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[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]

[{'content': A 44 years old female known to have gave's disease underwent thyroidectomy, come to her GP complaining change of her breath sound. she first noted numbness, particular in her toes and finger three month ago but attributed this to the cold weather. her BMI 27, while measuring her blood pressure you notice the patient flex her wrist. The most likely diagnosis: (6/2019) and toes, A. Obstructive sleep apnea B. Secondary hypoparathyroidism C. Primary hypoparathyroidism D. Gullian-barre syndrome E. Raynaud's syndrome, 'role': user}, {'content': Answer: C This patient has symptoms of hypocalcemia (numbness of finger Trousseau's sign) which cause by primary hypoparathyroidism (most common complication of thyroidectomy) Secondary hypoparathyroidism caused by causes of hypercalcemia, 'role': assistant}]

[{'content': Effects of angiotensin Il receptor antagonist include all Of the following except: (6/2019) A. Decrease renin activity B. Vasodilation C. Decrease aldosterone D. Decrease sodium absorption E. Decrease potassium excretion, 'role': user}, {'content': Answer: A Action of ARABS: l-Block angiotensin receptor 2-Decrease aldosterone decrease vasoconstriction >> decrease blood pressure decrease absorption of Na and H20 and decrease excretion of K and H+ 3-Decrease renin secretion (compensatory ) angiotensin Il increase level of angiotensin I., 'role': assistant}]

[{'content': A 41-year-old male has been recently diagnosed with type 2 DM and has been following a plan lifestyle measures to improve his diet and increase his level of exercise, as well as he is on metformin and sulfonylurea. On returning to clinic, his BMI is 23, fasting plasma glucose 9. () mmo VL, blood pressure 133/84 mm Hg and Hbalc is 11%. The most appropriate treatment: (6/2019) Increase metformin dose A. B. Increase sulfonylurea dose C. Add insulin D. Add exenatide Further diet and exercise, 'role': user}, {'content': Answer: C This patient need triple therapy including insulin as his Hb Alc more than 10% We use exenatide when BMI is very high, 'role': assistant}]

[{'content': A fifteen year old boy who is Diabetic presents with pain abdomen , vomiting and shortness of likely cause of breath. There is history of fever and sore throat two days back. The most his symptoms is ? (4/2019) A. DKA B. Gastritis. C. Hypoglycemia. D. Renal failure. E. Non ketotic hyperosmolar coma Answer: A This patient has clinical pictures of DKA ( which come in type I DM ) Precipitated by infection, 'role': assistant}]