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DUNPHY ENDOCRINE AND METABOLIC PROBLEMS EXAM AND
PRACTICE EXAM NEWEST 2025/2026 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |A+ GRADED
Jeremiah, age 72, has gout and is obese. When teaching him about diet,
which of the following do you tell him?
1."Beer and wine are okay because they have no effect on uric acid."
2."Keeping your weight stable, even if you are a little overweight, is better
than fluctuating."
3."You must go on a restricted, very low-calorie diet to effect immediate
change."
4."Fluid intake should exceed three thousand milliliters daily to prevent the
formation of uric acid kidney stones." - ANSWER-4. "Fluid intake should
exceed three thousand milliliters daily to prevent the formation of uric acid
kidney stones."
Betty, age 40, has had type 1 diabetes for 20 years and takes a combination
of neutral protamine Hagedorn (NPH) and regular insulin every day. She
comes to the office because she has developed a severe upper respiratory
infection with chills, fever, and the production of yellow sputum. Because of
her acute infection, you know that Betty is likely to require:
1.A decrease in her daily insulin dosage.
2.An increase in her daily insulin dosage.
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3.A high-calorie dietary intake and no insulin change.
4.A change in her insulin from NPH to insulin aspart (NovoLog) - ANSWER-
2. An increase in her daily insulin dosage.
What is the most common cause of gynecomastia?
1.Puberty
2.Drug use
3.Testicular failure
4.Malnutrition - ANSWER-1. Puberty
Puberty is the most common cause of gynecomastia; most of these
cases are self-limiting. Drug use, testicular failure, and malnutrition are
a less common causes of gynecomastia.
A patient presents to your urgent care center for evaluation following a motor
vehicle accident. On physical exam, the patient seems lethargic and has thin,
clear nasal drainage. You also note bruising around the eyes and mastoid
process. What injury did the patient sustain in the car accident?
1. Basilar skull fracture
2. Epidural hematoma
3. Subdural hematoma
4. Concussion - ANSWER-1. Basilar skull fracture
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(The drainage from the patient's nose is cerebrospinal fluid. The
bruising around the eyes and mastoid process is associated with
basilar skull fracture, an emergency condition.)
A patient presents to your urgent care office complaining of lightheadedness,
dizziness, and problems concentrating after a motor vehicle accident 7 days
ago. Originally, these complaints were more severe, but they have slowly
decreased in intensity. What is the patient's diagnosis?
1.Concussion
2.Postconcussion syndrome
3.Cerebral hemorrhage
4.Malingering - ANSWER-2. Post-concussion syndrome (If they have not
received one since the car accident, you should refer them to their
primary doctor or neurologist to get a computed tomography (CT) scan
of the head.)
Option 1:This patient likely suffered a concussion but is now
experiencing symptoms consistent with post-concussion syndrome,
which can last up to 6 months after a concussion.
Option 3:There are no neurologic changes to suggest the patient is
having a cerebral hemorrhage. & Option 4:There are no signs of
malingering in the patient's complaint, and there is nothing to suggest
secondary gain.
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How soon after a facial laceration should sutures be removed?
1.4 to 6 days
2.3 to 4 days
3.7 to 10 days
4.10 to 14 days - ANSWER-1. 4 to 6 days
Generally, you want to remove facial laceration sutures 4 to 6 days after
the injury to avoid excessive scarring.
The ABCDEs of skin cancer can help you diagnose a cancerous skin lesion.
Which of the following definitions does not accurately describe the
corresponding letter of the acronym?
1.A = asymmetry.
2.B = border irregularity.
3.C = color.
4.D = diameter greater than 8 mm. - ANSWER-4. 8 mm is incorrect
A diameter of greater than 6 mm would be concerning for cancer.
A 5-year-old male presents to your urgent care clinic with his mother. The
patient was sent home from school for eye redness. He has bilateral
erythema of his conjunctivae and watery drainage. He complains of pruritus
of both eyes. The patient also has clear drainage from his nose and a sore
DUNPHY ENDOCRINE AND METABOLIC PROBLEMS EXAM AND
PRACTICE EXAM NEWEST 2025/2026 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |A+ GRADED
Jeremiah, age 72, has gout and is obese. When teaching him about diet,
which of the following do you tell him?
1."Beer and wine are okay because they have no effect on uric acid."
2."Keeping your weight stable, even if you are a little overweight, is better
than fluctuating."
3."You must go on a restricted, very low-calorie diet to effect immediate
change."
4."Fluid intake should exceed three thousand milliliters daily to prevent the
formation of uric acid kidney stones." - ANSWER-4. "Fluid intake should
exceed three thousand milliliters daily to prevent the formation of uric acid
kidney stones."
Betty, age 40, has had type 1 diabetes for 20 years and takes a combination
of neutral protamine Hagedorn (NPH) and regular insulin every day. She
comes to the office because she has developed a severe upper respiratory
infection with chills, fever, and the production of yellow sputum. Because of
her acute infection, you know that Betty is likely to require:
1.A decrease in her daily insulin dosage.
2.An increase in her daily insulin dosage.
,2|Page
3.A high-calorie dietary intake and no insulin change.
4.A change in her insulin from NPH to insulin aspart (NovoLog) - ANSWER-
2. An increase in her daily insulin dosage.
What is the most common cause of gynecomastia?
1.Puberty
2.Drug use
3.Testicular failure
4.Malnutrition - ANSWER-1. Puberty
Puberty is the most common cause of gynecomastia; most of these
cases are self-limiting. Drug use, testicular failure, and malnutrition are
a less common causes of gynecomastia.
A patient presents to your urgent care center for evaluation following a motor
vehicle accident. On physical exam, the patient seems lethargic and has thin,
clear nasal drainage. You also note bruising around the eyes and mastoid
process. What injury did the patient sustain in the car accident?
1. Basilar skull fracture
2. Epidural hematoma
3. Subdural hematoma
4. Concussion - ANSWER-1. Basilar skull fracture
,3|Page
(The drainage from the patient's nose is cerebrospinal fluid. The
bruising around the eyes and mastoid process is associated with
basilar skull fracture, an emergency condition.)
A patient presents to your urgent care office complaining of lightheadedness,
dizziness, and problems concentrating after a motor vehicle accident 7 days
ago. Originally, these complaints were more severe, but they have slowly
decreased in intensity. What is the patient's diagnosis?
1.Concussion
2.Postconcussion syndrome
3.Cerebral hemorrhage
4.Malingering - ANSWER-2. Post-concussion syndrome (If they have not
received one since the car accident, you should refer them to their
primary doctor or neurologist to get a computed tomography (CT) scan
of the head.)
Option 1:This patient likely suffered a concussion but is now
experiencing symptoms consistent with post-concussion syndrome,
which can last up to 6 months after a concussion.
Option 3:There are no neurologic changes to suggest the patient is
having a cerebral hemorrhage. & Option 4:There are no signs of
malingering in the patient's complaint, and there is nothing to suggest
secondary gain.
, 4|Page
How soon after a facial laceration should sutures be removed?
1.4 to 6 days
2.3 to 4 days
3.7 to 10 days
4.10 to 14 days - ANSWER-1. 4 to 6 days
Generally, you want to remove facial laceration sutures 4 to 6 days after
the injury to avoid excessive scarring.
The ABCDEs of skin cancer can help you diagnose a cancerous skin lesion.
Which of the following definitions does not accurately describe the
corresponding letter of the acronym?
1.A = asymmetry.
2.B = border irregularity.
3.C = color.
4.D = diameter greater than 8 mm. - ANSWER-4. 8 mm is incorrect
A diameter of greater than 6 mm would be concerning for cancer.
A 5-year-old male presents to your urgent care clinic with his mother. The
patient was sent home from school for eye redness. He has bilateral
erythema of his conjunctivae and watery drainage. He complains of pruritus
of both eyes. The patient also has clear drainage from his nose and a sore
