A pt has an enlarged thyroid gland with an audible bruit.
The examiner should suspect: Correct Answer
Hyperthyroidism
A common symptom noted in patients who have a thyroid
goiter is: Correct Answer A frequent cough-due to
anatomic relationship
Fruity breath odor correlates with assessment for: Correct
Answer DKA
A life-threatening sx or parathyroid hormone (PTH)
deficiency, hypoparathyroidism, is: Correct Answer
Tetany-decreased Calcium and increased phosphorus,
muscle cramps in lower back, legs, and feet are common
A 13-year-old girl presents with complaints of insomnia
and hyperactivity along with gradual weight loss despite a
good appetite. She has warm, flushed, and moist skin and
unusually fine hair. These manifestations are indicative of
which one of the following conditions? Correct Answer
Hyperthyroidism
A finding NOT identified in boys diagnosed with Klinefelter
syndrome is: Correct Answer high sperm count-
,chromosomal condition that affects male physical and
cognitive development
Examination of the hair reveals a sparse amount with a
coarse appearance. This finding may be seen in pts who
have: Correct Answer Hypothyroidism
Hyperfunctioning of the thyroid gland could lead to all the
following disorders except: Correct Answer Myxedema-
seen in hyperfunctioning
A common clinical term used to refer to women with an
excess growth or terminal hair in male pattern is: Correct
Answer Hirsutism
Patients who use insulin glargine (Lantus) should be
advised: Correct Answer to inspect for visable particles or
color change before admin-should be colorless, never
frozen, never mixed with other insulins
Thiazolidinedione (TZDs) such as pioglitazone (Actos)
reduce A1C levels by: Correct Answer 0.7%
The most common serious s/e associated with glimepiride
(Amaryl) is: Correct Answer Hypoglycemia
Levothyroxine (Synthroid) is best administered: Correct
Answer On an empty stomach, first thing in the morning-at
least 30-60 mins before food for optimal absorption
, Undertreatment of hypothyroidism in pediatric patients
may lead to: Correct Answer Cretinism-congenital disease
due to absence or deficiency of normal thyroid secretion
The most frequent s/e of metformin (Glucophage) is:
Correct Answer Diarrhea-dose-dependent, may be
alleviated by decreasing dose
Because the mechanism of action, patients should be
instructed to administer exenatide (Byetta): Correct
Answer twice daily, within 1 hr prior to morning and
evening meals, should NOT be taken AFTER meals
Sx of Graves' disease include: Correct Answer Proptosis-
bulging of eyes (hyperthyroidism)
Hypo-weight gain, bradycardia, and anemia
When a patient presents with myxedema coma, which one
of the following groups of symptoms may be present?
Correct Answer Hypothermia, thickening of the tongue,
and disorientation-due to longstanding low level of thyroid
hormone
Which of the following is NOT associated with Hashimoto's
thyroiditis? Correct Answer Weight loss-this is usually
noted in hyperthyroidism
Striae, skin atrophy, and purpura may be associated with:
Correct Answer Cushing's Disease-also moon facies &
buffalo hump
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