Question 1

This lab finding can become severe in patients with a PMH of anterior neck surgery, prompting a minimum of 24 hour observation post-operatively:

Accepted Answer

Hypocalcemia - HYPOparathyroidism

Question 2

Which of the following labs should be ordered when managing a patient with osteopenia, but is not required for osteoporosis?

Accepted Answer

CBC

Question 3

A patient with a parathyroid adenoma induced condition with symptoms of fatigue, depression, muscle weakness and increased thirst will produce what triad of lab findings?

Accepted Answer

Elevated Ca & PTH, Low Phos - Primary Hyperparathyroidism

Question 4

A 52 year old woman with a PMH of alcoholism comes for follow up after an acute spinal fracture to recieve calcitonin for her pain. Which of the following DEXA scores would show severe osteoporosis?

Accepted Answer

-2.90

Question 5

This occurs when tapping the facial nerve in front of the patient's ear causes facial muscle contraction

Accepted Answer

Chovostek Sign - HYPOparathyroidism

Question 6

What sedative should be avoided in patients with Addison's disease to avoid adrenal crisis?

Accepted Answer

Etomidate

Question 7

A 45 y/o female with a PMH of stroke and Conn Syndrome is concerned about thier recent muscle weakness, headaches and paraesthesia.  What diagonstics should be ordered to confirm your diagnosis?

Accepted Answer

Vein sampling

Question 8

What is the rationale for ordering a Non-Contrast CT for a patient with symptoms of tetany, parathesia in the lips and hands, brain fog, carpopedal spasms and hyperactive DTR's?

Accepted Answer

Possible nephrolithiasis  - HYPOparathyroidism

Question 9

This condition can cause heart block, T-wave abnormalities on ECG, and lenticular cataracts:

Accepted Answer

Hypo-parathyroidism

Question 10

A 55 y/o patient diagnosed with bilateral adrenal cortical hyperplasia should be prescribed what treatment as first line therapy?

Accepted Answer

Spironolactone - Primary Aldosteronism

Question 11

What MEN syndrome is associated with Hischsprung Disease?

Accepted Answer

Men 2

Question 12

Which of the following would not be performed in emergency treament of hypoparathyroidism?

Accepted Answer

Administering IV fluids

Question 13

When managaing a patient with hypercalcemia, elevated alkaline phoshate, low vitamin D, what treatment would be best if they become symptomatic?

Accepted Answer

Parathyroidectomy

Question 14

Which of the following is not a risk for patients diagnosed with hypercalcemia of malignancy?

Accepted Answer

Prolonged QT-interval  - HYPERparathyroidism

Question 15

Which of the following findings are indicative of Primary Aldosteronism?

Accepted Answer

Low plasma renin & hypokalemia

Question 16

A patient who's confused to time and place complains of back pain,fatigue and dizziness.You notice they appear darker than usual.What lab findings will indicate lifelong steriod replacement therapy?

Accepted Answer

Hypoglycemia, hyponatremia & eosinophilia

Question 17

This occurs when inflation of the blood pressure cuff causes carpal spasm

Accepted Answer

Trousseau's Sign - HYPOparathyroidism

Question 18

A patient presents with muscle wasting, poor wound healing and high BP. Thier MRI result confirms a pituitary tumor. Where should this patient be referred to for treatment?

Accepted Answer

Neurosurgeon

Question 19

This MEN syndrome is associated with intestinal ganglioneuromas?

Accepted Answer

MEN 2b (3)

Question 20

Which of the following should NOT be performed for a patient with hyperparathyroidism (hypercalcemia)?

Accepted Answer

Give IV Fludicortisone

Question 21

You order a DEXA scan for a 59 year old female and it returns a T-score of -1.60. What is her diagnosis?

Accepted Answer

Osteopenia

Question 22

A patient with a PMH of exogenous steriod use presents with hirsituism, central obesity and thin skin. Which of the following diagnostics would be BEST to confirm your diagnosis?

Accepted Answer

Salivary Cortisol Test

Adult Medicine - Endocrine Review - Part II

2) Which of the following labs should be ordered when managing a patient with osteopenia, but is not required for osteoporosis?

3) A patient with a parathyroid adenoma induced condition with symptoms of fatigue, depression, muscle weakness and increased thirst will produce what triad of lab findings?

4) A 52 year old woman with a PMH of alcoholism comes for follow up after an acute spinal fracture to recieve calcitonin for her pain. Which of the following DEXA scores would show severe osteoporosis?

5) This occurs when tapping the facial nerve in front of the patient's ear causes facial muscle contraction

6) What sedative should be avoided in patients with Addison's disease to avoid adrenal crisis?

7) A 45 y/o female with a PMH of stroke and Conn Syndrome is concerned about thier recent muscle weakness, headaches and paraesthesia. What diagonstics should be ordered to confirm your diagnosis?

8) What is the rationale for ordering a Non-Contrast CT for a patient with symptoms of tetany, parathesia in the lips and hands, brain fog, carpopedal spasms and hyperactive DTR's?

9) This condition can cause heart block, T-wave abnormalities on ECG, and lenticular cataracts:

10) A 55 y/o patient diagnosed with bilateral adrenal cortical hyperplasia should be prescribed what treatment as first line therapy?

11) What MEN syndrome is associated with Hischsprung Disease?

12) Which of the following would not be performed in emergency treament of hypoparathyroidism?

13) When managaing a patient with hypercalcemia, elevated alkaline phoshate, low vitamin D, what treatment would be best if they become symptomatic?

14) Which of the following is not a risk for patients diagnosed with hypercalcemia of malignancy?

15) Which of the following findings are indicative of Primary Aldosteronism?

16) A patient who's confused to time and place complains of back pain,fatigue and dizziness.You notice they appear darker than usual.What lab findings will indicate lifelong steriod replacement therapy?

17) This occurs when inflation of the blood pressure cuff causes carpal spasm

18) A patient presents with muscle wasting, poor wound healing and high BP. Thier MRI result confirms a pituitary tumor. Where should this patient be referred to for treatment?

19) This MEN syndrome is associated with intestinal ganglioneuromas?

20) Which of the following should NOT be performed for a patient with hyperparathyroidism (hypercalcemia)?

21) You order a DEXA scan for a 59 year old female and it returns a T-score of -1.60. What is her diagnosis?

22) A patient with a PMH of exogenous steriod use presents with hirsituism, central obesity and thin skin. Which of the following diagnostics would be BEST to confirm your diagnosis?