Liquorice misuse, by inhibiting 11 beta-hydroxysteroid dehydrogenase type 2 enzyme, can cause a condition which resembles the clinical features of:
Mineralocorticoid excess
11-beta-hydroxysteroid dehydrogenase type 2 normally inactivates cortisol to cortisone in mineralocorticoid-responsive tissues. Liquorice (glycyrrhizic acid) inhibits this enzyme, allowing cortisol to act on mineralocorticoid receptors, causing apparent mineralocorticoid excess (hypertension, hypokalemia, metabolic alkalosis).
With regard to the treatment of phaeochromocytoma, beta-blocker should never be given before alpha-blocker because it may cause:
Which of the following is/are growth hormone receptor antagonist(s) indicated in the treatment of Acromegaly?
1. Octreotide
2. Lanreotide
3. Pasireotide
4. Pegvisomant
Select the correct answer using the code given below:
Which of the following statements regarding Autoimmune Polyendocrine Syndromes (APS) is/are correct?
1. APS Type 1 is more common than APS Type 2.
2. APS Type 1 is inherited as an autosomal recessive condition.
3. APS Type 2 is inherited as an autosomal dominant condition.
Select the correct answer using the code given below:
| List I (disease) | List II (signs) |
| A. Conn syndrome | 1. Anosmia |
| B. Turner syndrome | 2. Tetany |
| C. Kallman syndrome | 3. Lymphoedema |
| D. Cushing syndrome | 4. Avascular necrosis of hip |