PANCE ENDOCRINOLOGY BOARD
EVALUATION 2026 GUARANTEED PASS
ANSWERS GRADED A+
● A 66 M presents to the office today because his diabetes is out of
control and we would like help getting his blood sugars back to normal.
He only currently takes Metformin 1000 mg BID. You discuss a few
medications with him including Glipizide, Insulin Glargine, and
Empagliflozin. He states his only fear with starting a new medication is
low blood sugars. Which of the medications discussed is least likely to
cause hypoglycemia? Answer: Empagliflozin
All types of insulin have the risk of causing low blood sugars
Glipizide is a Sulfonylurea which has a risk of low blood sugar
● What is the most common type of thyroid cancer? Answer: Papillary
thyroid carcinoma
● A non-pregnant adult with subclinical hypothyroidism should be
treated with thyroid hormone replacement when their TSH reaches what
level? Answer: TSH of 10 or more
● A 27 F with a history of bipolar disorder presents to the office
complaining of fatigue, constipation, and weight gain. Labs demonstrate
, that she is biochemically hypothyroid. What medication is this patient
likely taking that lead to the diagnosis of hypothyroidism? Answer:
Lithium
Lithium is a first line medication for bipolar and it requires labs every 6
months to check for thyroid function
Another medication that can cause hypothyroidism is amiodarone
● A 37 F presents to the office complaining that she is having trouble
losing weight despite following a strict diet and exercise. On exam, you
note central obesity, thin extremities, oily skin, and striae across her
abdomen. A screening test to check for what hormone should be checked
in this patient? Answer: Serum cortisol
this patient has classic findings of Cushing's syndrome
● A patient with secondary hypothyroidism will have an abnormality in
what part of the hypothalamic-pituitary-thyroid axis? Answer: pituitary
gland
secondary hypothyroidism is caused by TSH deficiency
● What is the most common cause overall of Cushing's syndrome?
Answer: Exogenous glucocorticoids
EVALUATION 2026 GUARANTEED PASS
ANSWERS GRADED A+
● A 66 M presents to the office today because his diabetes is out of
control and we would like help getting his blood sugars back to normal.
He only currently takes Metformin 1000 mg BID. You discuss a few
medications with him including Glipizide, Insulin Glargine, and
Empagliflozin. He states his only fear with starting a new medication is
low blood sugars. Which of the medications discussed is least likely to
cause hypoglycemia? Answer: Empagliflozin
All types of insulin have the risk of causing low blood sugars
Glipizide is a Sulfonylurea which has a risk of low blood sugar
● What is the most common type of thyroid cancer? Answer: Papillary
thyroid carcinoma
● A non-pregnant adult with subclinical hypothyroidism should be
treated with thyroid hormone replacement when their TSH reaches what
level? Answer: TSH of 10 or more
● A 27 F with a history of bipolar disorder presents to the office
complaining of fatigue, constipation, and weight gain. Labs demonstrate
, that she is biochemically hypothyroid. What medication is this patient
likely taking that lead to the diagnosis of hypothyroidism? Answer:
Lithium
Lithium is a first line medication for bipolar and it requires labs every 6
months to check for thyroid function
Another medication that can cause hypothyroidism is amiodarone
● A 37 F presents to the office complaining that she is having trouble
losing weight despite following a strict diet and exercise. On exam, you
note central obesity, thin extremities, oily skin, and striae across her
abdomen. A screening test to check for what hormone should be checked
in this patient? Answer: Serum cortisol
this patient has classic findings of Cushing's syndrome
● A patient with secondary hypothyroidism will have an abnormality in
what part of the hypothalamic-pituitary-thyroid axis? Answer: pituitary
gland
secondary hypothyroidism is caused by TSH deficiency
● What is the most common cause overall of Cushing's syndrome?
Answer: Exogenous glucocorticoids
