1|Page
DUNPHY ENDOCRINE AND METABOLIC PROBLEMS EXAM NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A patient with hyperthyroidism presents with a complaint of a
"gritty" feeling in her eyes. Over the past week, her visual acuity
has diminished, and her ability to see colors has changed. She
also has a feeling of pressure behind her eyes. The next step for
the nurse practitioner is to:
1.Order a thyroid ultrasound.
2.Refer the patient for immediate evaluation by an
ophthalmologist.
3.Order a total thyroxine (T4).
4.Prescribe a beta-adrenergic blocker. - ANSWER-2. Refer the
patient for immediate evaluation by an ophthalmologist
Which of the following would not confirm a diagnosis of diabetes?
1.Glycated hemoglobin (HbA1c) of 7.0
2.Fasting glucose of 155
3.Random glucose of 198
,2|Page
4.Oral glucose tolerance test with a plasma glucose of 250 -
ANSWER-3.Random glucose of 198
The most common cause of hyperthyroidism is:
1.Graves' disease.
2.A toxic uninodular goiter.
3.Subacute thyroiditis.
4.A pituitary tumor. - ANSWER-1. Graves disease
90% of hyperthyroid conditions in young adults.
A 55-year-old Asian male presents with a history of severe left
great toe pain. He states he cannot even touch the toe with a
sheet without it causing pain. He denies trauma but states he
cannot ambulate without pain. He admits to drinking alcohol but
not to excess. On physical exam, he has normal vital signs, and
you note erythema of the great toe at the interphalangeal (IP)
joint. Which of the following is the gold standard for diagnosis of
this problem?
1.Joint aspiration with crystal analysis
2.Serum uric acid level
,3|Page
3.X-ray
4.Diagnosis is made with physical exam only. - ANSWER-1. Joint
aspiration with crystal analysis
(This is the gold-standard diagnostic test for gout)
Option 2:Hyperuricemia supports a diagnosis of gout but is not in
itself diagnostic.
Which class of antihypertensive agents may be problematic for
patients with diabetes?
1.Angiotensin-converting enzyme (ACE) inhibitors
2.Calcium channel blockers
3.Beta blockers
4.Alpha blockers - ANSWER-3. beta blockers
Beta blockers may be problematic in patients with diabetes
because they block what is often the first sign of hypoglycemia:
tachycardia. Many patients with diabetes have compelling
indications (such as coronary artery disease) for the use of beta
blockers. In these patients, the need for a beta blocker outweighs
any risk that might occur.
, 4|Page
Which of the following medications has no role in the acute
treatment of gout?
1.Colchicine
2.Indomethacin
3.Prednisone
4.Allopurinol - ANSWER-4. allopurinol
Allopurinol lowers uric acid levels in the blood; this helps prevent
gout flares but does not treat the symptoms of an acute flare.
Class 1 obesity is defined as a body mass index (BMI) of:
1.30.
2.25.
3.40.
4.35. - ANSWER-1. 30
Class 1 obesity BMI of 30 - 35.
Overweight BMI of 25 - 30.
Class 2 obesity BMI of 35 - 40.
Class 3 obesity BMI of 40 or higher.
DUNPHY ENDOCRINE AND METABOLIC PROBLEMS EXAM NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A patient with hyperthyroidism presents with a complaint of a
"gritty" feeling in her eyes. Over the past week, her visual acuity
has diminished, and her ability to see colors has changed. She
also has a feeling of pressure behind her eyes. The next step for
the nurse practitioner is to:
1.Order a thyroid ultrasound.
2.Refer the patient for immediate evaluation by an
ophthalmologist.
3.Order a total thyroxine (T4).
4.Prescribe a beta-adrenergic blocker. - ANSWER-2. Refer the
patient for immediate evaluation by an ophthalmologist
Which of the following would not confirm a diagnosis of diabetes?
1.Glycated hemoglobin (HbA1c) of 7.0
2.Fasting glucose of 155
3.Random glucose of 198
,2|Page
4.Oral glucose tolerance test with a plasma glucose of 250 -
ANSWER-3.Random glucose of 198
The most common cause of hyperthyroidism is:
1.Graves' disease.
2.A toxic uninodular goiter.
3.Subacute thyroiditis.
4.A pituitary tumor. - ANSWER-1. Graves disease
90% of hyperthyroid conditions in young adults.
A 55-year-old Asian male presents with a history of severe left
great toe pain. He states he cannot even touch the toe with a
sheet without it causing pain. He denies trauma but states he
cannot ambulate without pain. He admits to drinking alcohol but
not to excess. On physical exam, he has normal vital signs, and
you note erythema of the great toe at the interphalangeal (IP)
joint. Which of the following is the gold standard for diagnosis of
this problem?
1.Joint aspiration with crystal analysis
2.Serum uric acid level
,3|Page
3.X-ray
4.Diagnosis is made with physical exam only. - ANSWER-1. Joint
aspiration with crystal analysis
(This is the gold-standard diagnostic test for gout)
Option 2:Hyperuricemia supports a diagnosis of gout but is not in
itself diagnostic.
Which class of antihypertensive agents may be problematic for
patients with diabetes?
1.Angiotensin-converting enzyme (ACE) inhibitors
2.Calcium channel blockers
3.Beta blockers
4.Alpha blockers - ANSWER-3. beta blockers
Beta blockers may be problematic in patients with diabetes
because they block what is often the first sign of hypoglycemia:
tachycardia. Many patients with diabetes have compelling
indications (such as coronary artery disease) for the use of beta
blockers. In these patients, the need for a beta blocker outweighs
any risk that might occur.
, 4|Page
Which of the following medications has no role in the acute
treatment of gout?
1.Colchicine
2.Indomethacin
3.Prednisone
4.Allopurinol - ANSWER-4. allopurinol
Allopurinol lowers uric acid levels in the blood; this helps prevent
gout flares but does not treat the symptoms of an acute flare.
Class 1 obesity is defined as a body mass index (BMI) of:
1.30.
2.25.
3.40.
4.35. - ANSWER-1. 30
Class 1 obesity BMI of 30 - 35.
Overweight BMI of 25 - 30.
Class 2 obesity BMI of 35 - 40.
Class 3 obesity BMI of 40 or higher.
