Cert Endocrinology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate in Endocrinology and Metabolism Paediatric Exam - Cert Endocrinology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate in Endocrinology and Metabolism Paediatric Exam

Question 1

A 7-year-old child presents with a 3-week history of polyuria, polydipsia, and weight loss. A random plasma glucose level is 15.2 mmol/L. According to ISPAD guidelines, which of the following is required to confirm the diagnosis of diabetes mellitus?

An oral glucose tolerance test (OGTT) must be performed immediately Fasting plasma glucose must be checked on two separate mornings No further laboratory testing is required to confirm diabetes in a classic symptomatic child An HbA1c level >8.5% is mandatory before initiating therapy

Correct Answer:

No further laboratory testing is required to confirm diabetes in a classic symptomatic child

Question 2

An 8-year-old girl with newly diagnosed Type 1 Diabetes presents in moderate Diabetic Ketoacidosis (DKA) with 8% dehydration but stable blood pressure. According to ISPAD 2022 guidelines, what is the initial fluid resuscitation bolus?

20 mL/kg of 5% dextrose in water as a rapid IV push 10-20 mL/kg of 0.9% sodium chloride over 30-60 minutes 30 mL/kg of Ringer's lactate over 15 minutes 5 mL/kg of 3% hypertonic saline over 10 minutes

Correct Answer:

10-20 mL/kg of 0.9% sodium chloride over 30-60 minutes

Question 3

Which of the following describes the correct timing and dosage for starting intravenous insulin in a paediatric patient undergoing treatment for Diabetic Ketoacidosis (DKA)?

Administer an immediate IV bolus of 0.1 units/kg regular insulin followed by 0.2 units/kg/hour infusion Start insulin infusion immediately prior to starting IV fluids to clear ketonemia rapidly Administer subcutaneous glargine 1.0 unit/kg immediately and delay IV insulin until glucose is <15 mmol/L Start regular insulin infusion at 0.05-0.1 units/kg/hour approximately 1 hour after starting fluid resuscitation

Correct Answer:

Start regular insulin infusion at 0.05-0.1 units/kg/hour approximately 1 hour after starting fluid resuscitation

Question 4

According to international consensus guidelines for Continuous Glucose Monitoring (CGM) in children with Type 1 Diabetes, what is the target percentage for Time in Range (TIR, 3.9-10.0 mmol/L)?

>90% >70% >50% >35%

Correct Answer:

>70%

Question 5

A 6-year-old child (weight 20 kg) with Type 1 Diabetes is brought to the emergency department unconscious following a hypoglycaemic seizure at home. IV access cannot be immediately established. What is the most appropriate initial pharmacological treatment?

Oral 15 grams of fast-acting glucose gel rubbed on the buccal mucosa Intramuscular glucagon 0.5 mg (or 3 mg nasal glucagon) Subcutaneous regular insulin 0.1 units/kg Intramuscular hydrocortisone 100 mg

Correct Answer:

Intramuscular glucagon 0.5 mg (or 3 mg nasal glucagon)

Question 1

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Prepare with the Cert Endocrinology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate in Endocrinology and Metabolism Paediatric Exam practice quiz. This question bank includes 100 questions covering year-old, mmol, presents, diabetes, and glucose. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Cert Endocrinology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate in Endocrinology and Metabolism Paediatric Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, mmol, presents, diabetes, and glucose. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Cert Endocrinology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate in Endocrinology and Metabolism Paediatric Exam

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