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Neurology 4 mrcp questions book - part 5

Co giật là thường kháng với điều trị chống động kinh. d-nền tảng trong điều trị của pseudohypoparathyroidism là bổ sung canxi. điện tử thường xuyên theo dõi là cần thiết với đo lường của canxi trong huyết thanh. Q37: Cushing hội chứng nói chung | a- Carpo-pedal spasm is more common in children than adults. b- In adults stridor is uncommon. c- Seizures are usually resistant to antiepileptic therapy. d- The cornerstone in the treatment of pseudohypoparathyroidism is calcium supplement. e- Regular follow up is needed with measurement of serum calcium. Q37 Cushing syndrome in general all of the followings are true except a- Obesity is the commonest sign. b- Hypertension is absent in 25 of cases. c- Prominent hyper-pigmentation is in favor of an ectopic ACTH secreting source. d- Depression is the commonest psychiatric manifestation. e- Muscle biopsy will show type I fiber atrophy. Q38 In the diagnosis of Cushing syndrome all of the followings are true except a- Acclimatization to hospitalization for 48 hours is very important before hand. b- 24 hours urinary free cortisol or overnight low dose dexamethasone suppression test are the preferred initial screening tests. c- Unfortunately dexamethason cross reacts with the cortisol immunoassay. d- Chronic alcoholism sometimes exactly resembles Cushing s syndrome clinically and biochemically. e- Suppressed ACTH levels indicate an adrenal tumor. Q39 Treatment of Cushing syndrome all of the followings are true except a- In pituitary dependent disease trans-sphenoidal surgery is the preferred option. b- If treated by bilateral adrenalectomy the pituitary should be irradiated to prevent the development of Nelson s syndrome. c- Medical treatment is usually given in the way to prepare the patient for surgery. d- Adrenal carcinoma should be removed surgically and the tumor bed is irradiated and then the patient is given the drug o p DDD. e- Without treatment the 5 year survival rate is 90 . Q40 Causes of apparent hyperaldosteronism all of the followings are true except a- Treamtent with carbenoxolone. b- 11 deoxycorticosterone secreting tumors. c- Liddle s syndrome. d- Ectopic ACTH syndrome. e- Glucocorticoides suppressible hyperaldosterosnism. Q41 In primary aldosteronism .