Section 1: Endocrine (Week 5)
1. A patient has an HbA1c of 6.7% on two separate tests. What is the diagnosis?
A. Prediabetes
B. Type 1 diabetes
C. Type 2 diabetes
D. Normal
2. Which medication is first-line for Type 2 Diabetes Mellitus?
A. Insulin
B. Metformin
C. Sulfonylurea
D. GLP-1 agonist
3. A patient on an SGLT2 inhibitor presents with normal glucose but metabolic acidosis. What is
the concern?
A. Lactic acidosis
B. DKA
C. Euglycemic DKA
D. Hypoglycemia
4. Which lab pattern is consistent with primary hypothyroidism?
A. ↓ TSH, ↓ T4
B. ↑ TSH, ↓ T4
C. ↑ TSH, ↑ T4
D. ↓ TSH, ↑ T4
5. First-line treatment for hypothyroidism:
A. Methimazole
B. PTU
C. Levothyroxine
D. Propranolol
, 6. Which symptom is most associated with hyperthyroidism?
A. Bradycardia
B. Weight gain
C. Cold intolerance
D. Heat intolerance
7. What is the first-line medication for hyperthyroidism (non-pregnant)?
A. PTU
B. Methimazole
C. Levothyroxine
D. Radioiodine
8. A woman has no menstrual period for 12 months. Diagnosis?
A. Perimenopause
B. Menopause
C. Amenorrhea
D. Hormonal imbalance
Section 2: GI & Renal (Week 6)
9. Which is first-line treatment for GERD?
A. H2 blocker
B. Antacids
C. Proton pump inhibitor
D. Antibiotics
10. GERD symptoms persist after 8 weeks of PPI. Next step?
A. Increase dose
B. Add antacid
C. Endoscopy
D. Surgery
11. What is the best test to confirm H. pylori eradication?
A. Endoscopy
B. Stool culture