1|Page
DUNPHY ENDOCRINE AND METABOLIC PROBLEMS EXAM AND
PRACTICE EXAM NEWEST 2026/2027 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |A+ GRADED||LATELY RELEASED!!!
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.
4.A change in her insulin from NPH to insulin aspart (NovoLog) -
ANSWER-2. An increase in her daily insulin dosage.
What is the most common cause of gynecomastia?
1.Puberty
2.Drug use
3.Testicular failure
4.Malnutrition - ANSWER-1. Puberty
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Puberty is the most common cause of gynecomastia; most of
these cases are self-limiting. Drug use, testicular failure, and
malnutrition are a less common causes of gynecomastia.
A patient presents to your urgent care center for evaluation
following a motor vehicle accident. On physical exam, the
patient seems lethargic and has thin, clear nasal drainage. You
also note bruising around the eyes and mastoid process. What
injury did the patient sustain in the car accident?
1. Basilar skull fracture
2. Epidural hematoma
3. Subdural hematoma
4. Concussion - ANSWER-1. Basilar skull fracture
(The drainage from the patient's nose is cerebrospinal fluid. The
bruising around the eyes and mastoid process is associated with
basilar skull fracture, an emergency condition.)
A patient presents to your urgent care office complaining of
lightheadedness, dizziness, and problems concentrating after a
motor vehicle accident 7 days ago. Originally, these complaints
were more severe, but they have slowly decreased in intensity.
What is the patient's diagnosis?
,3|Page
1.Concussion
2.Postconcussion syndrome
3.Cerebral hemorrhage
4.Malingering - ANSWER-2. Post-concussion syndrome (If they
have not received one since the car accident, you should refer
them to their primary doctor or neurologist to get a computed
tomography (CT) scan of the head.)
Option 1:This patient likely suffered a concussion but is now
experiencing symptoms consistent with post-concussion
syndrome, which can last up to 6 months after a concussion.
Option 3:There are no neurologic changes to suggest the
patient is having a cerebral hemorrhage. & Option 4:There are
no signs of malingering in the patient's complaint, and there is
nothing to suggest secondary gain.
How soon after a facial laceration should sutures be removed?
1.4 to 6 days
2.3 to 4 days
3.7 to 10 days
4.10 to 14 days - ANSWER-1. 4 to 6 days
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Generally, you want to remove facial laceration sutures 4 to 6
days after the injury to avoid excessive scarring.
The ABCDEs of skin cancer can help you diagnose a cancerous
skin lesion. Which of the following definitions does not
accurately describe the corresponding letter of the acronym?
1.A = asymmetry.
2.B = border irregularity.
3.C = color.
4.D = diameter greater than 8 mm. - ANSWER-4. 8 mm is
incorrect
A diameter of greater than 6 mm would be concerning for
cancer.
A 5-year-old male presents to your urgent care clinic with his
mother. The patient was sent home from school for eye
redness. He has bilateral erythema of his conjunctivae and
watery drainage. He complains of pruritus of both eyes. The
patient also has clear drainage from his nose and a sore throat.
On physical exam of his throat, you notice erythema of his
tonsils but no exudates. What is the most likely cause of the
patient's symptoms?
DUNPHY ENDOCRINE AND METABOLIC PROBLEMS EXAM AND
PRACTICE EXAM NEWEST 2026/2027 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |A+ GRADED||LATELY RELEASED!!!
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.
4.A change in her insulin from NPH to insulin aspart (NovoLog) -
ANSWER-2. An increase in her daily insulin dosage.
What is the most common cause of gynecomastia?
1.Puberty
2.Drug use
3.Testicular failure
4.Malnutrition - ANSWER-1. Puberty
,2|Page
Puberty is the most common cause of gynecomastia; most of
these cases are self-limiting. Drug use, testicular failure, and
malnutrition are a less common causes of gynecomastia.
A patient presents to your urgent care center for evaluation
following a motor vehicle accident. On physical exam, the
patient seems lethargic and has thin, clear nasal drainage. You
also note bruising around the eyes and mastoid process. What
injury did the patient sustain in the car accident?
1. Basilar skull fracture
2. Epidural hematoma
3. Subdural hematoma
4. Concussion - ANSWER-1. Basilar skull fracture
(The drainage from the patient's nose is cerebrospinal fluid. The
bruising around the eyes and mastoid process is associated with
basilar skull fracture, an emergency condition.)
A patient presents to your urgent care office complaining of
lightheadedness, dizziness, and problems concentrating after a
motor vehicle accident 7 days ago. Originally, these complaints
were more severe, but they have slowly decreased in intensity.
What is the patient's diagnosis?
,3|Page
1.Concussion
2.Postconcussion syndrome
3.Cerebral hemorrhage
4.Malingering - ANSWER-2. Post-concussion syndrome (If they
have not received one since the car accident, you should refer
them to their primary doctor or neurologist to get a computed
tomography (CT) scan of the head.)
Option 1:This patient likely suffered a concussion but is now
experiencing symptoms consistent with post-concussion
syndrome, which can last up to 6 months after a concussion.
Option 3:There are no neurologic changes to suggest the
patient is having a cerebral hemorrhage. & Option 4:There are
no signs of malingering in the patient's complaint, and there is
nothing to suggest secondary gain.
How soon after a facial laceration should sutures be removed?
1.4 to 6 days
2.3 to 4 days
3.7 to 10 days
4.10 to 14 days - ANSWER-1. 4 to 6 days
, 4|Page
Generally, you want to remove facial laceration sutures 4 to 6
days after the injury to avoid excessive scarring.
The ABCDEs of skin cancer can help you diagnose a cancerous
skin lesion. Which of the following definitions does not
accurately describe the corresponding letter of the acronym?
1.A = asymmetry.
2.B = border irregularity.
3.C = color.
4.D = diameter greater than 8 mm. - ANSWER-4. 8 mm is
incorrect
A diameter of greater than 6 mm would be concerning for
cancer.
A 5-year-old male presents to your urgent care clinic with his
mother. The patient was sent home from school for eye
redness. He has bilateral erythema of his conjunctivae and
watery drainage. He complains of pruritus of both eyes. The
patient also has clear drainage from his nose and a sore throat.
On physical exam of his throat, you notice erythema of his
tonsils but no exudates. What is the most likely cause of the
patient's symptoms?
