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Pance Endocrinology Certification Paper 2026 Full Solution Graded A+

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PANCE ENDOCRINOLOGY CERTIFICATION PAPER 2026 FULL SOLUTION GRADED A+

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PANCE ENDOCRINOLOGY CERTIFICATION
PAPER 2026 FULL SOLUTION GRADED A+

● dexamethasone supression test. Answer: cortisol>5 after test indicates
cushings


● electrolytes in cushings. Answer: high NA (high BP)
low K
because high cortisol acts like aldosterone


● pheochromocytoma test. Answer: 24 hr urine catecholamines with
metanephrines and vanillylmandelic acid


● pheochromocytoma treatment. Answer: alpha blockers (phentolamine)
NO BB ALONE


● primary addisons and ACTH levels. Answer: from adrenal destruction
elevated ACTH


● ACTH stimulation test. Answer: cortisol increase less than 20
indicates primary addisons

, ● electrolytes in addisons. Answer: low NA (causes low BP)
high K
because of low aldosterone (which tells you to absorb NA)


● Addisonian crisis. Answer: IVF
glucose (low cortisol causes hypoglycemia)
hydrocortisone
fludricortisone


● secondary hyperparathyroid. Answer: usually from CKD which causes
low calcium and vit D


● hyperparathyroid treatment for high calcium. Answer: IVF
calcitonin
bisphosphonates
lasix


● hypoparathyroidism treatment. Answer: replete calcium and vit D


● acromegaly diagnosis. Answer: elevated IGF-1
GH test 2 hrs after glucose
pituitary MRI

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