Complete Solutions
A 25-year-old patient presents to the clinic with
fatigue, cold intolerance, weight gain, and
constipation for the past 3 months. On physical
examination, the clinician notices a sinus
bradycardia; muscular stiffness; coarse, dry hair;
and a delay in relaxation in deep tendon reflexes.
Which of the following tests should be ordered
next? Correct Answers TSH
A 35-year-old woman presents with symptoms of
hypoglycemia. There is no history of diabetes
mellitus. Which of the following should be included
in the differential diagnosis? Correct Answers
Pheochromocytoma
A 45 year old female presents with six months of
fatigue, hair loss, 20 pound weight gain, lethargy,
cold intolerance, forgetfulness, and constipation.
Appropriate diagnosis is Correct Answers
Hypothyroidism
A 64-year-old man with type 2 diabetes presents to
the clinic with the complaint of "my feet feel like
they are on fire." He has a loss of vibratory sense,
+1 Achilles reflex, and a tack embedded in his left
heel. Which of the following would be an
, appropriate treatment? Correct Answers Tricyclic
antidepressants
A BMI of 29 kg/m2 is considered obesity. Correct
Answers False
A diabetic patient asks the clinician why he needs
to check his blood sugar at home even when he
feels good. Which of the following responses would
be most appropriate? Correct Answers Control of
glucose will help postpone or delay complications.
Regularly checking blood sugar will help establish a
routine. Monitoring glucose will promote a sense of
control.
A patient is 66 inches in height, weighing 200
pounds, and newly diagnosed with type 2 diabetes
mellitus (DM). Her fasting plasma glucose level is
215 mg/dL. What is the best initial treatment?
Correct Answers Diet and exercise for 6-week trial
A patient is diagnosed with hypothyroidism. Which
of the following electrocardiogram changes should
the clinician expect as a manifestation of the
disease? Correct Answers Sinus bradycardia
A patient with type 1 diabetes comes to the clinic
complaining of feeling nervous and clammy. He
states that he took his insulin this morning but was
late for work and did not eat breakfast. Which