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Which of the following is the most significant adverse effect of a continuous subcutaneous insulin infusion (insulin pump)?
A 14-year-old girl has a several month history of excessive mood swings and behavioral problems in school. Menarche was at age 12 years, but amenorrhea is noted for 3 months. Blood pressure 140/70 mm Hg and pulse 116/min. Examination shows a fine tremor of extended arms. Pregnancy test is negative. Which of the following is the most likely diagnosis?
A 15-year-old girl is brought to the emergency department in a coma. Exam reveals respiratory rate of 18/min and deep; blood pressure is 88/66 mm Hg right arm recumbent; pulse is 120/min and regular. The patient’s breath has a sweet odor. Blood sugar is 480 mg/dL. Arterial pH is 7.31. Glycosuria and ketonuria are noted. Which of the following is the proper therapy?
Which of the following descriptions is most typical of a patient with acromegaly?
A 66-year-old man presents to the office with erectile dysfunction and frequent urination, including nocturia x 3. Genital exam reveals Tanner stage 5 external genitalia with an erythematous rash in the groin area, and a slightly enlarged but symmetrically smooth prostate. KOH prep of the rash is positive. Which of the following laboratory test results is most likely given these clinical findings?
A 40-year-old female has hyperlipidemia. Her LDL-cholesterol is 200 mg/dL and her triglyceride level is 165 mg/dL. From which of the following lipid-lowering agents is she most likely to benefit?
A 55-year-old woman has a 3 month history of reduced interest in recreational activity, impaired memory, lessened ability to concentrate at work, and a feeling of sadness. Which of the following conditions may cause these manifestations of depression?
A 63-year-old obese man has gastroesophageal reflux with frequent heartburn. He now has newly diagnosed hyperlipidemia. Which of the following medicines should not be prescribed?
A 30-year-old woman has a 1 week history of sore throat and increasing soreness in her anterior neck. Examination shows a small goiter that is very tender. Subacute thyroiditis is diagnosed. Which of the following is the most likely outcome?
A premature infant born at 32 weeks gestation has recurrent hypoglycemic spells. Which of the following is the pathophysiologic basis for the hypoglycemia?
Which of the following is the preferred therapy for hypertension in a 57-year-old diabetic man who has proteinuria?
You have just diagnosed Graves’ disease in a 25-year-old female who is in her first trimester of pregnancy. Which of the following is the preferred treatment for this patient?
A 34-year-old woman has a rib fracture and is found to have pre-menopausal osteoporosis. Which of the following is the most likely underlying disorder?
A 28 year old female with newly diagnosed hyperthyroidism presents to the Er with “palpitations”, feeling anxious. Her BP is 210/110 mmHg, pulse 120 regular. Which of the following is the best initial choice?
A 61-year-old woman has a 3 month history of cold intolerance, dry skin, constipation and puffiness of her fingers. Hypothyroidism is suspected. Which of the following is the preferred initial diagnostic test?
Which of the following statements concerning diabetic ketoacidosis is not true?
All of the following are associated with type 2 diabetes mellitus except?
Which of the following statements concerning hypoglycemia is true?
Which statement about type 2 diabetes mellitus is correct?
In an acidotic diabetic patient without hyperglycemia, an etiology other than diabetic ketoacidosis should be sought when:
All of the following may be clinical feature(s) of the hyperglycemic hyperosmolar state except?
Obesity is defined as:
Which of the following is a not a clinical characteristic of Cushing’s syndrome?
Which of the following is not an exogenous cause of Cushing’s syndrome?
Diagnostic evaluation of diabetes insipidus includes all of the following except:
Which of the following is a risk factor for malignancy in a patient with a thyroid nodule?
Which of the following studies has become the study of choice for sellar lesions?
Which of the following statements concerning primary aldosteronism is true?
Which of the following findings on a peripheral blood smear is indicative of glucose-6-phosphate dehydrogenase deficiency?
Which of the following statements concerning pheochromocytoma is true?