13/4/17
Question 1
Concerning the thyroid gland, which of the following is NOT
true?
a)Thyroglobulin
b)Triiodthyronine
c) Calcitonin
d)Thyroxine
Question 3
A Rastafarian male presents to you with a large non-
tender, midline neck swelling. He is a strict vegetarian and
has prepared his meals without salt for the last 20 years.
a)Hyper-reflexia
b)Cold intolerance
c) Constipation
d)Dry, course skin with puffy features
Question 7
Graves’ Disease
I. Is an autoimmune condition cause by a thyroid-stimulating
immunoglobulin (IgG)
II. Presents with a diffusely enlarged, non-tender goiter with a bruit
III. Is often associated with exophthalmos and pretibial myxedema
IV. Is associated with increased uptake of radioactive iodine
a) Subtotal thydriodectomy
b) Ultrasound
c) Radioactive iodine scan
d) Fine needle aspiration biopsy
Question 10
“Stones, groans, bones and psychiatric
overtones” is a mnemonic which represent the
clinical features of which of the following?
a)Primary hyperparathyroidism
b)Primary hypoparathyroidism
c) Primary hypothyroidism
d)Primary hyperthyroidism
Question 11
24 year old Fred is 8 feet tall. At 9 years, he was 2 feet taller
than his classmates and at 16 years he was12 inches taller
than his father who is 5 feet 9 inches tall.
a) Hypopituitarism
b) Acromegaly
c) Gigantism
d) Fragile X syndrome
Question 13
Concerning this picture, which of the following is
false?
a)Cooley’s anemia
b)Renal failure
c) Iron deficiency
d)Folate deficiency
Question 16
A 5 year old girl with a known history of eating
paint chips off the walls in her old home was found
to have a Hb of 8.
a)Beta-thalassemia minor
b)Sickle cell anemia
c) G6PD deficiency
d)Beta-thalassemia major
Question 19
A 60-year-old man develops numbness of the feet. On
physical examination he has lost proprioception in the lower
extremities and is noticed to have a wide based gait with a
positive Romberg sign. His past medical history includes
hypertension, hypothyroidism, and previous gastrectomy for
gastric cancer.
a)Sideroblasts
b)Microcytic, hypochromic RBCs
c) Heinz bodies
d)Hypersegmented neutrophils
Question 21
A 16 year old patient with anorexia nervosa gave birth to a
low birth weight baby boy with a spina bifida malformation.
She was found to be anemic at the start of her pregnancy but
refused to take prenatal supplements and attend antenatal
clinics.
a)Cytomegalovirus
b)Parvovirus B19
c) Staph. Aureus
d)Encapsulated bacteria
Question 23
Which of the following is required to make the clinical
diagnosis of chronic bronchitis?
a)Sarcoidosis
b)Histiocytosis X
c) Wegner’s granulomatous
d)Churg-Strauss disease
Question 29
The presence of c-antineutrophilic cytoplasmic
antibodies (c-ANCA) is contributive to the
diagnosis of which of the following?
a)Sarcoidosis
b)Histiocytosis X
c) Wegner’s granulomatous
d)Churg-Strauss disease
Question 30
The presence of perinuclear antineutrophilic
cytoplasmic antibody (p-ANCA) is contributive to
the diagnosis of which of the following?
a) Sarcoidosis
b)Histiocytosis X
c) Wegner’s granulomatous
d)Churg-Strauss disease
Bonus question (Worth 2 points)
For male physicians, what is the most important initial step when preparing to
conduct a clinical breast exam?
d) Informed consent