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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|| NEWEST EXAM!!
Dan, age 45, is obese and has type 2 diabetes. He has
been having trouble getting his glycohemoglobin under
control. He has heard that exenatide (Byetta) causes
weight loss and wants to try it. What do you tell him?
1."Let's adjust your oral antidiabetic agents instead."
2."That's a myth. People usually change their eating habits
when taking this, and that's what causes the weight loss."
3."With type 2 diabetes, you never want to be on injectable
insulin."
4."Let's try it. Your glycohemoglobin will be lowered, and
you may lose weight." - ANSWER-4."Let's try it. Your
glycohemoglobin will be lowered, and you may lose
weight."
Which of the following would not be ordered on a regular
basis to evaluate patients with diabetes for end-organ
damage associated with diabetes?
1.Ophthalmology evaluation
2.Lipid panel
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3.Urinalysis and basic metabolic panel (BMP)
4.Complete blood count (CBC) - ANSWER-4. CBC
A CBC should be done in all patients at an annual
physical, but patients with diabetes typically don't have
end-organ damage that would be evident on a CBC.
Which of the following statements about hypothyroidism is
not true?
1.The most common worldwide cause of hypothyroidism is
iodine deficiency.
2.The most common cause of autoimmune hypothyroidism
is Hashimoto's thyroiditis.
3.The rate of hypothyroidism decreases with age.
4.Lithium use is a risk factor for hypothyroidism. -
ANSWER-3. The rate of hypothyroidism decreases with
age.
This is not true; hypothyroidism becomes more common
as we age.
Joy has gout. In teaching her about her disease, which
food do you tell her is allowed in the diet?
1.Asparagus
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2.Beans
3.Broccoli
4.Mushrooms - ANSWER-3. broccoli
Foods high in purine should be avoided by patients with
gout. Broccoli is not high in purine. Foods high in purine
include all meats and seafood, meat extracts and gravies,
yeast and yeast extracts, beans, peas, lentils, oatmeal,
spinach, asparagus, cauliflower, and mushrooms. Wine
and alcohol in excessive amounts impair the ability of the
kidneys to excrete uric acid and should be used in
moderation.
Which of the following statements about diabetes mellitus
is NOT true?
1.Diabetes mellitus is the most common etiology of renal
failure in the United States.
2.Diabetes mellitus is the most common endocrine
disorder in the United States.
3.Diabetes mellitus is characterized by impaired insulin
secretion and insulin action.
4.Diabetes mellitus is curable. - ANSWER-4.Diabetes
mellitus is curable.
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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.
3.A high-calorie dietary intake and no insulin change.
DUNPHY ENDOCRINE AND METABOLIC PROBLEMS
EXAM AND PRACTICE EXAM NEWEST 2025/ 2026
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |A+
GRADED|| NEWEST EXAM!!
Dan, age 45, is obese and has type 2 diabetes. He has
been having trouble getting his glycohemoglobin under
control. He has heard that exenatide (Byetta) causes
weight loss and wants to try it. What do you tell him?
1."Let's adjust your oral antidiabetic agents instead."
2."That's a myth. People usually change their eating habits
when taking this, and that's what causes the weight loss."
3."With type 2 diabetes, you never want to be on injectable
insulin."
4."Let's try it. Your glycohemoglobin will be lowered, and
you may lose weight." - ANSWER-4."Let's try it. Your
glycohemoglobin will be lowered, and you may lose
weight."
Which of the following would not be ordered on a regular
basis to evaluate patients with diabetes for end-organ
damage associated with diabetes?
1.Ophthalmology evaluation
2.Lipid panel
,2|Page
3.Urinalysis and basic metabolic panel (BMP)
4.Complete blood count (CBC) - ANSWER-4. CBC
A CBC should be done in all patients at an annual
physical, but patients with diabetes typically don't have
end-organ damage that would be evident on a CBC.
Which of the following statements about hypothyroidism is
not true?
1.The most common worldwide cause of hypothyroidism is
iodine deficiency.
2.The most common cause of autoimmune hypothyroidism
is Hashimoto's thyroiditis.
3.The rate of hypothyroidism decreases with age.
4.Lithium use is a risk factor for hypothyroidism. -
ANSWER-3. The rate of hypothyroidism decreases with
age.
This is not true; hypothyroidism becomes more common
as we age.
Joy has gout. In teaching her about her disease, which
food do you tell her is allowed in the diet?
1.Asparagus
,3|Page
2.Beans
3.Broccoli
4.Mushrooms - ANSWER-3. broccoli
Foods high in purine should be avoided by patients with
gout. Broccoli is not high in purine. Foods high in purine
include all meats and seafood, meat extracts and gravies,
yeast and yeast extracts, beans, peas, lentils, oatmeal,
spinach, asparagus, cauliflower, and mushrooms. Wine
and alcohol in excessive amounts impair the ability of the
kidneys to excrete uric acid and should be used in
moderation.
Which of the following statements about diabetes mellitus
is NOT true?
1.Diabetes mellitus is the most common etiology of renal
failure in the United States.
2.Diabetes mellitus is the most common endocrine
disorder in the United States.
3.Diabetes mellitus is characterized by impaired insulin
secretion and insulin action.
4.Diabetes mellitus is curable. - ANSWER-4.Diabetes
mellitus is curable.
, 4|Page
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.
3.A high-calorie dietary intake and no insulin change.
