Nu 664 Things to Know Questions with 100%
Correct Answers
Primary Hypothyroidism
TSH= High
T4 = Low
T3= Low
Subclinical Hypothyroidism
TSH= High
T4= Normal
T3= Normal
Secondary Hypothyroidism
TSH= Low
T4= Low
3= Low
Hyperthyroidism
TSH= Low
T4= High
T3= High
What is the most common cause of gynecomastia in adolescent males?
Pubertal hormonal changes.
A 45-year-old male presents with unilateral breast enlargement. What additional
symptoms or findings should you investigate?
,Ask about recent weight changes, medications, family history of breast cancer, history of
liver or kidney disease, and symptoms of hormonal imbalances.
Which medications are commonly associated with gynecomastia?
Medications such as anti-androgens, certain antidepressants, and drugs used for treatment of
prostate cancer.
What are the primary diagnostic steps for evaluating gynecomastia?
A thorough history and physical examination, followed by imaging (ultrasound or
mammogram) and possibly hormone level testing.
If a patient with gonorrhea is allergic to amoxicillin, the recommended alternative
treatments are:
Ceftriaxone: Typically administered as a single intramuscular dose of 500 mg.
Azithromycin: An oral dose of 1 g can be used, but it's often combined with ceftriaxone for
broader coverage.
What is the first-line treatment for Trichomoniasis?
Metronidazole 2g orally in a single dose or Tinidazole 2g orally in a single dose
School-Aged Children and Adolescents Inflammatory Bowel Disease (IBD) •
Differentials
IBS, gastroenteritis, celiac disease, appendicitis, infectious colitis
Gonorrhea
Dysuria, purulent discharge, pelvic pain NAAT Ceftriaxone 500mg IM in a single dose (for
persons <150 kg); add Doxycycline if Chlamydia not ruled out
Chlamydia
, Often asymptomatic; can include dysuria, discharge NAAT (Nucleic Acid Amplification
Test) Azithromycin 1g orally in a single dose or Doxycycline 100mg orally twice a day for 7
days
What is the recommended treatment for Chlamydia?
Azithromycin 1g orally in a single dose or Doxycycline 100mg orally twice a day for 7 days
Which of the following is NOT a common cause of gynecomastia?
Hyperprolactinemia
What is the recommended course of action for gynecomastia that persists beyond
puberty or occurs in the presence of abnormal serum levels of free testosterone and
luteinizing hormone (LH)?
Referral to an endocrinologist
Which medication is NOT typically associated with the development of gynecomastia?
Insulin
How can gynecomastia be differentiated from pseudogynecomastia upon physical
examination?
a firm, rubbery, mobile disc of tissue at least 2 to 4 cm in diameter.
Which of the following symptoms would suggest a need for mammography in a patient
with gynecomastia?
Unilateral gynecomastia with rapid growth and/or pain
What is the typical age of onset for gynecomastia associated with puberty?
12 to 14 years
Correct Answers
Primary Hypothyroidism
TSH= High
T4 = Low
T3= Low
Subclinical Hypothyroidism
TSH= High
T4= Normal
T3= Normal
Secondary Hypothyroidism
TSH= Low
T4= Low
3= Low
Hyperthyroidism
TSH= Low
T4= High
T3= High
What is the most common cause of gynecomastia in adolescent males?
Pubertal hormonal changes.
A 45-year-old male presents with unilateral breast enlargement. What additional
symptoms or findings should you investigate?
,Ask about recent weight changes, medications, family history of breast cancer, history of
liver or kidney disease, and symptoms of hormonal imbalances.
Which medications are commonly associated with gynecomastia?
Medications such as anti-androgens, certain antidepressants, and drugs used for treatment of
prostate cancer.
What are the primary diagnostic steps for evaluating gynecomastia?
A thorough history and physical examination, followed by imaging (ultrasound or
mammogram) and possibly hormone level testing.
If a patient with gonorrhea is allergic to amoxicillin, the recommended alternative
treatments are:
Ceftriaxone: Typically administered as a single intramuscular dose of 500 mg.
Azithromycin: An oral dose of 1 g can be used, but it's often combined with ceftriaxone for
broader coverage.
What is the first-line treatment for Trichomoniasis?
Metronidazole 2g orally in a single dose or Tinidazole 2g orally in a single dose
School-Aged Children and Adolescents Inflammatory Bowel Disease (IBD) •
Differentials
IBS, gastroenteritis, celiac disease, appendicitis, infectious colitis
Gonorrhea
Dysuria, purulent discharge, pelvic pain NAAT Ceftriaxone 500mg IM in a single dose (for
persons <150 kg); add Doxycycline if Chlamydia not ruled out
Chlamydia
, Often asymptomatic; can include dysuria, discharge NAAT (Nucleic Acid Amplification
Test) Azithromycin 1g orally in a single dose or Doxycycline 100mg orally twice a day for 7
days
What is the recommended treatment for Chlamydia?
Azithromycin 1g orally in a single dose or Doxycycline 100mg orally twice a day for 7 days
Which of the following is NOT a common cause of gynecomastia?
Hyperprolactinemia
What is the recommended course of action for gynecomastia that persists beyond
puberty or occurs in the presence of abnormal serum levels of free testosterone and
luteinizing hormone (LH)?
Referral to an endocrinologist
Which medication is NOT typically associated with the development of gynecomastia?
Insulin
How can gynecomastia be differentiated from pseudogynecomastia upon physical
examination?
a firm, rubbery, mobile disc of tissue at least 2 to 4 cm in diameter.
Which of the following symptoms would suggest a need for mammography in a patient
with gynecomastia?
Unilateral gynecomastia with rapid growth and/or pain
What is the typical age of onset for gynecomastia associated with puberty?
12 to 14 years
