) Hashimoto's thyroiditis

C) Sick euthyroid state

D) Riedel's thyroiditis

A 19-year-old patient is diagnosed with type 1 diabetes and initiated on aspart and glargine insulin

therapy. However, the patient has been experiencing episodes of hypoglycemia, and the most

recent A1C level is 7. What would be the most appropriate change in the treatment plan for this

patient?

A) Change to NPH insulin twice daily

B) Stop aspart and only use glargine insulin

C) Decrease the dose of aspart and glargine insulin!"

D) Switch to mixtard insulin

D. Thyroid functionA

D- Hypothyroidism

3- diabetes mellitus

Accordingly. she was counselled for hormone replacement therapy and agreed. Which of the

following is the most appropriate hormone replacement therapy regimens?

Q12- a researcher doing a study about incidence, prevalence, and burden of diabetes mellitus after

insulin brought to the world as a therapy in 1960 which of the following is mostly found:
70ish year old male came to clinic with 2 year history of Slow and Progressive Memory Loss, then

the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years ago

he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other neurological

symptoms What is the diagnosis?

A 75-year-old type 2 diabetic undergoes a bowel resection for colon cancer. He is well prior to the

operation with well-controlled diabetes and no other underlying condition. The operation is

successful and the pa7ent is given postoperative insulin and IV dextrose. 2 days after the operation

he becomes very agitated (see lab results).

D. Inappropriate ant-diure7c hormone

3- diabetes mellitus

Replace fluid Insulin

A 40-year-old diabetic man was treated appropriately with small doses of insulin. On next follow-up

visit, he bought a very expensive watch as a gesture of gratitude to his physician. Which of the

following is the most appropriate response?

C. Increased thyroid hormones

D. A Follicie Stimulating Hormone to Leutenizing Hormone ratio of 1:3 !"#

D. Thyroid function TTT

12 years old girl , asymptomatic, accidentally discovered a thyroid nodule ,, TSH normal,, FNA

inadequate.. What is the most appropriate next step ?

- thyroidectomy

- start thyroid medication

**D. Cricothyroidotomy D

•Female patient came Complaining of fatigue for 2 months Lab: High TSH T4 within normal

(Subclinical hypothyroidism) High triglycerides + cholesterol (not too high just 1-2 of upper limit) How

to treat dyslipidemia in this patient:

Follicle stimulating hormone 4.5 5-20 IUIL

Luteinizing hormone 3.9 5-22 U/L

A 55-year-old man with a family history of type 2 diabetes undergoes screening (see lab results).

Blood pressure 130/85 mmH

D. Cricothyroidotomy

Thyroid-Stimulating Hormone 0.1 0.4 - 5.0 U/L

B. Primary hypothyroidism

A/ Diabetes insipidus

A. Reduced insulin resistance

33-year old presented with a lump in her neck. Physical examination confirmed enlarged right

cervical lymph' nodes with normal thyroid gland. She underwent percutaneous biopsy of the lymph

nodes (see report). Histopathology: Normal follicular thyroid cells. Which of the following is the most

appropriate next step?

C. Cricothyroidotomy

A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-

oophorectomy for a benign reason. Immediately post operation, she started to have acute

vasomotor symptoms. Accordingly. she was counselled for hormone replace ment therapy and

agreed. Which of the following is the most appropriate hormone replacement therapy regimens?

A 50-year-old man with diabetes, hypertension and chronic kidney disease. presents to the

Nephrology Clinic for follow-up. Blood pressure 160/98 mmHg

C. Insulin with dextrose

2. Thyroid Function test

A- Insulin

12 years old girl , asymptomatic, accidentally discovered a thyroid nodule ,, TSH normal,, FNA

inadequate.. What is the most appropriate next step ?

- thyroidectomy

- start thyroid medication

53-year-old woman admitted to the hospital with pneumonia. She has diabetes, hypertension and is

on hemodialysis for end-stage renal disease (see lab results).

D- hypothyroidism

A 69-year-old man known to have diabetes mellitus, presented to Emergency department with 4-

day history of productive cough and tachypnea. On examination, oriented to time place and person.

Chest exam revealed right lower lobe crepitation. Respiratory rate 23 /min Temperature 38.5 °C

Test Result Normal Values WBC 12 4.5-10.5 x 109/L Urea 5 2.75-

A 25-year-old man underwent a thyroidectomy due to multinodular goiter. Post-operatively, he was

unable to maintain high pitch sound. Which of the following nerves is most likely injured?

A 40-year -old man patient comes to the clinic after developing hoarseness of the voice and

aspiration when drinking fluids. History reveals, he underwent thyroidectomy surgery 2 weeks prior

to these symptoms. Which of the following is the most likely damaged laryngeal nerve?

comparing the association of green tea and black tea with diabetes. Over 10 years, the risk ratio of

green tea (exposed) was 0.85 compared with black tea (unexposed). Which of the following is the

correct interpretation?

cohort study was carried out comparing the association of green tea and black tea with diabetes.

Over 10 years, the risk ratio of green tea (exposed) was 0.85 compared with black tea (unexposed).

Which of the following is the correct interpretation?

A 55-year-old man with a family history of type 2 diabetes undergoes screening (see lab results).

Blood pressure 130/85 mmH

D- Hypothyroidism

A) Associated with maternal diabetes B Major malformation in 80% of cases

D- Hypothyroidism

He was on metformin 1000mg years ago but his DM wasn't controlled and since then he use insulin,

HbA1c was always 9 or 10 for several years. What to GIVE?

A 62-year-ald man presents with progressive lower limbs edema for the last 4 months otherwise he
is asymptomatic. He is known to have diabetes complicated with diabetic nephropathy and

hypertension. His current medications are insulin,

A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-

oophorectomy for a benign reason. Immediately post operation, she started to have acute

vasomotor symptoms. Accordingly. she was counselled for hormone replacement therapy and

agreed. Which of the following is the most appropriate hormone replacement therapy regimens?

**C. Diabetes mellitus

D. Thyroid function

Follicle-stimulating hormone 10 5-20 IU/L Luteinizing hormone 28 5-22 U/L Prolactin 890 < 870

pmol/L

A. Thyroid stimulating hormone and free T3 and T4

B. Progesterone and thyroid stimulating hormone

A 53-year-old woman admitted to the hospital with pneumonia. She has diabetes, hypertension and

is on hemodialysis for end-stage renal disease (see lab results).

He is well priar to the operation with well-controlled diabetes and no other underlying condition.

The operation is successful and the patient is given postoperative insulin and IV dextrose.

D. Inappropriate anti-diuretic hormone secretion

A 75-year-old type 2 diabetic undergoes a bowel resection for colon cancer. He is well prior to the

operation with well-controlled diabetes and no other underlying condition. The operation is

successful and the patient is given postoperative insulin and IV dextrose. 2 days after the operation

he becomes very agitated (see lab results). Test Result Normal Values

** D. Inappropriate ant-diuretic hormone T

C. Increased thyroid hormones

**D. A Follicle Stmulatng Hormone to Leutenizing Hormone rato of 1:3 T

C. Thyroid function test

A 49-year-old smoker man has type 2 diabetes mellitus, morbid obesity and a recent diagnosis of
symptomatc peripheral arterial disease. He is started on atorvastatn (Lipitor), ofered a supervised

exercise program and discussed smoking cessaton and interventons. Which of the following should

be recommended to prevent cardiovascular events?

A. Thyroid stimulating hormone and free T3 and T4

B. Progesterone and thyroid stimulating hormone

52- A researcher conducts observational studies including incidence, prevalence and the burden of

disease on the subject of type 1 DM since the invention of insulin therapy in the 1960s. Which of the

following most likely corresponds to his findings?

B. Hypothyroidism

94- A 55-year-old man with a family history of type 2 diabetes undergoes screening (see lab results).

118- 70 year old male came to clinic with 2 year history of Slow and Progressive Memory Loss, then

the question mention hx of hypertension and diabetes. Hx of multiple TIA. Then find out 3 years ago

he has HIV through routine screening. Lastly, he has apraxia, abnormal gait, and other neurological

symptoms What is the diagnosis?

185- A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-

oophorectomy for a benign reason. Immediately post operation, she started to have acute

vasomotor symptoms. Accordingly. she was counselled for hormone replacement therapy and

agreed. Which of the following is the most appropriate hormone replacement therapy regimens?

B. Insulin

209- A 22-year-old woman has multiple small cysts within the ovary, as well as excessive androgen

production from the ovaries, anovulation, insulin resistance, hypertension, and hirsutism. Which of

the following is the most likely diagnosis?

Thyroid -Stimulating Hormone 0.15 0.4 5.0 uUIL WBC 5.2.4.5-10.5 X 109/L

B. Subacute thyroiditis

C. Hashimoto's thyroiditis

32- Q about sx of hypothyroidism with sleepiness and cold intolerance, wt gain Labs
Thyroid peroxidase antibodies (TPO) High

B. Hashimoto thyroiditis

C. Subacute thyroiditis

D. Euthyroid sick syndrome Ans: B

Parathyroid hormone (intact PTH levels) 4.5 1.1-5.3 pmol/L 25-Hydroxy Vitamin D3 (Women) 10

25-90 mol/L

43- 45 years old male, known case of type 2 diabetes, presented with all signs and symptoms of

pneumonia. CXR shows right lobar pneumonia. All the vitals are stable.

B. Diabetes insipidus Ans: B

61- A 70-year-old woman was admitted 1 week ago to the Intensive Care Unite with pneumonia

requiring intubation, intravenous fluids, and dopamine support for her blood pressure. On physical

examination, her skin is warm and dry, no proposis, examination or the neck shows a normal-sized

thyroid without nodules. Cardiovascular examination reveals regular tachycardia otherwise

unremarkable systemic examination (see lab results).

Thyroid-Stimulating Hormone 0.1 0.4 - 5.0 U/mL

Which of the following is the most likely cause of this patients abnormal thyroid function? A. Grave's

disease

B. Subacute thyroiditis

C. Hashimoto thyroiditis

D. Euthyroid sick syndrome Ans: D

112- 64 YO with hypertension and diabetes came with AF what is the best anti thrombotic for him ?

B. Growth hormone deficiency

15- B A 69-year-old man known to have diabetes mellitus, presented to Emergency department with

4-day history of productive cough and tachypnea. On examinaton, oriented to time place and

person. Chest exam revealed right lower lobe crepitaton. Respiratory rate 23 /min Temperature 38.5

°C Test Result Normal Values WBC 12 4.5-10.5 x 109/L Urea 5 2.75-7.4 mmol/L Chest X-Ray:
Right lower lobe infiltrate. Which of the following is the most appropriate management approach?

D) lead apron 0.25 lead equivalent with thyroid collar

D) covered with lead or water shield and thyroid shield collar thickness of 0.25 cm or ml

38- thyroid swelling move with swallowing and protrusion of the tongue : A- Thyroglossal cyst

C. Cricothyroidotomy

C. Cricothyroidotomy

C. Hypothyroidism

55- Pt k/c of type 1 dm on short acting and long acting insulins regimen, presented to ER as case of

DKA took fluid and electrolytes were corrected what insulin to give him now?

-iv insulin

-sc insulin

A 20-year-old man with type 1 diabetes presents to the Emergency Department with vomiting and

abdominal pain. He has been suffering from diarrhea for 2 days and then became severely

dehydrated and started to vomit. He has not had his insulin for the last 24 hours. Normally, he

glucose, and was diagnosed with diabetic ketoacidosis. He is started on IV fluid What insulin should

he be prescribed now?

B. Sliding scale SC insulin

C. Fixed rate IV insulin

D. Insulin mixtard bid

61- 53-year-old woman admitted to the hospital with pneumonia. She has diabetes, hypertension

and is on hemodialysis for end-stage renal disease (see lab results). Hb 98 120-160 g/L

I choose insuline + dextrose Recall:

-insulin and dextrose

**C. Insulin dextrose infusion

136- 55-year-old woman has had type 2 diabetes for the past 20 years. She is on an 1800 kcal/day

diet and takes mejormin 850 mg 3 7mes a day (see lab results).
- Cricothyroid

19-38 year old Female came for diabetes screening hba1c 5.5 Wheight 91 kg and height 160 what

to give ?

A-insulin

A woman in her 50s , complaining of a huge thyroid swelling that is rapidly growing , with associated

weight loss . She has a history of hashimoto thyroiditis 25 years ago . What's the most likely

diagnosis ?

A.Hemorrhagic lymphoma B.Subacute thyroiditis C.Papillary carcinoma

47- thyroid swelling move with swallowing and protrusion of the tongue : A- Thyroglossal cyst

C- Refer for thyroidectomy

Follicle-stimulating hormone 10 5-20 IU/L Luteinizing hormone 28 5-22 U/L Prolactin 890 <

A. Thyroid stimulating hormone and free T3 and T4

B. Progesterone and thyroid stimulating hormone

- Hypothyroidism

- hyperthyroidism

- hypoparathyroidism

81- 38 year old Female came for diabetes screening hba1c 5.5 , Wheight 91 kg and height 160 what

to give ?

A-insulin

- hypothyroidism

A. Reduced insulin resistance

Follicle-stimulating hormone 10 (5-20 IU/L)

Luteinizing hormone 28 (5-22 U/L)

a. Thyroid stimulating hormone and free T3 and T4

b. Progesterone and thyroid stimulating hormone

115- A 65-year old post-menopausal woman complains of on and off vaginal bleeding that started 2
months ago. The amount of bleeding is mild to moderate of fresh blood. The woman is

diabetic.hypertensive and obese. she has used hormone replacement therapy to control post

menopausal symptoms.

A- Calcium B- Parathormone

Physical examination confirmed dry mucous membranes and a generally reduced skin tone. After

running several exams, the paediatrician started IV treatment with ringer lactate plus added

electrolytes and a low-dose insulin infusion (see lab results).

B: insulin and dextrose C: iv chloride

222- B A 69-year-old man known to have diabetes mellitus, presented to Emergency department

with 4-day history of productive cough and tachypnea. On examinaton, oriented to time place and

person. Chest exam revealed right lower lobe crepitaton. Respiratory rate 23 /min Temperature 38.5

°C Test Result Normal Values WBC 12 4.5-10.5 x 109/L Urea 5 2.75-7.4 mmol/L Chest X-Ray:

Right lower lobe infiltrate. Which of the following is the most appropriate management approach?

LH and FSH Thyroid function test