PANCE ENDOCRINOLOGY EXAMINATION
SET 2026 SOLVED QUESTIONS GRADED A+
● A 26-year-old obese female complains of a 3-4 month history of
discrete erythematous plaques on the pretibial areas of her legs. The
lesions have increased in size, become darker, and are painful. She is
concerned because the centers of the lesions have become ulcerated.
This patient should be screened for which endocrine disease? Answer:
DM
● A 40 year-old male presents to your clinic complaining of nontender,
yellow patches on both eyelids. He states his brother and uncle have
similar growths. He denies any visual changes or other complaints. Your
primary suspicion is what? Answer: hyperlipidemia
Xanthelasmas, along with xanthomas, are common findings in familial
hypercholesterolemia.
● A patient complains of fatigue, tremors, palpitations, and heat
intolerance. The thyroid is diffusely enlarged and firm on palpation.
What would you expect TSH levels to be? Answer: LOW TSH.
The presentation is consistent with hyperthyroidism. Laboratory findings
include low TSH, elevated free and total thyroid hormone levels, and an
, increased uptake on radionuclide scan. There may also be elevated
bilirubin, liver thrombocytopenia.
● A solitary thyroid nodule is noted on physical examination. The TSH
level is normal. The next step in the evaluation is ______________.
Answer: Fine needle bx.
Fine needle aspiration (FNA) is the first step in the evaluation of a
solitary nodule with a normal TSH level. FNA has a high level of
accuracy in diagnosing benign versus malignant nodules in this setting.
● 30 year-old female complains of fatigue, weakness, diminished
appetite, weight loss, and syncope. She denies fever, chest or abdominal
pain, palpitations, changes in bowel patterns or sleep patterns. Physical
examination reveals a thin female, BP 90/65 mmHg, and pulse 80 beats
per minute. Pulmonary, cardiovascular, abdominal, and neurologic exam
are without abnormalities. Areas of brown and bronze
hyperpigmentation are noted 39 on her elbows and the creases of her
hands. What is the dx? Answer: Addison's disease
Addison's disease (adrenal insufficiency) would account for all her
symptoms, the hypotension, and the hyperpigmentation of the skin.
● A 72 year-old female is being evaluated for recurrent kidney stones.
Physical examination reveals no abnormal findings. Laboratory findings
SET 2026 SOLVED QUESTIONS GRADED A+
● A 26-year-old obese female complains of a 3-4 month history of
discrete erythematous plaques on the pretibial areas of her legs. The
lesions have increased in size, become darker, and are painful. She is
concerned because the centers of the lesions have become ulcerated.
This patient should be screened for which endocrine disease? Answer:
DM
● A 40 year-old male presents to your clinic complaining of nontender,
yellow patches on both eyelids. He states his brother and uncle have
similar growths. He denies any visual changes or other complaints. Your
primary suspicion is what? Answer: hyperlipidemia
Xanthelasmas, along with xanthomas, are common findings in familial
hypercholesterolemia.
● A patient complains of fatigue, tremors, palpitations, and heat
intolerance. The thyroid is diffusely enlarged and firm on palpation.
What would you expect TSH levels to be? Answer: LOW TSH.
The presentation is consistent with hyperthyroidism. Laboratory findings
include low TSH, elevated free and total thyroid hormone levels, and an
, increased uptake on radionuclide scan. There may also be elevated
bilirubin, liver thrombocytopenia.
● A solitary thyroid nodule is noted on physical examination. The TSH
level is normal. The next step in the evaluation is ______________.
Answer: Fine needle bx.
Fine needle aspiration (FNA) is the first step in the evaluation of a
solitary nodule with a normal TSH level. FNA has a high level of
accuracy in diagnosing benign versus malignant nodules in this setting.
● 30 year-old female complains of fatigue, weakness, diminished
appetite, weight loss, and syncope. She denies fever, chest or abdominal
pain, palpitations, changes in bowel patterns or sleep patterns. Physical
examination reveals a thin female, BP 90/65 mmHg, and pulse 80 beats
per minute. Pulmonary, cardiovascular, abdominal, and neurologic exam
are without abnormalities. Areas of brown and bronze
hyperpigmentation are noted 39 on her elbows and the creases of her
hands. What is the dx? Answer: Addison's disease
Addison's disease (adrenal insufficiency) would account for all her
symptoms, the hypotension, and the hyperpigmentation of the skin.
● A 72 year-old female is being evaluated for recurrent kidney stones.
Physical examination reveals no abnormal findings. Laboratory findings
