Q- A 12-year-old male patient is brought to the clinic by his parents. He is diagnosed with type-1-diabetes. He is prescribed insulin as a treatment.
Which one of the following medications is a rapid-acting insulin?
A- Aspart
B- Detemir
C- Glargine
D- NPH
A- Aspart- It is the only one on the list that is rapid-acting insulin. Aspart lasts for 3-4 hours while detemir and glargine are long-acting insulins which last for about 24 hours. NPH is an intermediate insulin which lasts for 10-16 hours.
Q- Bilateral acoustic schwannomas and juvenile cataract occur in which one of the following conditions?
A- Marfan syndrome
B- Neurofibromatosis type 1
C- Neurofibromatosis type 11
D- Sarcoidosis
C- Neurofibromatosis type 11- It occurs due to mutation in NF2 tumor suppressor gene on Chr. 22. It is characterized by bilateral acoustic schwannomas, meningiomas and juvenile cataract.
Q- Burton line which is a bluish line on gingiva occurs in which one of the following conditions?
A- Acetaminophen overdose
B- Lead poisoning
C- Mercury poisoning
D- Nicotine toxicity
B- Lead poisoning- Burton lines also occur on metaphysis of long bones. It is also characterized by erythrocyte basophilic stippling, encephalopathy, sideroblastic anemia and wrist and foot drop.
