In von Gierke disease; treatment is designed to maintain normal blood glucose levels which is achieved by all the following EXCEPT

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Question 1 of 5

In von Gierke disease; treatment is designed to maintain normal blood glucose levels which is achieved by all the following EXCEPT

Correct Answer: C

Rationale: Von Gierke treatment avoids fructose (A) and galactose (B), uses NG glucose (D) and cornstarch (E) to maintain glucose. Table sugar (sucrose, C) worsens the condition.

Question 2 of 5

Hunter disease is characterized by all the following features EXCEPT

Correct Answer: B

Rationale: Hunter disease (MPS II) features short stature (A), dysostosis (C), intellectual disability (D), and coarse facies (E), but lacks corneal clouding (B), unlike MPS I.

Question 3 of 5

Which of the following mucopolysaccharidoses is susceptible to life-threatening atlantoaxial instability and dislocation?

Correct Answer: D

Rationale: Morquio disease (MPS IV) has severe skeletal dysplasia, including atlantoaxial instability, risking spinal cord compression, unlike others (A, B, C, E).

Question 4 of 5

The least common presentation of acute intermittent porphyria is

Correct Answer: A

Rationale: Sensory loss (A) is less common in AIP than mental symptoms (B), weakness (C), abdominal pain (D), or extremity pain (E), which dominate acute attacks.

Question 5 of 5

The following are counter regulatory hormones which are increased as blood glucose falls EXCEPT

Correct Answer: D

Rationale: Cortisol (A), glucagon (B), epinephrine (C), and growth hormone (E) counter hypoglycemia. Thyroid hormone (D) does not acutely respond to glucose drops.

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