ROSH REVIEW ENDOCRINE QUESTIONS
AND CORRECT ANSWERS
WhichA2ofA2theA2followingA2isA2theA2bestA2treatmentA2regimenA2forA2hyperosmolarA2hyperg
lycemicA2state?
AA2Insulin
BA2IntravenousA2fluids
CA2IntravenousA2fluidsA2andA2insulin
DA2IntravenousA2fluidsA2andA2metforminA2-A2Ans--CA2IntravenousA2fluidsA2andA2insulin
AA24-year-
oldA2girlA2whoA2wasA2recentlyA2diagnosedA2withA2typeA21A2diabetesA2mellitusA2isA2foundA2u
nconsciousA2inA2herA2playroomA2byA2herA2mother.A2TheA2motherA2testsA2theA2child'sA2bloo
dA2glucose,A2andA2itA2isA239A2mg/
dL.A2SheA2callsA2emergencyA2medicalA2servicesA2forA2assistance.A2WhatA2shouldA2theA2m
otherA2beA2instructedA2toA2doA2whileA2waitingA2forA2EMSA2toA2arrive?
AA2AdministerA2aA2bolusA2ofA2D50
BA2AdministerA2fiveA2unitsA2ofA2insulin
CA2AdministerA2glucagonA2subcutaneously
DA2PourA2honeyA2intoA2theA2girl'sA2mouthA2-A2Ans--
CA2AdministerA2glucagonA2subcutaneously
WhichA2ofA2theA2followingA2typesA2ofA2insulinA2isA2rapid-acting?
AA2InsulinA2degludec
BA2InsulinA2detemir
CA2InsulinA2glargine
DA2InsulinA2glulisineA2-A2Ans--DA2InsulinA2glulisine
WhichA2ofA2theA2followingA2isA2theA2bestA2descriptionA2ofA2theA2pathogenesisA2ofA2typeA22A
2diabetesA2mellitus?
AA2AutoimmuneA2destructionA2ofA2insulin-producingA2pancreaticA2beta-cells
BA2FatA2accumulationA2inA2hepatocytesA2dueA2toA2insulinA2resistance
CA2InsulinA2resistanceA2andA2relativeA2insulinA2deficiency
DA2LipolysisA2andA2synthesisA2ofA2ketonesA2fromA2freeA2fattyA2acidsA2-A2Ans--
CA2InsulinA2resistanceA2andA2relativeA2insulinA2deficiency
WhichA2ofA2theA2followingA2symptomsA2orA2signsA2isA2foundA2inA2primaryA2adrenalA2insuffi
ciencyA2butA2absentA2inA2secondaryA2adrenalA2insufficiency?
AA2Fatigue
BA2Hyperpigmentation
CA2Malaise
DA2WeaknessA2-A2Ans--BA2Hyperpigmentation
WhichA2ofA2theA2followingA2isA2aA2riskA2factorA2forA2thyroidA2cancer?
, AA2ExcessiveA2alcoholA2consumption
BA2HistoryA2ofA2chronicA2autoimmuneA2thyroiditis
CA2HistoryA2ofA2Graves'A2disease
DA2RadiationA2exposureA2duringA2childhoodA2-A2Ans--
DA2RadiationA2exposureA2duringA2childhood
PatientsA2shouldA2beA2educatedA2onA2signsA2andA2symptomsA2ofA2hypoglycemiaA2uponA2i
nitiationA2ofA2whichA2ofA2theA2followingA2medications?
AA2Dapagliflozin
BA2Exenatide
CA2Glipizide
DA2MetforminA2-A2Ans--CA2Glipizide
WhichA2ofA2theA2followingA2physicalA2examinationA2findingsA2isA2mostA2commonA2inA2aA2p
atientA2withA2primaryA2hyperparathyroidismA2dueA2toA2aA2parathyroidA2adenoma?
AA2MuscleA2atrophy
BA2NormalA2examination
CA2PalpableA2anteriorA2neckA2mass
DA2PositiveA2ChvostekA2signA2-A2Ans--BA2NormalA2examination
AA242-year-
oldA2womanA2presentsA2toA2theA2clinicA2complainingA2ofA2lowA2energy,A2weightA2gain,A2an
dA2feelingA2coldA2allA2theA2time.A2HerA2pulseA2isA256A2beatsA2perA2minute,A2herA2bloodA2pre
ssureA2isA2140/100A2mmA2Hg,A2andA2herA2temperatureA2isA298.4°F.A2WhichA2ofA2theA2follo
wingA2physicalA2examA2findingsA2wouldA2bestA2supportA2aA2diagnosisA2ofA2hypothyroidism
?
AA2Exophthalmos
BA2Hyperreflexia
CA2Low,A2gravellyA2voice
DA2Thin,A2fineA2hairA2-A2Ans--CA2Low,A2gravellyA2voice
AA249-year-
oldA2manA2isA2admittedA2toA2theA2hospitalA2initiallyA2forA2infectiousA2systemicA2complicatio
nsA2fromA2aA2woundA2sustainedA2fromA2aA2saw.A2HeA2hasA2aA2historyA2ofA2hyperthyroidis
mA2butA2reportsA2aA2lackA2ofA2medicationA2complianceA2atA2home.A2HeA2wasA2clinicallyA2i
mprovingA2untilA2dayA2twoA2ofA2admission,A2whereA2heA2isA2foundA2inA2respiratoryA2distres
s,A2displaysA2aA2fineA2tremor,A2andA2isA2disorientedA2andA2agitated.A2HisA2temperatureA2is
A2102°F,A2HRA2isA2126A2bpm,A2BPA2isA2100/84A2mmA2Hg,A2andA2RRA2isA236A2perA2min.A2W
hichA2ofA2theA2followingA2isA2theA2mostA2appropriateA2pharmacotherapyA2atA2thisA2time?
AA2Hydrocortisone
BA2Meropenem
CA2Piperacillin-tazobactam
DA2PropranololA2-A2Ans--DA2Propranolol
WhichA2ofA2theA2followingA2isA2trueA2regardingA2diabetesA2mellitusA2management?
AA2AllA2diabeticA2patientsA2haveA2aA2goalA2ofA2glycatedA2hemoglobinA2(A1C)A2ofA2≤A27%
AND CORRECT ANSWERS
WhichA2ofA2theA2followingA2isA2theA2bestA2treatmentA2regimenA2forA2hyperosmolarA2hyperg
lycemicA2state?
AA2Insulin
BA2IntravenousA2fluids
CA2IntravenousA2fluidsA2andA2insulin
DA2IntravenousA2fluidsA2andA2metforminA2-A2Ans--CA2IntravenousA2fluidsA2andA2insulin
AA24-year-
oldA2girlA2whoA2wasA2recentlyA2diagnosedA2withA2typeA21A2diabetesA2mellitusA2isA2foundA2u
nconsciousA2inA2herA2playroomA2byA2herA2mother.A2TheA2motherA2testsA2theA2child'sA2bloo
dA2glucose,A2andA2itA2isA239A2mg/
dL.A2SheA2callsA2emergencyA2medicalA2servicesA2forA2assistance.A2WhatA2shouldA2theA2m
otherA2beA2instructedA2toA2doA2whileA2waitingA2forA2EMSA2toA2arrive?
AA2AdministerA2aA2bolusA2ofA2D50
BA2AdministerA2fiveA2unitsA2ofA2insulin
CA2AdministerA2glucagonA2subcutaneously
DA2PourA2honeyA2intoA2theA2girl'sA2mouthA2-A2Ans--
CA2AdministerA2glucagonA2subcutaneously
WhichA2ofA2theA2followingA2typesA2ofA2insulinA2isA2rapid-acting?
AA2InsulinA2degludec
BA2InsulinA2detemir
CA2InsulinA2glargine
DA2InsulinA2glulisineA2-A2Ans--DA2InsulinA2glulisine
WhichA2ofA2theA2followingA2isA2theA2bestA2descriptionA2ofA2theA2pathogenesisA2ofA2typeA22A
2diabetesA2mellitus?
AA2AutoimmuneA2destructionA2ofA2insulin-producingA2pancreaticA2beta-cells
BA2FatA2accumulationA2inA2hepatocytesA2dueA2toA2insulinA2resistance
CA2InsulinA2resistanceA2andA2relativeA2insulinA2deficiency
DA2LipolysisA2andA2synthesisA2ofA2ketonesA2fromA2freeA2fattyA2acidsA2-A2Ans--
CA2InsulinA2resistanceA2andA2relativeA2insulinA2deficiency
WhichA2ofA2theA2followingA2symptomsA2orA2signsA2isA2foundA2inA2primaryA2adrenalA2insuffi
ciencyA2butA2absentA2inA2secondaryA2adrenalA2insufficiency?
AA2Fatigue
BA2Hyperpigmentation
CA2Malaise
DA2WeaknessA2-A2Ans--BA2Hyperpigmentation
WhichA2ofA2theA2followingA2isA2aA2riskA2factorA2forA2thyroidA2cancer?
, AA2ExcessiveA2alcoholA2consumption
BA2HistoryA2ofA2chronicA2autoimmuneA2thyroiditis
CA2HistoryA2ofA2Graves'A2disease
DA2RadiationA2exposureA2duringA2childhoodA2-A2Ans--
DA2RadiationA2exposureA2duringA2childhood
PatientsA2shouldA2beA2educatedA2onA2signsA2andA2symptomsA2ofA2hypoglycemiaA2uponA2i
nitiationA2ofA2whichA2ofA2theA2followingA2medications?
AA2Dapagliflozin
BA2Exenatide
CA2Glipizide
DA2MetforminA2-A2Ans--CA2Glipizide
WhichA2ofA2theA2followingA2physicalA2examinationA2findingsA2isA2mostA2commonA2inA2aA2p
atientA2withA2primaryA2hyperparathyroidismA2dueA2toA2aA2parathyroidA2adenoma?
AA2MuscleA2atrophy
BA2NormalA2examination
CA2PalpableA2anteriorA2neckA2mass
DA2PositiveA2ChvostekA2signA2-A2Ans--BA2NormalA2examination
AA242-year-
oldA2womanA2presentsA2toA2theA2clinicA2complainingA2ofA2lowA2energy,A2weightA2gain,A2an
dA2feelingA2coldA2allA2theA2time.A2HerA2pulseA2isA256A2beatsA2perA2minute,A2herA2bloodA2pre
ssureA2isA2140/100A2mmA2Hg,A2andA2herA2temperatureA2isA298.4°F.A2WhichA2ofA2theA2follo
wingA2physicalA2examA2findingsA2wouldA2bestA2supportA2aA2diagnosisA2ofA2hypothyroidism
?
AA2Exophthalmos
BA2Hyperreflexia
CA2Low,A2gravellyA2voice
DA2Thin,A2fineA2hairA2-A2Ans--CA2Low,A2gravellyA2voice
AA249-year-
oldA2manA2isA2admittedA2toA2theA2hospitalA2initiallyA2forA2infectiousA2systemicA2complicatio
nsA2fromA2aA2woundA2sustainedA2fromA2aA2saw.A2HeA2hasA2aA2historyA2ofA2hyperthyroidis
mA2butA2reportsA2aA2lackA2ofA2medicationA2complianceA2atA2home.A2HeA2wasA2clinicallyA2i
mprovingA2untilA2dayA2twoA2ofA2admission,A2whereA2heA2isA2foundA2inA2respiratoryA2distres
s,A2displaysA2aA2fineA2tremor,A2andA2isA2disorientedA2andA2agitated.A2HisA2temperatureA2is
A2102°F,A2HRA2isA2126A2bpm,A2BPA2isA2100/84A2mmA2Hg,A2andA2RRA2isA236A2perA2min.A2W
hichA2ofA2theA2followingA2isA2theA2mostA2appropriateA2pharmacotherapyA2atA2thisA2time?
AA2Hydrocortisone
BA2Meropenem
CA2Piperacillin-tazobactam
DA2PropranololA2-A2Ans--DA2Propranolol
WhichA2ofA2theA2followingA2isA2trueA2regardingA2diabetesA2mellitusA2management?
AA2AllA2diabeticA2patientsA2haveA2aA2goalA2ofA2glycatedA2hemoglobinA2(A1C)A2ofA2≤A27%