Endo Review Questions

Question 1

Patient complains of many months of marked pain into both feet and decreased sensation to touch and temperature up to his ankles. He is type II diabetic. Which would NOT be appropriate management for this condition?
A. aggressive managment of serum glucose
B. Pain control with tricyclic antidepressants
C. Careful foot care to avoid pressure or thermal injurt
D. high-dose corticosteroids

Answer 1

D. high-dose corticosteroids

Question 2

60 year old just diagnosed with NIDDM has had vague vision difficulties and feeling thirst all the time. She weighs 256 pounds. Next step in getting diabetes undercontrol is?
A. weight loss diet and excercise program
B. initiating Sulfonylurea treatment
C. Starting her regular and NPH insluin low doeses
D. immediate referral to opthamologist

Answer 2

A. weight loss diet and excercise program

Question 3

55 year old female is 4’10’ and weighs 165 pounds. She is being seen for treatment of her fourt yeast infection ina year. In addition to treating her infection. what is the next step?
A. Random plasma glucose
B. Screen for gonorrhea and syphilis
C. Test for herpes simplex virus type II
D. Perform pregnancy test

Answer 3

A. Random plasma glucose

Question 4

Most common cause of cushings syndrome?
A. ACTH secreting pituitary tumor
B. Ectopic ACTH production by a malignancy
C. Exogenous administration of corticosteroid drugs
D. adrenocortical tumor

Answer 4

C. Exogenous administration of corticosteroid drugs

Question 5

Which of the following is most likely to represent a malignancy?
A. multiple nodular lesions
B. Slow growing nodule
C. A nodule in a patient with history of neck irradiation
D. A hot nodule on uptake scan

Answer 5

C. A nodule in a patient with history of neck irradiation

Question 6

Obese female who feels “lousy” presents with blood glucose of 325 and BP 160/ 110. She has wide, purplish striae o her breasts, upper arms, abdomen, buttocks, and thighs. What is tentative diagnosis?
A. hypothyrodism
B. Hypertension
C. Cushings syndrome
D. DM type II

Answer 6

C. Cushings syndrome

Question 7

Most common cause of chronic renal failure is?
A. Polycystic Kidney Disease
B. Glomerulonephritis
C. BPH
D. Diabetes

Answer 7

D. Diabetes

Question 8

All of the following are associated with hypocalcemia except?
A. Trousseau’s sign
B. Depressed deep tendon reflexes
C. Chvostek’s sign
D. Tetany

Answer 8

B. Depressed deep tendon reflexes

Question 9

Hashimoto’s Thyroiditis
A. Results from radiation exposure
B. Caused by pitutary disease
C. More common in women then men
D. caused by untreated neonatal hypothyroidism

Answer 9

C. More common in women then men

Question 10

Which is a feature of Grave’s disease?
A. far more common in men than in women
B. Occurs in people with other autoimmune disorders
C. usually a disease of old age
D. rarely found in people with a positive family history

Answer 10

B. Occurs in people with other autoimmune disorders

Question 11

35 year old female with increasinf nervousness, exhaustion, diarrhea, and menstrual problems. She also has heat intolerance, sweating and weight loss of 10 pounds. Tachycardic with fine resting tremor, hyperflexia.
A. Amphetamine abuse
B. Pheochromocytoma
C. Panic attacks
D. thyrotoxicosis

Answer 11

D. thyrotoxicosis

Question 12

Which is true regarding thyroid cancer?
A. most common thyroid malignacy is medullary
B. thyroid cancer usually presents with painful neck swelling and hoarsness
C. papillary cancer is associated with distant metastasis
D. Thyroid function tests are most often normal in thyroid cancer

Answer 12

D. Thyroid function tests are most often normal in thyroid cancer

Question 13

56 year old male with apathy and depression. Appetite decreased but has put on weight. He has bradycardia, dry skin, hyporeflexia. Which test should be ordered first?
A. TSH level
B. Adrenocorticotropic hormone stimulation test
C. administer depression inventory
D. Fingerstick glucose

Answer 13

A. TSH level

Question 14

13 year old girl using bathroom more than usual and drinking more. She has been hungry but is losing weight. You suspect:
A. Bulimia nervosa
B. Addison’s disease
C. Insulin dependent diabetes mellitus
D. Non-insluin dependent diabetes mellitus

Answer 14

C. Insulin dependent diabetes mellitus

Question 15

When looking at thyroid function tests. you must keep in mind that?
A. Phenytoin increases T4 level
B. Cirrhosis increases T4
C. Acute psychiatric problems may increase T4
D. high estrogen decreases T3 and T4

Answer 15

C. Acute psychiatric problems may increase T4

Question 16

Patient with known solitary lesion of the lung has hyponatremia and increased urine osmolality without edema or hypotension. Most likely diagnosis is:
A. hypothyroidism
B. CHF
C. Nephrotic syndrome
D. Syndrome of inappropriate ADH

Answer 16

D. Syndrome of inappropriate ADH

Question 17

Common lab findings in acute adrenal insufficiency is:
A. hypokalemia
B. Hyponatremia
C. Hyperglycemia
D. Hypocalcemia

Answer 17

B. Hyponatremia

Question 18

Pt admitted with hypernatermia, BP 120/80, Pulse 80 BPM. She is diagnosed with DI. What lab results are consistent with this?
A. Decreased sodium and decreased urine osmolaity
B. Increased urine sodium and increased urine osmolality
C. Decreased urine sodiun and increased urine osmolaity
D. Increased serum glucose and increased urine osmolality

Answer 18

A. Decreased sodium and decreased urine osmolaity

Question 19

All are diagnostic criteria for DM except:
A. HbA1c 4.5 mmol/L
B. After 75 mg oral glucose, plasma gluocse more than 200 mg/dL at 2 hours and at least once between 0 and 2 hours
C. Random plasma glucose levels more than 200 mg/ dL with classis symptoms
D. Two fasting plasma glucose levels more than 140 mg/dl

Answer 19

A. HbA1c 4.5 mmol/L

Question 20

Thin, apathetic 38 year old male with constant nausea. Skin is darker tha before and has lost 15 pounds in 18 months. Has been tired and missing work. Has darkly pigmented areas on buccal mucosa. Next step?
A. biopsy oral lesions
B. Administer depression inventory
C. Order adrenocorticotropic hormone stimulation test
D. Get serum TSH level

Answer 20

C. Order adrenocorticotropic hormone stimulation test

Question 21

When ordering thyroid function tests, you should know that:
A. TSH is secreted by the hypothalamus
B. T3 is derived from peripheral deiodination of T4
C. The most active thyroid hormone is T4
D. the active thyroid hormones are bound to thyroid-binding globulin (TBG)

Answer 21

B. T3 is derived from peripheral deiodination of T4