NSG 6320 AGNP Board Exam – Endocrinology Assessment Exam

NSG 6320 AGNP Board Exam – Endocrinology Assessment Exam 1. Question: The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: History of poor intestinal absorption Foul smelling, frothy, greasy stools Meconium ileus Salty taste on the skin Correct Explanation: The signs and symptoms of cystic fibrosis (CF) vary from person to person and over time. Sometimes there will be few symptoms and other times, symptoms may become more severe. One of the first signs of CF that parents may notice is that their baby's skin tastes salty when kissed, or the baby doesn't pass stool when first born. Most of the other signs and symptoms of CF happen later. They're related to how CF affects the respiratory, digestive, or reproductive systems of the body. 2. Question: If a newborn is suspected of having congenital hypothyroidism, which clinical manifestation would be evident? Prematurity Hyperthermia Hyperactivity Enlarged anterior fontanel Correct Explanation: Infants with congenital hypothyroidism are usually born at term or after term. Most practitioners now depend on the screening test in newborns to diagnose this condition since the symptoms or signs take time to develop. The symptoms of congenital hypothyroidism may include some of the following: puffy face, coarse facial features, enlarged anterior fontanel, thick protruding tongue, poor feeding, constipation or reduced stooling, prolonged jaundice, decreased activity with hypotonia, hypothermia and cool and pale skin, goiter, birth defects (e.g., heart valve abnormality), poor weight gain due to poor appetite, and swollen hands, feet and genitals. 3. Question: The appearance of breast development in girls before the age of 8 years is termed: amenorrhea. gynecomastia. adrenarche. precocious puberty. Correct Explanation: Puberty that begins before age 8 in girls and before age 9 in boys is considered precocious puberty. Amenorrhea is the absence of menstruation. Gynecomastia is swelling of the breast tissue in boys or men. Adrenarche is the early presence of pubic hair in girls aged 5-8 years old. 4. Question: A butterfly-shaped gland located in the middle of the neck below the larynx and above the clavicles is the: parathyroid gland. thyroid gland. Correct hypothalamus gland. thymus gland. Explanation: The thyroid gland is a butterfly-shaped gland located in the middle of the neck below the larynx and above the clavicles. The parathyroid glands are small endocrine glands located in the neck behind the thyroid gland. The thymus gland is rectangular and located in the mediastinum of the thoracic cavity anterior and superior to the heart and posterior to the sternum. The hypothalamus is located in the brain. 5. Question: When auscultating the enlarged thyroid with a stethoscope, a bruit is suggestive of: a carotid aneurysm. a normal finding. hyperthyroidism. Correct a thyroid malignancy. Explanation: A systolic or continuous bruit auscultated with a stethoscope over an enlarged thyroid may be heard in hyperthyroidism. This is not a normal finding. A bruit is not usually associated with a thyroid malignancy. 6. Question: During assessment of the t