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DUNPHY ENDOCRINE, METABOLIC AND PSYCHC
PROBLEMS EXAM AND PRACTICE 2025/2026 NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
Joyce is seen in the clinic complaining of vague symptoms of
nervousness and irritability. She is also having problems sleeping
at night. On physical examination, the clinician finds an irregular
heartbeat and hyperactive reflexes. The differential diagnosis
should include which condition?
A. Myxedema
B. Thyrotoxicosis
C. Cushing's syndrome
D. Pan-hypopituitarism -ANSWERS-B. Thyrotoxicosis
The patient is prescribed radioactive iodine (RAI) and asks the
clinician how this drug works. The clinician's response should
include which information?
A. RAI prevents the peripheral conversion of T4 to T3.
B. RAI binds free T4.
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C. RAI destroys thyroid tissue.
D. RAI reduces freely circulating iodine. -ANSWERS-C. RAI
destroys thyroid tissue.
A patient is diagnosed with hypothyroidism. Which
electrocardiogram change should the clinician observe as a
manifestation of the disease?
A. Sinus bradycardia
B. Atrial fibrillation
C. Supraventricular tachycardia
D. U waves -ANSWERS-A. Sinus bradycardia
After 6 months of Synthroid therapy, the clinician should expect
which result in the repeat thyroid-stimulating hormone studies?
A. Elevated
B. Normal
C. Low
D. Undetectable -ANSWERS-B. Normal
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Which laboratory finding should the clinician observe in a patient
with untreated Graves' disease?
A. Elevated TSH
B. Decreased T3
C. Decreased TSH receptor antibody test
D. Elevated antithyroglobulin antibodies -ANSWERS-D. Elevated
antithyroglobulin antibodies
The clinician prescribes glipizide (Glucotrol) for a diabetic patient.
Which statement made by the patient would indicate teaching has
been effective?
A. "I'll take my pill before breakfast."
B. "I know to take my Glucotrol at bedtime."
C. "It is important to take my medication right after I eat."
D. "Since I only like to eat two meals a day, I can take the pill
between my meals." -ANSWERS-A. "I'll take my pill before
breakfast."
DUNPHY ENDOCRINE, METABOLIC AND PSYCHC
PROBLEMS EXAM AND PRACTICE 2025/2026 NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
Joyce is seen in the clinic complaining of vague symptoms of
nervousness and irritability. She is also having problems sleeping
at night. On physical examination, the clinician finds an irregular
heartbeat and hyperactive reflexes. The differential diagnosis
should include which condition?
A. Myxedema
B. Thyrotoxicosis
C. Cushing's syndrome
D. Pan-hypopituitarism -ANSWERS-B. Thyrotoxicosis
The patient is prescribed radioactive iodine (RAI) and asks the
clinician how this drug works. The clinician's response should
include which information?
A. RAI prevents the peripheral conversion of T4 to T3.
B. RAI binds free T4.
, Page |2
C. RAI destroys thyroid tissue.
D. RAI reduces freely circulating iodine. -ANSWERS-C. RAI
destroys thyroid tissue.
A patient is diagnosed with hypothyroidism. Which
electrocardiogram change should the clinician observe as a
manifestation of the disease?
A. Sinus bradycardia
B. Atrial fibrillation
C. Supraventricular tachycardia
D. U waves -ANSWERS-A. Sinus bradycardia
After 6 months of Synthroid therapy, the clinician should expect
which result in the repeat thyroid-stimulating hormone studies?
A. Elevated
B. Normal
C. Low
D. Undetectable -ANSWERS-B. Normal
, Page |3
Which laboratory finding should the clinician observe in a patient
with untreated Graves' disease?
A. Elevated TSH
B. Decreased T3
C. Decreased TSH receptor antibody test
D. Elevated antithyroglobulin antibodies -ANSWERS-D. Elevated
antithyroglobulin antibodies
The clinician prescribes glipizide (Glucotrol) for a diabetic patient.
Which statement made by the patient would indicate teaching has
been effective?
A. "I'll take my pill before breakfast."
B. "I know to take my Glucotrol at bedtime."
C. "It is important to take my medication right after I eat."
D. "Since I only like to eat two meals a day, I can take the pill
between my meals." -ANSWERS-A. "I'll take my pill before
breakfast."
