Endocrinology 1

Hemoglobin A1C is an indicator of which of the following in a patient who has diabetes?

A 34-year-old woman in the 3rd trimester of pregnancy has a new tremor and is diagnosed with Graves’ disease. Which of the following is the preferred initial therapy?

An 82-year-old man with type 2 diabetes mellitus has newly diagnosed systolic heart failure. Which of the following medicines in heart failure therapy is most likely to lower the plasma glucose level?

A 24-year-old woman with type 1 diabetes mellitus seeks counseling concerning pregnancy. She should be advised that her baby is at increased risk of having which of the following congenital abnormalities?

A 60-year-old man has a 2 month history of anorexia, nausea, and 5 pound weight loss. Upon clinical evaluation, chronic adrenal insufficiency is diagnosed. Which of the following is the preferred initial management?

Thiazolidinedione therapy is initiated in a 57-year-old woman for treatment of type 2 diabetes mellitus. She should be counseled that which of the following is the most likely complication of this therapy?

A 59-year-old woman has a 3 month history of cold intolerance, constipation, and memory loss. Examination shows pale, dry skin, periorbital edema, and slow relaxation phase of deep tendon reflexes. An elevation of which of the following serum values is most likely to be noted?

A 46-year-old female is being evaluated for a new-onset hypertension that was discovered on screening at her workplace. The patient had several readings revealing systolic and diastolic hypertension. Patient is currently on no medications. Physical examination is unremarkable. A complete laboratory evaluation revealed hypokalemia as the only abnormality. Which of the following is the most likely diagnosis for this patient?

The “dawn phenomenon”, an increase in morning blood glucose levels, is caused by which of the following?

Glyburide therapy is initiated in a 66-year-old man in treatment of type 2 diabetes mellitus. He should be counseled that which of the following is the most likely adverse effect of this therapy?

A 55-year-old man has type 2 diabetes mellitus. Which of the following is the initial sign of the onset of diabetic nephropathy?

A 57-year-old man has bilateral painless gynecomastia. The patient is most likely taking which of the following medications?

A 66-year-old woman has a 2 month history of anorexia, nausea, and 5 pound weight loss. Blood pressure, sitting, 102/74 mm Hg with pulse 90/min. Blood pressure, standing, 80/66 mm Hg with pulse 108/min. Examination shows generalized hyperpigmentation. Serum sodium is 126 mEq/L. Which of the following is the most likely diagnosis?

An 18-year-old man has a generalized seizure that is his first seizure. Which of the following is the most likely underlying cause?

Niacin therapy is initiated in a 44-year-old man in treatment of dyslipidemia. He should be counseled that which of the following is the most likely adverse effect?

A 67-year-old woman arrives at the office for a routine physical examination. She is in generally good health, but she has experienced constipation and weight gain in the last month. Her PMH includes hemolytic anemia. Physical examination discloses a normal-size thyroid gland and delayed deep tendon reflexes. Which of the following is an expected laboratory finding?

Which of the following patients has the highest risk for osteoporosis?

Which of the following is the most common cause of Cushing’s syndrome?

Which of the following studies is the best screening test for Cushing’s syndrome?

Primary hyperaldosteronism may be diagnosed by:

Which of the following is the best treatment for high blood pressure in a patient with Conn’s syndrome?

Which of the following is a manifestation of diabetic peripheral neuropathy?

A patient with poorly controlled type 2 diabetes mellitus has hypertension and normochromic normocytic anemia. Which of the following is the most likely mechanism for these disorders?

Which of the following is the first step in managing hyperglycemic hyperosmolar state (formerly called hyperosmolar, hyperglycemic nonketotic coma)?

Which of the following is not a cause of fasting hypoglycemia?

Which of the following diseases is associated with obesity?

Which of the following statements concerning thyroid replacement therapy is true?

Low serum calcium and phosphate and elevated alkaline phosphatase suggest the diagnosis of which of the following?

Paraneoplastic endocrine syndromes may manifest clinically as which of the following?

Which endocrine organ is involved in all types of multiple endocrine neoplasia (MEN), especially MEN I and MEN IIa?