Hx And Ex Of Endocrine System

Question 1

Hirsutism is only caused by

Answer 1

High androgens (Not by taking G.corticoids)

Question 2

<1 cm pituitary adenoma will cause

Answer 2

Headache only

Question 3

Pituitary adenoma compressing upward will most probably cause

Answer 3

Bitemporal hemianopia

Question 4

Pituitary adenoma compressing downwards will most probably cause

Answer 4

Sinusitis + Rhinorrhea

Question 5

Pituitary adenoma compressing laterally will most probably cause

Answer 5

6th nerve palsy + temporal lobe epilepsy

Question 6

The TSH is inhibited by?

Answer 6

Somatostatins + dopamine

Question 7

The prolactin is stimulated by ?

Answer 7

TRH

Question 8

ACTH is stimulated by?

Answer 8

CRH + ADH

Question 9

Prognathism and soft tissue and skin thickening are clinical features of?

Answer 9

Acromegaly

Question 10

Hyperpigmentation of the skin is a clinical feature of?

Answer 10

Addison’s diseases + acromegaly + cushing’s syndrome

Question 11

Buccal pigmentation is seen in?

Answer 11

Addison’s disease

Question 12

Wide carrying angle + wide spaced nipples + webbed nick are clinical feature of?

Answer 12

Turner’s syndrome

Question 13

Increases PTH

Answer 13

Magnesium + Renal failure

Question 14

Hypercarotenemia is seen in?

Answer 14

Hypothyroidism

Question 15

Amenorrhea is seen in?

Answer 15

Thyrotoxicosis

Question 16

heat intolerance + weight gain are clinical features of?

Answer 16

Acromegaly

Question 17

Increased appetite + weight gain is seen in?

Answer 17

Cushing’s syndrome + hypoglycemia + hypothalamic diseases

Question 18

Loss of appetite + weight loss is seen in?

Answer 18

Adrenal insufficiency

Question 19

Diarrhea is seen in which endocrine diseases?

Answer 19

Hyperthyroidism + adrenal insufficiency

Question 20

Increased sweating is a clinical feature of?

Answer 20

Hyperthyroidism + acromegaly + pheochromocytoma + hypoglycemia

Question 21

Dry and scaly skin

Answer 21

Hypoparathyrodism

Question 22

Dry and pale skin

Answer 22

Hypothyroidism

Question 23

Onycholysis is seen in?

Answer 23

Graves’ disease + Cushing’s syndrome

* due to sympathetic overactivity.

Question 24

Acanthosis nigricans is seen in?

Answer 24

Insulin resistance (cushing’s syndrome)+ POS

Question 25

Hyperpigmentation of the skin is a clinical feature of?

Answer 25

Primary adrenal insufficiency + Cushing’s syndrome + acromegaly

Question 26

Depigmentation is seen in?

Answer 26

Hashimoto’s disease + hypothyroidism + Addison’s disease

Question 27

The thyroid glad feels firm in?

Answer 27

Simple Goiter (Iodine deficiency)

Question 28

The thyroid glad feels rubbery hard in?

Answer 28

Hashimoto’s thyroiditis

Question 29

A stony hard node in the thyroid gland suggests? - Goiter. - Carcinoma. - Hashimoto’s thyroiditis. - Normal.

Answer 29

Carcinoma

Question 30

Tenderness of the thyroid gland is a typical feature of?

Answer 30

Thyroiditis

Question 31

Tethered thyroid gland suggests?

Answer 31

Carcinoma

Question 32

Palpable thrill at the thyroid gland suggests?

Answer 32

Thyrotoxicosis

Question 33

Thyroid bruit is a sign of? - Hypothyroidism. - Hyperthyroidism. - Euthyroid. - Addison’s disease.

Answer 33

Hyperthyroidism | * also by using antithyroid drugs.

Question 34

Majority of patients with diffuse goiter are? - Hyperthyroid. - Hypothyroid. - Euthyroid.

Answer 34

Euthyroid

Question 35

Which of the following causes a solitary thyroid nodule? - Hashimoto’s thyroiditis. - Subacute thyroiditis. - Pendred’s syndrome. - Follicular adenoma.

Answer 35

Follicular adenoma

Question 36

Thyrotoxicosis factitia is?

Answer 36

Thyrotoxicosis caused by ingestion of exogenous thyroid hormone

Question 37

Anti arrhythmic drug which causes thyrotoxicosis?

Answer 37

Amiodarone

Question 38

The most common cause of thyrotoxicosis in young patients?

Answer 38

Graves’ disease

Question 39

Thyroid acropathy (clubbing) is specific for?

Answer 39

Graves’ disease

Question 40

Complications of proptosis

Answer 40

``` 1- chemosis “edema of the conjunctiva”. 2- conjunctivitis. 3- corneal ulceration. 4- Optic atrophy. 5- ophthalmoplegia. ```

Question 41

Sclera visible above the iris is called? - Exophthalmus. - Lid lag. - Lid retraction. - chemosis.

Answer 41

Lid retraction

Question 42

Thyroid enlargement is unlikely to be absent in this disease?

Answer 42

Graves’ disease

Question 43

Gynecomastia is seen in? - Hyperthyroidism. - Hypothyroidism.

Answer 43

Hyperthyroidism

Question 44

Pretinial myxoedema is specific for?

Answer 44

Graves’ disease

Question 45

Amiodarine causes? - Hypothyroidism. - Hyperthyroidism. - Hypergonadism. - Hyperadrenalism.

Answer 45

A and B

Question 46

Xanthelasmata is seen in? - Hyperthyroidism. - Hypothyroidism.

Answer 46

Hypothyroidism