S

yK
1. The risk factor for type 1 diabetes include all of the following expect :

eB
(A) Diet
(B) Genetic
(C) Autoimmunity

lin
(D) Environmental.

On
2. Type 2 diabetes accounts for approximately what percentage of all cases of in
diabetes in adults?

b.
(A) 55%-60%
(B) 35%-40%

Clu
(C)90%-95%.
(D) 25%-30%

on
3. Untreated diabetes may result in all of the following expect:
(A) Blindness

ati
(B) Cardiovascular disease
(C) Kidney disease

uc
(D) Tinnitus

4. Prolifirative retinopathy is often treated using: Ed

(A) Tonometry
(B) Fluoresciaen angiogram
rat

(C) Antibiotics
(D) Laser surgery
uja

5. What percentage of women with gestational diabetes is diagnosed with type 2 diabetes
following pregnancy?
rG

(A) 25-30%
(B) 5-10%
(C) < 5%
tta

(D) 20-25%
/U

6. Risk factor for type 2 diabetes include all of the following except:
(A) Advance age
(B) Obesity
y

(C) Smoking
nit

(D) Physical anactivity

tU

7. Diabetes are at increased risk of heart disease if they also

(A) smoke
en

(B) Have high HDL cholesterol level

(C) Take aspirine
tud

(D) Consume a high finer diet

8. Blood sugar is well controlled when hemoglobin A1C is:

uS

(A) Below 7%
(B) Between 12-15%
g
Hn
 S
yK
(C) Less than 180mg/dL

eB
(D) Between 90 to 130mg/dL

9. Which of the following diabetes drugs acts by decreasing the amount of glucose

lin
produced by liver ?
(A) Sulfonyluries

On
(B) Meglitinides
(C) Biguanides
(D) Alpha-glucosidase inhibitors

b.
10. The lifetime risk of developing diabetes for the male born in 2000 is :

Clu
(A) 1-5
(B) 1-3
(C) 2-5

on
(D) 1-2

ati
11. Fluaride used in the collection of blood samples for glucose estimation inhibits the

uc
enzyme
(A) Glucokinase
(B) Hexokinase Ed
(C) Enolase
(D) Glucose 6-phosphate
rat

12. Which method is not used for determination of blood glucose

uja

(A) O- toludine methode

(B) Glucose oxides method
(C) Biuret method
rG

(D) HbA1C test

13. Which colour we do get for a negative Birute test ?

tta

(A) Red
(B) Black
/U

(C) Blue
(D) Orange
y

14. What makes the Biuret reagent purple ?

nit

(A) Peptide bonds

(B) Amide bond
tU

(C) Hydrogen bond

(D) Glycosidic bond
en

15. Which method is used for determination of blood urea?

tud

(A) God method

(B) Biuret method
(C) Diacetyl monoxime method
uS

(D) Piceate method

g
Hn
 S
yK
16. Alkaline picrate method is used for

eB
(A) Determination of glucose
(B) Determination of serum protein
(C) Determination of blood urea

lin
(D) Determination of creatinine

On
17. What is normal value of blood urea?
(A) 8-18mg/dL
(B) 9-20mg/dL

b.
(C) 11-20mg/dL
(D) 20-40mg/dL

Clu
18. Normal range of serum protein
(A) 3.5-5 g/dL

on
(B) 6-9 g/dL
(C) 7-19 g/dL

ati
(D) 6-8 g/dL

uc
19. Which method is used for determination of creatinine ?
(A) picrate method
(B) O-Toludine method Ed
(C) God method
(D) Colorimetric method
rat

20. Which body organs synthesised albumine ?

uja

(A) kidney
(B) Bon marrow
(C) Liver
rG

(D) Intestines

21. This molecule acts as molecular chaperones to assist the folding of proteins
tta

(A) Vitamins
(B) Carbohydrates
/U

(C)Amides
(D) lipids
y

22.. Which of these is not a lipid?

nit

(A) Fats
(B) Oils
tU

(C)Protines
(D)Waxes
en

23.The abundantly distributed enzyme in germinating seeds and adipocytes is

tud

(a) lipese
(b) Proteases
(c) Cellulase
uS

(d) Nuclease
g
Hn
 S
yK
24. Beta-oxidation of fatty acids occurs in

eB
(a) Peroxisome
(b) Peroxisome and Mitochondria
(c)mitochondria

lin
(d) Peroxisome, Mitochindria and ER

On
25. An example of ____________ is Carnauba wax
(a) Soft wax
(b) Liquid wax

b.
(c) Hard wax
(d) Archaebacterial wax

Clu
26. In fats, the number of OH groups can be expressed as
(a) Reichert-Meissil number

on
(b) Polenske number
(c) Iodine number

ati
(d) acetyl number

uc
27. Rancidity of lipids of lipid-rich foodstuff is because of
(a) Reduction of fatty acids
(b) Hydrogenation of unsaturated fatty acids Ed
(c) Dehydrogenation of saturated fatty acids
(d) oxidation of fatty acid
rat

28. This is an example of derived lipids

uja

(a) Terpenes
(b) Steroids
(c) Carotenoids
rG

(d) All of the above

29. The degree of unsaturation of lipids can be measured as

tta

(a) Lodine number

(b) Saponification number
/U

(c) Reichert Meissel number

(d) Polenske number
y

30. The specific gravity of lipid is

nit

(a) 1.5
(b) 1.0
tU

(c) 0.8
(d) 0.2
en

31.Which is incorrect with regards to the fluid and its content?

tud

(a) Normal Saline – 150mmol Na+/L

(b) Hartmans – 131mmol Na+/L
(c) Hartmans –131mmolCl-/L
uS

(d) D5W-50 gm glucose/L

g
Hn
 S
yK
32.Which is not a possibility in the ECG of a pt with hypokalemia?

eB
(a) prolong PR interval
(b) prominent U waves
(c) T wave flattening

lin
(d) Prolonged QT interval

On
33.Which is not a cause of hypokalemia?
(a) insulin administration
(b) adrenaline infusion

b.
(c) alkalosis
(d) digoxine OD

Clu
34.Which of the drugs below are not associated with hypokalemia?
(a) loop diuretics
(b) corticosteroids

on
(c) gentamicin
(d) amiloride

ati
35.which of the following is not a symptom of hypokalemia?

uc
(a) ileus
(b) constipation
(c) muscle weakness Ed
(d) seizures
rat

36.Which contains the largest amount of K+?

(a) two Slow K tablets
uja

(b) 2 chlorvescent tablets

(c) 15ml of Kayciel
(d) one gram iintravenous KCL
rG

37.A rise in the pH by 0.1 causes what decrease in serum K+?

(a) 0.1 mEq/L
tta

(b) 0.25 mEq/L

(c) 0.5 mEq/L
/U

(d) 0.7mEq/L

38.Which does not shift K+ into cells?

y

(a) insulin
nit

(b) dextrose
(c) NaHCO3
tU

(d) Resonium
en

39.What is seen earliest in an ECG of hyperkalemia?

(a) Sine wave
tud

(b) Peak T wave

(c) Flattened p wave
(d) QRS widening
uS

40.To diagnose SIADH as the cause of hyponatremia which must not be present?
g
Hn
 S
yK
(a) Hypovolemia

eB
(b) hypotonicity
(c) no cardiac/renal/ hepatic failure
(d) urine osmolality >100ml/kg

lin
41.which statement is incorrect?

On
(a) hyperlipidaemia can cause an artificially low Na+
(b) if the hyponatremia is known to be of less than 48 hours duration it can be corrected
quickly

b.
(c) in chronic hyponatremia, the Na+ should not be raised by more than 0.5mmol/l/hr
(d) central pontine myelinolyses is cause when hypernatrimia is corrected to

Clu
quickly

42.Which neoplasm is not characteristically associated with SIADH?

on
(a) mesothelioma
(b) bronchogenic carcinoma

ati
(c) breast
(d) prostate

uc
43.Which drug is not well known to cause hyponatremia?
(a) sertraline Ed
(b) amitryptilline
(c) ecstasy
rat

(d) Roxithromycin
uja

44.With regards to hypernatremia which is incorrect?

(a) it should not be corrected greater than 0.5mmol/L/hr
(b) is usually associated with inadequate water intake
rG

(c) Normal saline should not be used if the pt is hypovolamic and hypotensiv
(d) If associated with hypervolemia then frusemide should be used
tta

45.w.th regards to Calcium which statement is incorrect?

(a) the normal correct range is 2.1-2.5
/U

(b) the ionized correct range is 1.14-1.3

(c) to correct for the low albumin add 0.1 to the total calcium for every 4 the albumin is
below 36
y

(d) calcium chloride has less elements Alcium than calcium gluconet
nit

46.Which does not cause a metabolic alkalosis?

tU

(a) vomiting
(b) Dierrohia
en

(c) loop diuretics

(d) thiazide diuretics
tud

47.The normal anion gap is

(a) <7
uS

(b) <12
(c) <18
g
Hn
 S
yK
(d) <22

eB
48.Which is NOT a cause of normal anion gap metabolic acidosis?
(a) acetzolamide

lin
(b) pancreatic fistula
(c) diarrohea

On
(d) High dose corticosteroid

49.Which would you give to reverse streptokinase?

b.
(a) Cryopreticate
(b) platelets

Clu
(c) factor VIII constrent
(d) DDAVP

on
50.Which is not a potential complication of a massive blood transfusion?
(a) hyperkalemia

ati
(b) hypercalcimia
(c) hypothermia

uc
(d) hypernatremia

Ed
rat
uja
rG
tta
y /U
nit
tU
en
tud
g uS
Hn