APEA Peds Endocrine
Type 1 diabetes mellitus (T1DM)
An 8-year-old girl who was diagnosed with
an upper respiratory infection 2 weeks ago
is being evaluated. Since she was last
seen, the child complains of increased
appetite, excessive thirst and fatigue. The
child has lost 10 pounds in the last month.
Upon examination, the she has a fruity
smell to her breath and her apical heartrate
is 120 beats/minute. The most likely cause
of her new symptoms is:
Type 1 diabetes mellitus (T1DM)
Type 2 diabetes mellitus (T2DM)
Maple syrup urine disease (MSUD)
Thyroid storm
Atorvastatin (Lipitor)
Despite lifestyle and dietary modifications,
an adolescent's lipoprotein analysis has
not improved in the past 6 months. Which
of the following medications is most
appropriate for initial therapy?
Atorvastatin (Lipitor)
Cholestyramine (Questran)
Niacin (Niaspan)
Amlodipine/Atorvastatin (Caduet)
hypocalcemic tetany.
A positive Chvostek sign as part of the
also tetanus and tetany due to hyperventilation
newborn assessment could be suggestive
of:
congenital hypothyroidism.
congenital heart disease.
hypocalcemic tetany.
congenital renal malformation.
hypocalcemia.
Preterm infants who are small for
gestational age (SGA) are prone to:
apnea.
patent ductus arteriosus.
respiratory distress syndrome.
hypocalcemia.
Normal growth since age 3
The nurse practitioner is evaluating a 5- patients with CGD have normal growth velocity after 3 years of age
year-old child who is at the 5th percentile
for height on the growth chart. Which of the
following would be most consistent with
constitutional growth delay (CGD)?
No family history of CGD
Normal growth since age 3
Increased intracranial pressure (ICP)
Proportional short stature
, APEA Peds Endocrine
this is common with constitutional growth delay.
During the examination of a 14-year-old girl
with familial constitutional growth delay, the
NP notes Tanner stage III for breast
development and Tanner stage II for pubic
hair growth. The adolescent expresses
concern because most of her friends have
started their menstrual cycles. The nurse
practitioner determines:
she should have already started her
menses.
serum hormone level measurement is
warranted.
this is common with constitutional growth
delay.
her serum hormone levels and uterus
should be evaluated.
should be referred to an endocrinologist.
A 16-year-old obese boy with type 2
diabetes mellitus (T2DM) returns to the
clinic for follow-up care. He was diagnosed
1 year ago with T2DM and has started
lifestyle and dietary modifications. Six
months ago, his hemoglobin A1C was 9.5;
3 months ago it was 9.0; and today it is
9.2. Based on these findings, the nurse
practitioner determines he:
is adequately controlling his T2DM.
no longer has T2DM.
should be referred to an endocrinologist.
needs to start a sulfonylurea.
should be referred to a counselor.
A 13-year-old boy presents for a 6-month
follow-up after being diagnosed with type 1
diabetes mellitus (T1DM). Because of his
diagnosis, the adolescent is reluctant to
have friends over and does not want to
attend a week-long sleepover camp. His
mother expresses concern. The nurse
practitioner determines he:
can go to sleepover camp.
needs a note from his endocrine specialist
for this.
should be referred to a counselor.
should start by inviting a friend over to his
house.
Type 1 diabetes mellitus (T1DM)
An 8-year-old girl who was diagnosed with
an upper respiratory infection 2 weeks ago
is being evaluated. Since she was last
seen, the child complains of increased
appetite, excessive thirst and fatigue. The
child has lost 10 pounds in the last month.
Upon examination, the she has a fruity
smell to her breath and her apical heartrate
is 120 beats/minute. The most likely cause
of her new symptoms is:
Type 1 diabetes mellitus (T1DM)
Type 2 diabetes mellitus (T2DM)
Maple syrup urine disease (MSUD)
Thyroid storm
Atorvastatin (Lipitor)
Despite lifestyle and dietary modifications,
an adolescent's lipoprotein analysis has
not improved in the past 6 months. Which
of the following medications is most
appropriate for initial therapy?
Atorvastatin (Lipitor)
Cholestyramine (Questran)
Niacin (Niaspan)
Amlodipine/Atorvastatin (Caduet)
hypocalcemic tetany.
A positive Chvostek sign as part of the
also tetanus and tetany due to hyperventilation
newborn assessment could be suggestive
of:
congenital hypothyroidism.
congenital heart disease.
hypocalcemic tetany.
congenital renal malformation.
hypocalcemia.
Preterm infants who are small for
gestational age (SGA) are prone to:
apnea.
patent ductus arteriosus.
respiratory distress syndrome.
hypocalcemia.
Normal growth since age 3
The nurse practitioner is evaluating a 5- patients with CGD have normal growth velocity after 3 years of age
year-old child who is at the 5th percentile
for height on the growth chart. Which of the
following would be most consistent with
constitutional growth delay (CGD)?
No family history of CGD
Normal growth since age 3
Increased intracranial pressure (ICP)
Proportional short stature
, APEA Peds Endocrine
this is common with constitutional growth delay.
During the examination of a 14-year-old girl
with familial constitutional growth delay, the
NP notes Tanner stage III for breast
development and Tanner stage II for pubic
hair growth. The adolescent expresses
concern because most of her friends have
started their menstrual cycles. The nurse
practitioner determines:
she should have already started her
menses.
serum hormone level measurement is
warranted.
this is common with constitutional growth
delay.
her serum hormone levels and uterus
should be evaluated.
should be referred to an endocrinologist.
A 16-year-old obese boy with type 2
diabetes mellitus (T2DM) returns to the
clinic for follow-up care. He was diagnosed
1 year ago with T2DM and has started
lifestyle and dietary modifications. Six
months ago, his hemoglobin A1C was 9.5;
3 months ago it was 9.0; and today it is
9.2. Based on these findings, the nurse
practitioner determines he:
is adequately controlling his T2DM.
no longer has T2DM.
should be referred to an endocrinologist.
needs to start a sulfonylurea.
should be referred to a counselor.
A 13-year-old boy presents for a 6-month
follow-up after being diagnosed with type 1
diabetes mellitus (T1DM). Because of his
diagnosis, the adolescent is reluctant to
have friends over and does not want to
attend a week-long sleepover camp. His
mother expresses concern. The nurse
practitioner determines he:
can go to sleepover camp.
needs a note from his endocrine specialist
for this.
should be referred to a counselor.
should start by inviting a friend over to his
house.
