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Endocrinology Most Important MCQs

1 - A child is below the third percentile for height. Growth velocity is normal, but chronologic age is more than skeletal age. The most likely diagnosis is______________?






Constitutional delay in growth

2 - A child with stunted growth with a stuffed – belly, and short stature with mental retardation is suffering from the deficiency of which of the following______________?






Thyroxine

3 - A diet deficient in calcium will result in_____________?






Production of parathyroid hormone and bone resorption

4 - A phaeochromocytoma is a tumour of the____________?






None of the above

5 - Acromegaly is a disorder of____________?






Excess growth hormone secreting

6 - Adrenal gland has two parts; cortex and medulla. Which of the following is correct______________?






Cortex is under the control of ACTH

7 - Adrenaline used for controlling of bleeding during surgery may result in________________?






Cardiac arrhythmias

8 - Aldosterone production is controlled by _____________?






Anterior pituitary gland

9 - Aldosterone secretion is increased when there is a fall in____________?






Plasma Na+

10 - Aldosterone______________?






Increases retention of sodium

11 - All are seen in Cushing ‘s syndrome except_______________?






Hypoglycemia

12 - All of the following are adverse effects of long- term corticosteroids EXCEPT____________?






Hypoglycemia

13 - All of the following hormones have cell surface receptors except_____________?






Thyroxine

14 - All the following hormones are secreted by adrenal cortex except_______________?






Estriol

15 - All the following hormones bind to cell surface receptors of the target tissues EXCEPT_____________?






Estrogen

16 - Blood coagulation is impaired in___________?






Tetany

17 - Bone metabolism is controlled by ____________?






All of the above

18 - Calcitonin is released by ___________________?






Parafollicular cells of thyroid

19 - Changes in biological activity occurring daily are referred as _________ rhythm?






Circadian

20 - Contraceptive action of combined pill is mainly due to_______________?






Inhibits ovulation

21 - Cortisol levels are maximum during____________?






Early morning

22 - Cortisol______________?






Secretion increases following injury

23 - Deficiency of cortisol causes_______________?






Addison disease

24 - Due fear which of the following hormones increases rapidly _______________?






Epinephrine

25 - Endocrine disorder is the primary cause of______________?






Acromegaly

26 - Endocrine glands that are not influenced by the pituitary gland include the____________?






Adrenal medulla, parathyroids, and the islets of langerhans

27 - Enzymes, which play an important role in calcification are______________?






Alkaline phosphatase and pyrophophatase

28 - Epinephrine is most closely related in structure to ____________________?






Tyrosine

29 - Excess of cortisol causes______________?






Cushing ‘s syndrome

30 - Features of hypothyroidism does not include______________?






Increased risk of infections

31 - Fertilized ovum usually gets attached to the uterus wall in ____________?






1 week

32 - Following are local hormones except___________?






Insulin

33 - following are the features of cretinism, except_____________?






Normal intelligence

34 - FSH is secreted by_____________?






Basophils

35 - Function of ADH is________________?






Water reabsorption

36 - Glucagon is secreted by ____________?






Alpha cells of pancreas

37 - Glucocorticoids decrease inflammatory reaction by reducing_______________?






Release of histamine

38 - Glucocorticoids have all the following actions except_______________?






Decrease in glucose uptake by the heart

39 - Glucose tolerance test is usually done to assess_____________?






Endocrine Dysfunction of Pancreas

40 - Hormone released during increased stress is_____________?






Cortisol

41 - Hormone responsible for milk ejection______________?






Oxytocin

42 - Hormones FSH & LH of anterior pituitary gland acts on___________________?






Both Testis and ovaries

43 - Hormones, which stimulate spermatogenesis, are______________?






Testosterone and F.S. H

44 - Human chorionic gonadotrophin hormone ( HCG)______________?






Can be identified in the urine of pregnant women by immunological technique

45 - Hypercalcemia associated with malignancy is most often mediated by _____________?






Parathyroid hormone related protein (PTHrP)

46 - Hyperthyroidism can be caused by____________?






Amiodarone

47 - Hypothyroidism should be treated with daily administration of which of the following thyroid hormone preparations ?






Thyroxine (T4)

48 - In children, hypothyroidism causes_____________?






Cretinism

49 - In conn's disease, there is an excess of______________?






Aldosterone

50 - IN the adrenal gland, androgens are produced by the cells in the____________?






Zona reticularis

51 - In thyrotoxicosis , there is______________?






Potentiation of catecholamine action

52 - Inhibit b hormone has effect on_______________?






FSH

53 - Insulin facilitates glucose uptake in____________?






Skeletal muscle

54 - Insulin increases the activity of___________?






HMG. CoA reductase

55 - Iodine is primarily important in the biochemical synthesis of______________?






Thyroxine

56 - Low calcium level will cause_____________?






All of the above

57 - Menopausal hormonal relations are______________?






Gonadotropins increase , estrogens decrease

58 - Negative BMR is observed with______________?






Thyroid disturbance

59 - Noradrenaline is differentiated from adrenaline by increasing___________?






Peripheral resistance

60 - Not a glycoprotein_______________?






GH

61 - Not true about T3 and T4 is______________?






T4 binds to prealbumin

62 - Osteoclasts are inhibited / modified and regulated by____________?






Calcitonin

63 - Ovulation is associated with sudden rise in______________?






L.H

64 - Oxytocin causes all accept_______________?






Lactogenesis

65 - Paneth cells secrete which of the following ?






Antibacterial substance

66 - Posterior pituitary insufficiency leads to______________?






Diabetes insipidus

67 - Progesterone production in the ovary is primarily by______________?






Corpora lutea

68 - Regarding myxedema the following are true except______________?






B.M.R increased by 30 -45%

69 - Removal of parathyroid gland produces the following changes EXCEPT_________________?






Decrease in plasma phosphate level

70 - Reverse T3 is__________________?






Isomerisation product of T3 and inactive

71 - Steroid hormones are believed to enter target cells via_______________?






Simple diffusion

72 - Tetany is characterized by ________________?






Hypertonicity of muscles

73 - The blood glucose level in diabetes mellitus is decreased by removal of the______________?






Anterior pituitary

74 - The catecholamines secreted by adrenal medulla______________?






Increases the blood glucose level by favoring glycogenolysis in blood and muscle cells

75 - The decreased phosphate level seen in hyper parathyroidism is due to ________________?






Decreased renal phosphate absorption

76 - The effect which is seen due to decrease in serum calcium concentration is_______________?






Excitability of the muscle

77 - The following hormones increase the blood glucose level except_____________?






Parathormone

78 - The hormone , which stimulates uterus contraction and lets down milk, is_____________?






Oxytocin

79 - The hormone having the maximum effect on granulation wound healing is____________?






Cortisone

80 - The hormone whose deficiency causes diabetes insipidus is released from which nucleus of pituitary ________________?






Supraoptic

81 - The most significant immediate result of lowered serum calcium is_______________?






Decalcification of bones

82 - The primary effect of calcitonin is__________________?






Bone deposition

83 - The primary site of action of antidiuretic hormone is on the_______________?






Distal tubules and collecting ducts in the kidney

84 - The receptors for parathyroid hormone are present in______________?






Osteoclasts

85 - The supraoptic nucleus of the hypothalamus is believed to control secretion of which of the following hormones ?






Antidiuretic hormone

86 - There absorption of sodium chloride in kidneys is controlled by the hormones____________?






Aldosterone

87 - Thyroxine causes all the following except______________?






Decreased cell metabolism

88 - Trousseau's sign and chovstek's sings are positive in___________?






Hypoparathyroidism

89 - Vasopressin is synthesized in the_____________?






Hypothalamus

90 - Which amongst the following is the gold standard for demonstrating hcG____________?






Radio immune assay

91 - Which hormone , together with the catecholamines enhances the tone of vascular smooth muscle and assists in elevating blood pressure ?






Cortisol

92 - Which hormone does not have corresponding release hormone produced in pituitary ?






Prolactin

93 - Which hormone is released when serum calcium decreases ?






Parathormone

94 - Which is false regarding insulin______________?






Glycopeptide

95 - Which of the following anterior pituitary hormones is primarily under inhibitory control of hypothalamus ?






Prolactin

96 - Which of the following hormones act via cAMP ?






Parathormone

97 - Which of the following hormones does not affect growth ?






Oxytocin

98 - Which of the following hormones exerts the least effect on calcium metabolism of bone tissue ?






Nor epinephrine

99 - Which of the following hormones increase the sensitivity of heart to epinephrine________________?






Thyroid

100 - Which of the following hormones is released from the posterior pituitary ?






Antidiuretic hormone

101 - Which of the following is associated with a low concentration of ionized calcium in the serum ?






Tetany

102 - Which of the following is called hunger hormone______________?






Glucagon

103 - Which of the following results due to excessive parathormone secretion_______________?






Increased serum calcium

104 - Which of the following statements about the action of the somatomedin is true ?






They promote growth of bone and cartilage

105 - Which of these following is not an effect of insulin ?






Increased glycogenolysis

106 - Which one of the following is a precursor of both gonadal and adrenocortical hormones_____________?






Progesterone

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