Test: Parathyroid and Adrenal Glands - 3

Question 1

The symptoms of hyperparathyroidism include:

Accepted Answer

All of the above

Answer

Constipation and muscle weakness

Answer

Anorexia and weight loss

Answer

Polydipsia and polyuria

Question 2

A known patient with renal stone disease developed pathological fractures along with abdominal pain and certain psychiatric symptoms. He should be investigated for:

Accepted Answer

Hyperparathyroidism

Answer

Polycystic kidney

Answer

Renal tubular acidosis

Answer

Paget’s disease of bone

Question 3

Hypocalcemia is a feature of all of the following except:

Accepted Answer

Total thyroidectomy

Answer

Chronic renal failure

Answer

Hypoparathyroidism

Answer

Pseudo hypoparathyroidism

Question 4

Palpation on the costovertebral angle produces pain and tenderness in acute adrenal insufficiency. This is:

Accepted Answer

Rogoff’s sign

Answer

Rotch’s sign

Answer

Rossolimo’s sign

Answer

Osler’s sign

Question 5

Commonest cause of Cushing syndrome is:

Accepted Answer

Hyperplasia

Answer

Adrenal adenoma

Answer

Carcinoma

Answer

Atrophy

Question 6

Incidental finding in CT scan, a 3 cm adrenal mass, which of the following is not done?

Accepted Answer

Adrenalectomy

Answer

Dexamethasone suppression test

Answer

Measurement of catecholamines

Answer

Midnight plasma cortisol

Question 7

Accidental finding of incidentaloma (Adrenal mass) on USG is detected. Following is/are to be ruled out:

Accepted Answer

Question 8

Nonfunctional adrenal tumors are operated at what size:

Accepted Answer

>5cm

Answer

>3cm

Answer

>6cm

Answer

>10cm

Question 9

Most prevalent incidentacoma is:

Accepted Answer

Non-functioning adenoma

Answer

Cushing’s adenoma

Answer

Pheochromocytoma

Answer

Adrenocortical carcinoma

Question 10

Episodic hypertension is a feature of:

Accepted Answer

Pheochromocytoma

Answer

Carcinoid tumor

Answer

Insulinoma

Answer

Zollinger-Ellison syndrome

Question 11

The investigation of choice for extra adrenal pheochromocy-toma:

Accepted Answer

MRI

Answer

MIBG scan

Answer

CT

Answer

X-ray

Answer

USG

Question 12

All are true about pheochromocytoma except:

Accepted Answer

90% are malignant

Answer

95% occur in the abdomen

Answer

They secrete catecholamines

Answer

They arise from sympathetic ganglions

Question 13

Investigation useful for detecting extra-adrenal pheochro-mocytoma:

Accepted Answer

T2-weighted MRI with gadolinium contrast

Answer

USG

Answer

CT

Answer

MIBG

Question 14

True about pheochromocytoma is:

Accepted Answer

Arises from chromaffin cells of adrenal medulla

Answer

Bilateral in 20% of all cases

Answer

Hypotension rules out pheochromocytoma

Answer

Almost always a malignant tumor

Question 15

Pheochromocytoma with malignant potential exclusively secretes:

Accepted Answer

Dopamine

Answer

Epinephrine

Answer

Metanephrine

Answer

Norepinephrine

Question 16

False regarding pheochromocytoma:

Accepted Answer

FNAC is must for diagnosis

Answer

10% of nonfamilial adrenal pheochromocytomas are bilateral

Answer

Only 10% of hypertensive patients have an underlying pheochromocytoma

Answer

10% of adrenal pheochromocytomas arise in childhood

Question 17

Commonest symptom of pheochromocytoma is:

Accepted Answer

Headache

Answer

Palpitation

Answer

Sweating

Answer

Dyspnea

Question 18

In pheochromocytoma, the urine will contain:

Accepted Answer

VMA

Answer

HIAA

Answer

Both

Answer

None

Question 19

False statement about pheochromocytoma:

Accepted Answer

Extra adrenal tumor - increased nor adrenaline levels

Answer

10% are bilateral

Answer

Arises from chromaffin cells

Answer

Increased VMA levels in urine

Question 20

Radionuclide used in pheochromocytoma is:

Accepted Answer

I¹²³ Metaiodobenzylguanidine (MIBG)

Answer

Radioactive iodine I-131

Answer

Technitium pertechnate

Answer

Radiolabelled chromium

Parathyroid and Adrenal Glands - 3 - Free MCQ Practice Test with solutions,

MCQ Practice Test & Solutions: Test: Parathyroid and Adrenal Glands - 3 (20 Questions)