Question 1

A 32 y/o male who often uses steriods complains of constant thirst and urination. He is worried because his mother said that she felt that way before her diagnosis. How do you confirm his diagnosis?

Accepted Answer

24 hour urine sample - Central Diabetes Insipidus

Question 2

Which of the folllowing is not considered a complication of acromegaly?

Accepted Answer

Vocal Cord Paralysis

Question 3

An MRI is performed on a patient complaining of intense headaches and decreased field of vision. It is found to be a 2cm pituitary adenoma. What treatment will you provide for this patient?

Accepted Answer

Surgery + Radiation - Non-Functioning Pituitary Adenoma

Question 4

How many liters of urine is considered indicative of Central Diabetes Insipidus?

Accepted Answer

>2.5 L / 24 hrs,

Question 5

You reccommend for a patient complaining of fatigue and weight loss to have labs drawn for TSH and FT4. The result shows a low TSH value and an elevated FT4. What is the most likely diagnosis?

Accepted Answer

Primary Hyperthyroidism

Question 6

Which of the following is not a concern for patients with an over-secretion of growth hormone?

Accepted Answer

Follicular Cancer

Question 7

If a tumor is noted when performing an MRI on a patient with labs that show elevated serum IGF-1, what treatment is reccomended?

Accepted Answer

Transphenoidal Microsurgery

Question 8

Which of the following findings would be indicative of a nodule that is not malignant?

Accepted Answer

Hot RAI uptake

Question 9

While performing a PE of a 40 y/o female patient, you observe an asymmertric enlarged thyroid. On ultrasound you note a diffusly denese thyroid with ecogenicity. What antibodies will not be present?

Accepted Answer

Thyroid Stimulating Immunoglobulin  - Hashimoto Thyroiditis (chronic lymphocytic thyroiditis)

Question 10

A woman is attempting to have children. She informs her fertility doctor that she sporadically lactates, and has periods that are abnormally short or absent.What lab finding will confirm her diagnosis

Accepted Answer

Elevated Prolactin - Hyperprolactinemia

Question 11

A patient with a hx of URI a few weeks ago, develops an enlarged thyroid & is complaining of dysphagia. On PE, she has pain that radiates to the ears. What treatment would best address her illness?

Accepted Answer

Aspirin - De Quervain Thyoiditis (painful, subacute)

Question 12

What lab findings will not be present for a patient diagnosed with De Quervain Thyroiditis?

Accepted Answer

Low Vasopressin (ADH)

Question 13

A 52 y/o patient diagnosed with Hashimoto's thryoiditis is at risk of developing what other condition?

Accepted Answer

Papillary Cancer

Question 14

Which of the following is considered the triad for diagnosing graves' disease?

Accepted Answer

Hyperthyroidism, Exophthlamos & Pretibial Myxedema

Question 15

What condition of the thyroid is the ONLY ONE with labs that will be positive for TSH receptor stimulating antibody and thyroid stimulating immunoglobulin?

Accepted Answer

Hyperthyroidism

Question 16

A 37-year-old female with hoarsness is found to have a 4 cm thyroid nodule found incidentally on ultrasound. What next step should be performed?

Accepted Answer

FNA  - Thyroid Nodule

Question 17

A 27 year old patient who is 11 wks pregnant is diagnosed with hyperthyroidism. What treatment would be best for this patient?

Accepted Answer

PTU

Question 18

A patient with a hx of congenital pyriform sinus fistula has a temperature of 102F and severe pain & a tender area with marked fluctuation is present near the thyroid. How should you treat this?

Accepted Answer

Antibiotics - Infectious Supperative Thyroiditis

Question 19

A young male presents with dysphagia and hoarseness. You perform a thyroid PE and feel a nontender nodule. Which diagnostic modality would be best to determine if mets are present in his bones?

Accepted Answer

MRI

Question 20

You are seeing a patient with a PMH of depression and Reynauds. On PE she has skin pallor, a thinning hair line and cold intolerance. What labs are commonly seen in these patients due to ADH?

Accepted Answer

Hypoglycemia & Hyponatremia - Primary Hypothyroidisim

Question 21

What is the most common cause of primary hypothyroidisim?

Accepted Answer

Hashimoto's Thyroiditis

Question 22

A patient with ADH deficiency in the posterior pituitary is at risk of what conditions due to the effects of polyuria and polydipsia?

Accepted Answer

Hypernatremia & dehydration

Question 23

If a child is born with primary hypothyroidism and it's left untreated, what will the outcome be?

Accepted Answer

Cretinism + Permanent Cognitive Impairment

Question 24

This T-cell mediated condition can occur in women with Turner Syndrome, FT4 will be higher than T3. Anti-thyroglobulin and Antithyroid Peroxidase Antibodies are present.

Accepted Answer

Hashimoto's Thyroiditis

Question 25

A patient w/ a 40pk/yr smoke hx progressive vision loss, episcleral inflammation, and profuse swelling due to mucopolysaccride & infiltrates of the orbital tissues.  What step should you take first?

Accepted Answer

Exophthalmometry + Urgent Referral

Question 26

A 45 y/o woman with untreated hypothyroidism is found unconcious during a winter hike. She is hypothermic and hypoglycemic.Her TSH level is 80 (H) & Ft4 is low. What treatment will help save her life?

Accepted Answer

IV Levothyroxine - Myxedema Crisis

Question 27

A male patient with high thyroglobulin has an ultrasound performed on his thyroid and a 3cm mass is present. What treatment should be performed and what education should be provided?

Accepted Answer

Treatment: Total Thyroidectomy; Edu: Lifetime Levothyroxine Use

Adult Medicine - Endocrine Test Review - PART I

2) Which of the folllowing is not considered a complication of acromegaly?

3) An MRI is performed on a patient complaining of intense headaches and decreased field of vision. It is found to be a 2cm pituitary adenoma. What treatment will you provide for this patient?

4) How many liters of urine is considered indicative of Central Diabetes Insipidus?

5) You reccommend for a patient complaining of fatigue and weight loss to have labs drawn for TSH and FT4. The result shows a low TSH value and an elevated FT4. What is the most likely diagnosis?

6) Which of the following is not a concern for patients with an over-secretion of growth hormone?

7) If a tumor is noted when performing an MRI on a patient with labs that show elevated serum IGF-1, what treatment is reccomended?

8) Which of the following findings would be indicative of a nodule that is not malignant?

9) While performing a PE of a 40 y/o female patient, you observe an asymmertric enlarged thyroid. On ultrasound you note a diffusly denese thyroid with ecogenicity. What antibodies will not be present?

10) A woman is attempting to have children. She informs her fertility doctor that she sporadically lactates, and has periods that are abnormally short or absent.What lab finding will confirm her diagnosis

11) A patient with a hx of URI a few weeks ago, develops an enlarged thyroid & is complaining of dysphagia. On PE, she has pain that radiates to the ears. What treatment would best address her illness?

12) What lab findings will not be present for a patient diagnosed with De Quervain Thyroiditis?

13) A 52 y/o patient diagnosed with Hashimoto's thryoiditis is at risk of developing what other condition?

14) Which of the following is considered the triad for diagnosing graves' disease?

15) What condition of the thyroid is the ONLY ONE with labs that will be positive for TSH receptor stimulating antibody and thyroid stimulating immunoglobulin?

16) A 37-year-old female with hoarsness is found to have a 4 cm thyroid nodule found incidentally on ultrasound. What next step should be performed?

17) A 27 year old patient who is 11 wks pregnant is diagnosed with hyperthyroidism. What treatment would be best for this patient?

18) A patient with a hx of congenital pyriform sinus fistula has a temperature of 102F and severe pain & a tender area with marked fluctuation is present near the thyroid. How should you treat this?

19) A young male presents with dysphagia and hoarseness. You perform a thyroid PE and feel a nontender nodule. Which diagnostic modality would be best to determine if mets are present in his bones?

20) You are seeing a patient with a PMH of depression and Reynauds. On PE she has skin pallor, a thinning hair line and cold intolerance. What labs are commonly seen in these patients due to ADH?

21) What is the most common cause of primary hypothyroidisim?

22) A patient with ADH deficiency in the posterior pituitary is at risk of what conditions due to the effects of polyuria and polydipsia?

23) If a child is born with primary hypothyroidism and it's left untreated, what will the outcome be?

24) This T-cell mediated condition can occur in women with Turner Syndrome, FT4 will be higher than T3. Anti-thyroglobulin and Antithyroid Peroxidase Antibodies are present.

25) A patient w/ a 40pk/yr smoke hx progressive vision loss, episcleral inflammation, and profuse swelling due to mucopolysaccride & infiltrates of the orbital tissues. What step should you take first?

26) A 45 y/o woman with untreated hypothyroidism is found unconcious during a winter hike. She is hypothermic and hypoglycemic.Her TSH level is 80 (H) & Ft4 is low. What treatment will help save her life?

27) A male patient with high thyroglobulin has an ultrasound performed on his thyroid and a 3cm mass is present. What treatment should be performed and what education should be provided?