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A 48 year old male has recently been diagnosed with secondary hyperparathyroidism. Which of the following is the most likely underlying disorder responsible for his condition?
A 64-year-old woman has a 4 month history of cold intolerance, worsening fatigue and constipation. Examination shows dry skin, thick hair and periorbital edema. A decreased serum concentration of thyroid stimulating hormone is most likely to be noted in which of the following?
A 27-year-old woman who has type 1 diabetes mellitus gives birth to a 12 pound infant. Which of the following is most likely to be noted in the newborn infant?
As part of the long-term management of a patient with type 1 diabetes mellitus, the glycosylated hemoglobin (HgbA1C) level should be ideally maintained at
A newborn infant of a diabetic mother has recurrent hypoglycemic spells. Which of the following is the least likely manifestation of hypoglycemia in the patient?
A 52-year-old woman has paresthesia, cramping, fasciculation, fatigue, patchy hair loss, dry skin and brittle nails. You notice twitching of her facial muscles when you tap just anterior to her ear. Which of the following is the most likely diagnosis?
A 46-year-old man presents with acral enlargement, hypertension and coarse facial features. He stands 5’9″ tall. Laboratory testing confirms and increased growth hormone. Which of the following best describes his disorder?
A 43 year-old male presents with temporal field visual loss and he is noted to have galactorrhea. What imaging modality would be most appropriate?
A 55-year-old woman has a 2 month history of nausea, anorexia, and 6 pound weight loss. Blood pressure 94.72 mm Hg, pulse 104/min. Examination shows generalized brown hyperpigmentation. Chronic adrenal insufficiency is diagnosed. Which of the following is the preferred therapy for chronic treatment?
A 77 year-old woman with known coronary heart disease now has hyperthyroidism caused by a toxic thyroid adenoma. Which of the following is the preferred initial therapy?
A 48 year old female presents with polyuria, polydipsia and nocturia. Laboratory testing finds the patient with a sodium of 158 and an increased serum osmolality. Which of the following would best differentiate diabetes insipidus from other causes of hypernatremia?
A 38 year old patient presents with hypoglycemia, bitemporal hemianopsia and is found to have an incidental parathyroid mass. Which of the following is most likely?
A 67-year-old woman awakens with double vision. Examination shows cranial nerve III (oculomotor) palsy. Which of the following is the most likely underlying diagnosis?
A 51-year-old man with type 2 diabetes mellitus has new onset hypertension. Which of the following classes of medicine is the preferred initial therapy?
A 65-year-old man has a 2 week history of myalgia after recently adding simvastatin to his fenofibrate therapy. He had normal liver function 3 weeks ago when he started the medication. Which of the following labs would be most appropriate to obtain?
Which of the following statements concerning hyperglycemic hyperosmolar state is true?
Which of the following is suggested by a radiographic image showing osteopenia and anterior wedging of the thoracic vertebral bodies?
A man presents with weight loss, abdominal pain, and low blood pressure (BP) with a postural drop. Laboratory tests reveal hypoglycemia, hyponatremia, and hyperkalemia. Which of the following is the most likely diagnosis?
A 59-year-old male patient presents at the clinic with fatigue, weight loss, salt craving, hypoglycemia, and hyperpigmentation. You perform a cosyntropin stimulation test and note after the challenge that the patient has no change in cortisol levels after administration of cosyntropin. Which of the following treatment options would most likely be the patient’s primary form of treatment?
You are treating a 78-year-old female patient for thyroiditis and you need to determine the specific form of the disease she is suffering from. Which of the following symptoms would indicate a diagnosis of Hashimoto’s thyroiditis?
A 5-year-old male patient is brought to the clinic by his parents. They report that he appears to have suffered a growth stunt, noting that his younger sister has started to outgrow him. You suspect he may be suffering from growth hormone deficiency and diagnostic testing confirms your diagnosis. Which of the following treatment options would be appropriate for this condition?
A 12-year-old girl has been diagnosed with type 1 diabetes mellitus. To maintain her health, the girl will have to make certain lifestyle modifications. Which of the following recommendations should be made in regard to eating a well-balanced diet?
You are concerned that a 50-year-old male patient with obesity, high blood pressure, and hypercholesterolemia is at risk of type 2 diabetes. You screen him using the HbA1c (A1C) test. According to the American Diabetes Association (ADA), at what A1C level should you diagnose your patient with diabetes?
A 44-year-old female presents with a history of weakness, fatigue, low blood pressure, and abnormal skin color. Thyroid hormone levels are within normal limits. Chest X-ray is normal. CT scan and ultrasound exams of the abdomen both reveal abnormalities to the adrenal glands. Which is the appropriate diagnosis?
Which of the following classes of anti-diabetes medications acts by delaying carbohydrate absorption from the intestine, thus lowering glucose levels in the bloodstream?
A 52-year-old female presents with generalized weakness, body aches, nausea, loss of appetite, and increased thirst. Bloodwork reveals an elevated blood calcium level. Based on this information, what would be the most appropriate initial diagnosis?
Which of the following diabetes medications acts to increase insulin secretion, has very few drug interactions, and can cause weight gain?
Which of the following anti-diabetic medications act to reduce hepatic glucose production and can reduce glucose levels without risk of hypoglycemia?
A 28-year-old obese male presents with muscle weakness, headache, backache, acne, and erectile dysfunction. Laboratory results reveal free cortisol in the urine measuring 142 mg/dL and plasma cortisol of 13 mg/dL. CT scan of the abdomen reveals the presence of an adrenocortical tumor. Based on the patient’s presentation, lab results, and diagnostic studies, which of the following is the most accurate diagnosis?
A 22-year-old female presents with fatigue, weakness, muscle aches, and weight loss. Physical exam reveals hypotension at 100/60 mm/Hg, hyperpigmentation, and delayed deep tendon reflexes. Blood work reveals hyperkalemia, low blood urea nitrogen, low plasma cortisol at 2 ug/ dL, and serum DHEA of 875 ng/mL. Based on the patient’s presentation, physical examination, and test results, which of the following is the most likely diagnosis?