endocrine questions sonnier Flashcards

1
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
30
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
31
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
32
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
33
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

34
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
35
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
36
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
37
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
38
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
39
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

40
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
41
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
42
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
43
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
44
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
45
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

46
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
47
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
48
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
49
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
50
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
51
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

52
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
53
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
54
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
55
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
56
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
57
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

58
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
59
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
60
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
61
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
62
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
63
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

64
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
65
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
66
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level
67
Q

Which of the following can be used in the evaluation of Addison’s disease?

A
24 hr urinary free cortisol
low dose dexamethasone suppression test 
high dose dexamethasone suppression test
morning cortisol level
MRI
all others would be for Cushings
68
Q

You are seeing a 50 year old man who has been treated with a diuretic for hypertension and edema. You do routine lab work and discover a potassium level of 3.4 mg/dL and a calcium level of 10.8 mg/dL. Which medication is this patient likely taking?

A
furosemide
acetazolamide
chlorthalidone 
amiloride
aldactone
69
Q

You are evaluating a 35 year old man with no significant past medical problems. You obtained a lipid panel and it shows an LDL level of 130 mg/dL. Based on National Cholesterol Education Program (NCEP) guidelines, which of the following would you recommend?

A

recommend lifestyle and dietary changes and then reevaluate
begin ezetimibe
initiate treatment with atorvastatin
begin ezetimibe in addition to lifestyle and dietary intervention
initiate treatment with atorvastatin in addition to lifestyle and dietary interventions

70
Q

which of the following would be on indication for surgical treatment of hyperparathyroidism?

A
development of recurrent kidney stones
a normal DEXA scan
elevation in the serum sodium level
hypophosphatemia
persistently low calcium level
71
Q

A 35 year old woman with a history of manic depression presents to the cliniic with excessive thirst. She doesn’t remember her medication list but recalls one was abruptly stopped. She also states she is urinating a lot more than usual. Her vials, including blood pressure, are stable. you order some lab work and the sodium level is 141 mEg/L, the creatinine level is 1.2mg/dL, the blood glucose level is 100mg/dL and teh calcium level is 9.5mg/dL. Which test would you order next?

A
urinalysis to look for glucosuria
morning cortisol to screen for adrenal insufficiency
chemistry panel
urine osmolality
serum osmolality
72
Q

You are seeing a 68 year old man with T2DM in your office. His last HgA1C done one month ago was 9.2. In the last three weeks, you made some adjustments in his medication. Which test could you order to see whether there has been any change in his condition?

A
repeat glycosylated hemoglobin
sequential postprandial glucose monitoring
oral glucose tolerance test
albumin/creatinine ratio
glycated serum fructosamine level