SPINAL MUSCULAR DYSTROPHY -MCQS

RED FLAGS SIGNS OF SPINAL MUSCULAR DYSTROPHY INCLUDES

1.Hypotonia.
2.No head control.
3.Absent reflexes.
4.Tounge fasciculation.
5.Cognitive impairment.

ANSWERS
1.TRUE-Profound hypotonia
2.TRUE-Little or no head control
3.TRUE-Absent ,reduced or asymmetric moro reflex and deep tendon reflexes
4.TRUE-feeding difficulty, recurrent respiratory tract infections.
5.FALSE-Normal cognitive development(baby is happy and bright but lazy!)

DRUG INDUCED THYROIDITIS

 

DRUG INDUCED THYROIDITIS-MCQS

 

1.Tyrosine kinase inhibitors are associated with thyroid dysfunction.

2.Alemtuzumab(Lemtrada) is associated with thyroid dysfunction.

3.Immune checkpoint inhibitors are associated with thyroid dysfunction.

4.Amiodarone contains about 68% by weight of iodine.

5.Lithium associated thyroid dysfunction is commonly seen few weeks after commencing treatment.

 

 

ANSWERS

1.    TRUE-

2.    TRUE-used to treat multiple sclerosis

3.    TRUE-are monoclonal antibodies

4.    TRUE

5.    FALSE-generally occurring after 8-12 months of treatment.

EUTHYROID HYPERTHYROXINAEMIA

 EUTHYROID HYPETHYROXINAEMIA-MCQ

1. Seen in amiodarone associated thyroid dysfunction.
2. Total T3 and /or T4 may be elevated
3. fT4/fT3 levels are normal.
4. TSH levels are normal
5. In clinical practice the commonest cause is due to a congenital or acquired alteration in thyroid binding proteins.


ANSWERS
1. TRUE-other associated dysfunctions include hyperthyroidism and hypothyroidism
2. TRUE-
3. TRUE-
4. TRUE-today serum TSH is a screening test for thyroid function, and a normal TSH value should not be followed by measurement of total T4.
5. TRUE-Thyroxine binding globulin(TBG),Thyroxine binding pre-albumin(TBPA) and Albumin.

HASHIMOTOS THYROIDITIS(CHRONIC LYMPHOCYTIC THYROIDITIS)

 HASHIMOTOS THYROIDITIS-MCQS

1. Recurrent postpartum thyroiditis is common in subsequent pregnancies
2. The initial hyperthyroid phase can easily be missed clinically.
3. Hypothyroid state is more commonly seen in clinical practice
4. Hypothyroidism is usually insidious in onset and may be progressing over years.
5. Is the most common cause of hypothyroidism in iodine insufficient areas of the world

ANSWERS
1. TURE-more than 75%
2. TRUE
3. TRUE
4. TRUE-Need monitoring
5. TRUE-

ERECTILE DYSFUNCTION

ERECTILE DYSFUNCTION -MCQS

1.May be a marker for asymptomatic cardiovascular disease.
2.Is a strong independent risk factor for atherosclerotic cardiovascular disease.
3.Not commonly coexists with symptoms of benign prostatic hyperplasia.
4.Most erectile dysfunction has an organic cause.
5.Recreational drug use is considered as a risk factor.


ANSWERS
1.TRUE-Particularly in younger individuals.
2.TRUE-prevelence and association with vascular disease is well recognised.
3.FALSE-commonly coexists with symptomatic benign prostatic hyperplasia
4.TRUE-about 80%
5.TRUE-Other risk factors includes -sedentary life style, obesity, obstructive sleep apnoea, smoking ,diabetes, hypertension, dyslipidaemia ,thyroid disorders, medications etc.
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