Block 5 DPS Ime & Pancreas MCQ's

17 Questions | Total Attempts: 364

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Pancreas Quizzes & Trivia

Questions and Answers
  • 1. 
    The gait in a patient with established neuro syphilis with damage to the spinal cord is which of the following?
    • A. 

      Staggering

    • B. 

      Shuffling

    • C. 

      Drags one feet

    • D. 

      High stepping

    • E. 

      Scissors like

  • 2. 
    Which of the following would be an iatrogenic cause for a spinal cord injury?
    • A. 

      Neurosyphilis

    • B. 

      Meningitis

    • C. 

      Motor vehicle accident

    • D. 

      Osteoporosis

    • E. 

      Lumbar puncture

  • 3. 
    The incidence of spinal cord injuries in the USA is
    • A. 

      10% of the population

    • B. 

      Approximately 250,00 cases at any point in time in the population

    • C. 

      About 12,000 new cases per year

    • D. 

      Prevalent among young males

    • E. 

      Mostly caused by motor vehicle accidents

  • 4. 
    Your patient is a 37 year-old Caucasian male who has a BMI of 30 (Kg/m2). He is committed to losing weight but wants you to give him encouragement by providing evidence that losing weight will improve his health. He wants to know by what percentage his all- cause mortality would decrease if he could decrease his BMI to 25 (Kg/m2). The best answer is:
    • A. 

      It would decrease by 10%

    • B. 

      It would decrease by 20%

    • C. 

      It would decrease by 30%

    • D. 

      It would decrease by 40%

    • E. 

      There is no evidence correlating BMI as an independent risk for increased mortality

  • 5. 
    You are seeing an otherwise healthy 45-year-old patient who measures 5'9" and weighs 200 lbs. (BMI 29.6 Kg/m2). She wants you to help her reduce her BMI to 25 Kg/m2 since she heard she has about 30 % increased risk of dying at her current weight. Which of the following evidence-based therapies would be appropriate to prescribe to your patient?
    • A. 

      Acupuncture

    • B. 

      Gastric by-pass surgery

    • C. 

      Caffeine to increase metabolic rate

    • D. 

      Orlistat to reduce fat absorption

    • E. 

      Exercise 4 times a week

  • 6. 
    Your patient is seeing you for a health maintenance physical and has no complaints. He is 55 years old, measures 5'6" and weighs 160 lbs. (BMI 25.9 Kg/m2) with a waist circumference of 42". You recommend that you patient start a diet program with the goal to lose 1 Lb. a week for the next 6 weeks and schedule a follow-up visit. The patient goes home and tells his wife that his doctor was rude and he was offended by the suggestion that he needs to lose weight. He does not follow your recommendation or keep his follow-up appointment. If the patient does not lose weight, what is his risk for developing an obesity related disease?
    • A. 

      Below normal

    • B. 

      Normal

    • C. 

      Intermediate

    • D. 

      High

    • E. 

      Very high

    • F. 

      Extremely high

  • 7. 
    A 21 year old man from Germany who is attending graduate school in the United States comes to the physician complaining of headaches. He states that the headaches began 6 months earlier when an important experiment he was working on failed, and have continued 2-3 times a week since then. They are sometimes relieved with aspirin. One month ago the patient states that he began smoking cigarettes and found that using them when he had headaches produced some relief. Physical examination is unremarkable and the physician concludes that the headaches are due to tension and stress. In counseling the patient about his use of tobacco, the most appropriate statement for the physician to make is:
    • A. 

      "I am concerned because your smoking behavior is potentially addictive and would affect your health in the long run."

    • B. 

      "What ideas do you have about the relationship between your tobacco use and other things going on in your life."

    • C. 

      "As your physician, I must warn you about the dangers of tobacco and advise you to quit immediately."

    • D. 

      "I'd like to refer you to a smoke-enders program that will help you to stop using tobacco."

    • E. 

      "Does anyone else in your family or peer group use tobacco products."

  • 8. 
    A 22 year old woman who is a 2nd year medical student comes to the physician complaining of loose stools and excessive flatulence over a 3 week period. She reports that her symptoms began shortly after returning from a visit to her family in a nearby state. Since that time she has gained 10 pounds while studying for exams and found herself snacking frequently on cakes, cookies and candy that her family put together for her in a large "care package." History and physical exam reveal a normally healthy 22 year old female who appears tense and anxious. Which of the following is the most appropriate next step for the physician to take.
    • A. 

      Refer the patient for short term psychotherapy.

    • B. 

      Encourage the patient to enroll in a mindfulness meditation class.

    • C. 

      Prescribe a weight loss program.

    • D. 

      Gently but firmly insist that the patient stop snacking between meals.

    • E. 

      Recommend that the patient begin a high fiber diet.

  • 9. 
    Pancreas The synthesis of insulin requires
    • A. 

      Formation of disulfide bonds

    • B. 

      The proteasome

    • C. 

      A protein kinase

    • D. 

      Glycosyl-transferases

    • E. 

      A mannose-6-phosphate transferase

  • 10. 
    It is the family July 4th picnic and Aunt Judy has forgotten her insulin injection. Her personal blood glucose monitoring device shows dangerously high glucose concentrations in her blood. Uncle Tommy comes to the rescue (he is also a diabetic) with his insulin kit, and Aunt Judy recovers except for the embarrassment she suffers from becoming drenched in perspiration in front of her entire extended family. How does insulin help to normalize her blood glucose levels?
    • A. 

      Insulin stimulates glycogen synthase and phosphofructokinase-1

    • B. 

      Insulin inhibits hexokinase and GLUT 4 transport of glucose

    • C. 

      Insulin stimulates Glycogen Synthase Kinase-3 activity

    • D. 

      Insulin stimulates bypass enzymes of gluconeogenesis

    • E. 

      Insulin inhibits the activity of Pyruvate Kinase

  • 11. 
    Insulin and glucagon are counteracting hormones in so far as their actions on plasma glucose levels. However, it can be demonstrated that glucagon stimulates insulin release. What is the most likely explanation for the ability of glucagon to stimulate insulin release?
    • A. 

      Glucagon antagonizes the insulin receptor.

    • B. 

      Glucagon blocks oxidative phosphorylation

    • C. 

      Glucagon increases the availability of glucose

    • D. 

      Glucagon inhibits glycogenolysis.

    • E. 

      Glucagon changes the phenotype of pancreatic alpha cells.

  • 12. 
    A 14 yo male presents at the clinic with a nonfasting plasma glucose level of 220 mg/dL and a strong thirst. You give him a tentative diagnosis of Type I diabetes mellitus and schedule an oral glucose tolerance test (OGTT) for the next morning. If your diagnosis is correct, what would you expect to see I this patient during the two hours after ingestion of 75 ml of dextrose?
    • A. 

      A strong, long surge in plasma glucose from a high baseline, with very little surge in plasma insulin

    • B. 

      A weak, short surge in plasma glucose from a low baseline, with a strong surge in plasma insulin

    • C. 

      A weak, long surge in plasma glucose from a low baseline, with very little surge in plasma insulin

    • D. 

      A strong, short surge in plasma glucose from a low baseline, with a weak surge in plasma insulin

    • E. 

      A strong, long surge in plasma glucose from a low baseline, with very little surge in plasma insulin

  • 13. 
    During the absorptive state, which hormone has the ability to stimulate growth of muscle tissue while preventing excessive glucose levels in the plasma?
    • A. 

      Glucagon

    • B. 

      Cortisol

    • C. 

      Insulin

    • D. 

      Leptin

    • E. 

      Growth hormone

  • 14. 
    Which of the following is characteristic of the acinar cells of the pancreas?
    • A. 

      They secrete lysozyme

    • B. 

      They secrete glucagon

    • C. 

      They secrete insulin

    • D. 

      They produce and secrete proteases

    • E. 

      They are lined by fenestrated endothelial cells

  • 15. 
    Which of the following antidiabetic drugs can cause hypoglycemia when used as monotherapy in a patient with type 2 diabetes?
    • A. 

      Glyburide

    • B. 

      Metformin

    • C. 

      Acarbose

    • D. 

      Rosiglitazone

  • 16. 
    A 17-year-old girl with type-1 diabetes mellitus is on insulin therapy. Which of the following type of insulin is she taking before meal to control her postprandial hyperglycemia?
    • A. 

      Insulin aspart

    • B. 

      Insulin ultralente

    • C. 

      Insulin glargine

    • D. 

      Insulin NPH

  • 17. 
    A 48-year-old man with type 1 diabetes is started on an intensive therapy with insulin in order to achieve a tight control his blood glucose levels. He will most likely have an increased risk of which of the following condition?
    • A. 

      Hypertension

    • B. 

      Hypoglycemia

    • C. 

      Neuropathy

    • D. 

      Nephropathy

    • E. 

      Weight loss

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