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Category: Emergency Medicine--->Endocrine Emergencies
Page: 1

Question 1# Print Question

Regarding lower limb examination findings of a patient with diabetes, which ONE of the following statements is TRUE?

A. Pretibial myxoedema is a purplish-pink plaque on the front of the shins associated with type 2 diabetes
B. Diabetic peripheral neuropathy causes loss of fine touch, pain and temperature sensation with preserved vibratory and position sense
C. Neuropathic arthropathy presents as an acutely painful swollen joint
D. Diabetic foot ulcers are most commonly seen under the metatarsal heads


Question 2# Print Question

Regarding ophthalmic complications in a patient with diabetes, which ONE of the following statements is INCORRECT?

A. There is a higher risk of vitreous haemorrhage than in the general population
B. Ocular haemorrhage is common in patients with diabetic retinopathy, following thrombolysis for acute myocardial infarction
C. Diabetic retinopathy may cause retinal detachment
D. Measurement of intraocular pressure is important because glaucoma is more common in diabetics


Question 3# Print Question

In considering a patient with diabetes with unstable blood glucose, which ONE of the following statements is TRUE?

A. Octreotide reverses hypoglycaemia secondary to insulin toxicity
B. Excess nocturnal insulin may result in reactive hyper-glycaemia
C. Acarbose stabilizes blood glucose levels by promoting intracellular intake
D. Strict glycaemic control (BSL < 7 mmol/L) has been shown to reverse early vascular disease


Question 4# Print Question

Regarding hypoglycaemia in a patient with diabetes, which ONE of the following is TRUE?

A. Symptoms of hypoglycaemia may be concealed by concomitant use of calcium channel blockers
B. Symptoms of hypoglycaemia begin to appear at blood glucose of <4 mmol/L
C. Oral glucose preparations will return blood glucose to normal more rapidly than intramuscular glucagon
D. Intramuscular glucagon is useful in therapy of patients with low liver glycogen stores


Question 5# Print Question

Regarding management of an episode of hypoglycaemia in a 65-year-old who is on sulfonylurea therapy, which ONE of the following is TRUE?

A. Initial oral or intravenous glucose therapy can be omitted because it is likely to fail
B. Octreotide should be considered for recurrent or persistent hypoglycaemia
C. Hypoglycaemia in a stable diabetic on a regular sulfonylurea dose is not usually due to a precipitating event
D. There is a more sustained response to intravenous glucose therapy in sulfonylurea-induced hypoglycaemia than in insulin-induced hypoglycaemia




Category: Emergency Medicine--->Endocrine Emergencies
Page: 1 of 6