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

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About this Exam

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.

Sample Questions

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
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
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
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%
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

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Additional Information

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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Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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