Medical Disorders and Diagnosis MCQs

Which of the following gastroenterology disorders does NOT cause oral ulceration?

• A Crohn's disease

• B Ulcerative colitis

• C Coeliac disease

• D Irritable bowel syndrome

• E Intrinsic factor deficiency

A patient presents to the surgery with symptoms of bleeding and sore gums. You take a more detailed history from the patient and it reveals they have a diet of tinned foods and no fresh fruit or vegetables. What deficiency might you expect causing the gingival bleeding?

• Vitamin B deficiency

• Vitamin D deficiency

• Vitamin C deficiency

• Vitamin E deficiency

• Iron deficiency

A patient presents to the surgery complaining of swelling of the lips and face. Which of the following conditions would be the most likely underlying diagnosis?

• Ulcerative colitis

• Crohn's disease

• Irritable bowel syndrome

• Coeliac disease

• Gastroesophageal reflux disease

Which of the following hormones is NOT secreted from the pituitary gland?

• Growth hormone (GH)

• Thyroid stimulating hormone (TSH)

• Luteinising hormone (LH)

• Triiodothyronine (T3)

• Follicle stimulating hormone (FSH)

A patient presents to the dental surgery complaining of a burning sensation on the dorsum of the tongue. You suspect burning mouth syndrome. Which of the following endocrine disorders would be most likely to cause this?

• Hyperthyroidism

• Diabetes mellitus

• Hypothyroidism

• Hypoparathyroidism

• Hyperparathyroidism

A patient presents to the surgery and you notice features of weight gain in a central deposition, a moon face and bruising on the arms and legs. Which of the following endocrine disorders would you suspect?

• Cushing syndrome

• Diabetes mellitus

• Acromegaly

• Addison disease

• Thyroid disease

On a routine dental X-ray you notice reduced bone density, loss of lamina dura, root resorption and radiolucencies in the mandible. Which of the following would be the most likely diagnosis?

• Diabetes mellitus

• Hyperthyroidism

• Hypothyroidism

• Hypoparathyroidism

• Hyperparathyroidism

What is the most prevalent renal disease in men?

• Urinary tract infection

• Acute renal failure

• Chronic renal failure

• Benign prostate hypertrophy

• Renal artery obstruction

Which of the following statements is correct about managing patients in dental practice with chronic renal failure?

• Before medications are prescribed it is important to check the BNF for any dose adjustment required

• The patient should never have extractions in dental practice

• Non-steroidal anti-inflammatory drugs can be prescribed at a normal dose

• Dialysis patients do not need any special considerations in dental practice

• Patients are less likely to have diabetes mellitus

A patient presents to dental practice with a known history of renal disease. They need a tooth extracted but you are concerned about complications. Which of the following medications is likely to cause osteochemonecrosis?

• Corticosteroids

• Bisphosphonates

• Statin

• Aspirin

• Beta blocker