1. Match the different groups of metabolic reactions to the definition: anabolism; catabolism

a. Building and the combination of small molecules to make complex molecules and structures for storage later to be broken down: ______

b. Breakdown of larger complex molecules to make smaller molecules, often to provide energy: ______

2. Which of the following is NOT one of the key conditions associated with metabolic syndrome?

a. cardiovascular disease

b. insulin resistance

c. obesity

d. hypothyroidism

3. In which of the following conditions would you expect a patient to be treated with levothyroxine?

a. insulin resistance

b. hypothyroidism

c. hyperthyroidism

d. thyrotoxicosis

4. Which blood test is a useful test for the presence of diabetes as it provides an average of blood glucose over several months?

a. point of care blood glucose fingerprick

b. venous blood glucose sample

c. venous blood HbA1c sample

d. urine sample glucose dipstick

5. In which type of diabetes do people often produce insulin but the cells of the body fail to adequately respond to insulin?

a. type 1 diabetes

b. type 2 diabetes

c. diabetes insipidus

d. gestational diabetes

6. An unwell patient presents and is found to have high blood sugar, metabolic acidosis and ketones present in the urine. They are passing large volumes of urine, hypotensive and demonstrate Kussmaul respiration. Which condition is likely?

a. hypoglycaemia

b. hyperosmolar hyperglycaemic non-ketotic syndrome

c. diabetic ketoacidosis

d. sepsis

7. What is the cause of hepatotoxicity?

a. viral infection

b. fatty liver

c. tumour

d. drugs

8. Build-up of fat and lipids within liver cells can occur in overweight and obese people. What is the first stage of non-alcoholic fatty liver disease called?

a. cirrhosis

b. steatohepatitis

c. steatosis

d. fibrosis

9. Patients with advanced liver disease may present with fluid development in the peritoneal cavity. This is known as ______.

a. varices

b. encephalopathy

c. splenomegaly

d. ascites

10. A person demonstrating jaundice, joint pain, dark coloured urine and pyrexia may have ______.

a. paracetamol overdose

b. hepatitis

c. phenylketonuria

d. alcohol-related liver disease