Endocrine - Exam 2 Latest Question and Answers

1. Secondary hypothyroidism results from: a) excess release of thyroid hormone beyond the newborn period b) intrauterine exposure to thyrotoxic drugs c) disease or disorder of the thyroid gland itself d) disease or disorder of the hypothalamus or pituitary gland compromising thyroid function - d) disease or disorder of the hypothalamus or pituitary gland compromising thyroid function 2. Congenital hypothyroidism has a higher incidence in which of the following populations? a) African-Americans b) Hispanic and Native Americans c) Asian-Americans d) Euro-Americans - b) Hispanic and Native Americans 3. Which of the following is not a sign or symptom of congenital hypothyroidism? a) hoarse cry b) frequent stooling c) coarse features d) lethargy - b) frequent stooling 4. The most common cause of hyperthyroidism in children and adolescents is: a) Graves' disease b) thyroid cancer c) thyroid nodules d) pituitary tumor - a) Graves' disease 5. Which of the following is not found in an adolescent with untreated Graves' disease? a) behavioral problems b) sleep disturbances c) tendency to gain weight easily d) tachycardia - c) tendency to gain weight easily 6. In which one of the following children would you most suspect hyperthyroidism? a) a 16 yo male who complains about restlessness b) a 14 yo adolescent female who is heat intolerant and has amenorrhea c) a male preteen with behavior problems d) a 6 yo female who complains of tiredness - b) a 14 yo adolescent female who is heat intolerant and has amenorrhea 7. The most common thyroiditis is: a) subacute thyroiditis caused by a viral infection of the gland b) acute suppurative thyroiditis caused by a bacterial infection c) caused by exposure to radiation or trauma d) Hashimoto's or chronic autoimmune thyroiditis - d) Hashimoto's or chronic autoimmune thyroiditis 8. An infant with polydipsia, polyuria, irritability, and FTT should be evaluated for: a) diabetes insipidus b) homocytinuria c) growth hormone deficiency d) hyperglycemia - a) diabetes insipidus 9. Which one of the following is not characteristic of constitutional growth delay? a) there is generally no history of a similar growth pattern in other family members b) the child usually remains constitutionally small as an adult c) final adult stature tends to be normal d) weight and height at birth are generally in the lower percentiles - c) final adult stature tends to be normal 10. A newborn or infant with birth length 50% and microcephalous should be suspected of having: a. growth hormone deficiency b. congenital hypothyroidism c. primordial short stature d. Down syndrome - a. growth hormone deficiency