Endocrinology 2

A 63-year-old woman has hypertension and type 2 diabetes mellitus. Blood urea nitrogen is 30 mg/dL and serum creatinine is 1.7 mg/dL. Which of the following medicines is contraindicated in her therapy?

A 22-year-old insulin-dependent diabetic presents due to an altered mental status. His college roommate states that he has been increasingly agitated and combative for the past hour. During your questioning, he is confused and his speech is slurred. His vital signs are stable. Your physical exam reveals no significant abnormalities. Which of the following ancillary studies will most likely aid in your diagnosis of this patient’s condition?

A 16-year-old boy who has type 1 diabetes mellitus now is a competitive athlete on his high school football team. Which of the following is proper counseling concerning diabetic management?

A 55-year-old man has chronic adrenal insufficiency. A decreased secretion of which of the following is the primary pathophysiologic mechanism that causes the hypotension characteristic of the disease?

Niacin therapy is initiated in a 67-year-old man in treatment of dyslipidemia. The patient should be counseled that which of the following is the most likely adverse effect?

A 45-year-old male presents for a routine physical. His mother and father both had ischemic strokes in their 70’s. He is a non- smoker. His blood pressure is 128/80 mmHg, pulse 78/minutes and regular, respiratory rate of 12/minute. He has an unremarkable cardiac exam and no bruits. Which of the following studies should be ordered to further evaluate this patient’s risk of stroke?

A 56-year-old woman has received one month of prednisone in treatment of chronic adrenal insufficiency. She continues to have orthostatic hypotension and hyperkalemia. Which of the following is the preferred management?

A 34-year-old woman has newly diagnosed Cushing’s disease. Which of the following is the least likely dermatologic sign to be present upon examination?

A patient is diagnosed with hypothyroidism and drug therapy is initiated with levothyroxine. When is it best to recheck the TSH level?

A patient presents to the office with worsening fatigue, weakness, and weight loss. Patient is found to have orthostatic hypotension. She notes that she is having recurrent bouts of abdominal pain and has been losing her pubic hair. Which of the following conditions is most likely?

Propylthiouracil therapy is initiated in a 32-year-old woman in treatment of Graves’ disease. Which of the following is the most likely adverse effect?

A 59-year-old woman has a 2 month history of anorexia, nausea, and weakness. Blood pressure, sitting, 94/70 mm Hg, pulse 106/min/regular. Examination shows hyperpigmentation of skin creases. Serum sodium is 122 meq/L and serum potassium is 5.8 meq/L. Which of the following is the most likely diagnosis?

A 61-year-old woman has newly diagnosed hypothyroidism caused by Hashimoto’s thyroiditis. Which of the following serum antibodies is most likely to be present?

A patient is being worked up for Addisons disease, what test will be ordered to diagnose the condition?

A 54-year-old female returns to the office for radiographic and laboratory results you sent her for recently. The radioactive iodine uptake is elevated while the TSH levels are suppressed. Which of the following is the most likely diagnosis?

Which of the following oral antihyperglycemic agents act as insulin sensitizers (primarily on adipose tissue and muscle)?

Which of the following is not a clinical feature of Cushing’s syndrome?

Which of the following endocrine conditions can cause brain edema secondary to osmotic water shifts?

Routine screening of newborns for phenylketonuria is:

Which of the following is the most common type of thyroid cancer?

The clinical presentation of truncal obesity, “moon” facies, and hirsutism is most consistent with:

A patient who has tuberculosis and is receiving isoniazid complains of tingling and painful extremities. Which of the following agents will relieve these symptoms?

Which of the following statements concerning subacute (de Quervain’s) thyroiditis is true?

Which of the following agents used to treat HIV is associated with elevations of bilirubin levels?

Which of the following drugs stimulates the pancreatic β cells to release insulin?

What antidiabetic agent must be discontinued for at least 24 hours before the patient can undergo radiologic studies involving the use of iodinated contrast materials?

Bone marrow suppression is a major concern in patients receiving:

Hypothyroidism may present with:

Which of the following signs of hyperthyroidism would not be found on physical examination?

Which of the following is found in thyroid storm?