Exam (elaborations)
APEA Endo Exam Questions and Answers 2024/2025 100% Verified.
- Course
- Institution
APEA Endo Exam Questions and Answers 2024/2025 100% Verified.
[Show more]
Content preview
APEA EndoA 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? - ANS
-Hyperthyroidism
\A 20-year-old with acanthosis nigricans should be evaluated for: - ANS -Diabetes mellitus-skin
condition characterized by dark velvety patches in the body folds or creases
\A 29-year-old woman with SLE c/o facial swelling. She has been on a prolonged course of
corticosteroids. On assessment, moon face appearance is noted. She has most likely
developed: - ANS -Cushing syndrome
\A 30-year-old woman is taking phenytoin (Dilantin) for seizures. She has recent hair loss and
anorexia but is craving salty foods. Her lab results show abnormally low cortisol levels. These sx
suggest: - ANS -Addison's disease
\ 42-year-old women c/o palpitations, anxiety, and weight loss. Which 2 lab tests would be most
helpful in diagnosing this pt? - ANS -Free T3 and T4
\A 48-year-old pt is started on metformin (Glucophage) for T2DM. The maximum expected
hemoglobin A1C reduction after initiation of this medication is: - ANS -2%- usual expected
decrease in A1C is 1-2%
\A 54-year-old pt with diabetes presents with fatigue and the NP suspects DKA. Other sx related
to DKA include: - ANS -Fruity breath
\A butterfly-shaped gland located in the middle of the neck below the larynx and above the
clavicles is the: - ANS -Thyroid gland.
\A common arrhythmia associated with hyperthyroidism is: - ANS -A fib- systolic murmur &
cardiac failure
SVT may be associated but v tach is not.
\A common characteristic of a person with Graves' disease is: - ANS -Ophthalmopathy
\A common clinical term used to refer to women with an excess growth or terminal hair in male
pattern is: - ANS -Hirsutism
\A common symptom noted in patients who have a thyroid goiter is: - ANS -A frequent
cough-due to anatomic relationship
\A finding NOT identified in boys diagnosed with Klinefelter syndrome is: - ANS -high sperm
count-chromosomal condition that affects male physical and cognitive development
\A general term for an enlarged thyroid is: - ANS -Goiter
\A hormonal disorder in adults resulting from the overproduction of growth hormones is known
as: - ANS -Acromegaly-occurs after the growth plate cartilage fuses in adulthood, almost
always caused by non-cancerous pituitary tumor
\A life-threatening sx or parathyroid hormone (PTH) deficiency, hypoparathyroidism, is: - ANS
-Tetany-decreased Calcium and increased phosphorus, muscle cramps in lower back, legs, and
feet are common
, \A negative feedback system regulates the endocrine system by: - ANS -inhibiting hormone
overproduction
\A pt has an enlarged thyroid gland with an audible bruit. The examiner should suspect: - ANS
-Hyperthyroidism
\A pt is receiving a fast-acting insulin to decrease post-prandial blood sugars. If the bedtime
blood sugar is elevated, the pt should be advised to increase the fast-acting insulin dose at: -
ANS -Dinner-onset of rapid acting is 15 mins
\A pt is started on a sulfonylurea (i.e. glyburide). The NP informs the pt that sulfonylureas are
likely to: - ANS -Reduce microvascular events-also low in cost
Disadvantages-produce hypoglycemia and cause weight gain
\A pt is started on exenatide (Byetta) for T2DM. Byetta should be d/c'd if the pt exhibits: - ANS
-Persistent abd pain, radiating to the back-monitored for sx of acute pancreatitis
\A pt who has Addison's disease has received a prescription for fludrocortisone. Fludrocortisone
acts by: - ANS -Regulating salt and water balance-mineralocorticoid indicated as partial
replacement therapy for pts with primary or 2ndary adrenocortical insufficiency
\A pt who is started on a glucagon-like peptide (GLP-1), such as Victoza, should be informed
that this class of medications may: - ANS -Increase satiety-delay gastric emptying & promote
weight loss
\A pt with an elevated thyroid-stimulating hormone (TSH) level most likely has: - ANS
-Hypothyroidism
\A simple nontoxic goiter: - ANS -may be enlarged secondary to a lack of iodine in the diet
\A six-year-old has a hx of T1DM and is now experiencing cellulitis of the right lower leg. The
child presents with deep, rapid, and unlabored respirations, fruity odor, and dry skin. These are
sx of: - ANS -Ketoacidosis
\A sweat test is used to help diagnose: - ANS -Cystic fibrosis-measures the amount of sodium
and chloride in sweat-CF have 2-5 times more than normal
\Acute complications of untreated DI would NOT include: - ANS -Hypervolemia
\Alpha-glucosidase inhibitors such as acarbose (Precose) are contraindicated in pts with: - ANS
-Inflammatory bowel disorders-delays absorption of carbs following a meal
\An acute metabolic complication that occurs in pts with diabetes is: - ANS -DKA
\An autoimmune disorder characterized by abnormal stimulation of the thyroid gland by
antibodies that act through normal TSH receptors is: - ANS -Graves' disease
\An extreme and life-threatening form of thyrotoxicosis is called: - ANS -Thyroid storm
\Antidiuretic hormone (ADH) and oxytocin are produced in the: - ANS -Hypothalamus-stored in
the posterior pituitary gland
\As a result of prolonged exposure to high levels of cortisol, the pt with Cushing's syndrome is
likely to develop: - ANS -Moon facies
\Aspart (Novolog) should be administered: - ANS -10 mins prior to a meal-rapid acting
\Based on a one-step 2 hours glucose intolerance test (GTT) with 75 grams of oral glucose, a
positive result for gestational diabetes is a blood sugar of at least: - ANS -160mg/dL
\Because the mechanism of action, patients should be instructed to administer exenatide
(Byetta): - ANS -twice daily, within 1 hr prior to morning and evening meals, should NOT be
taken AFTER meals
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LECTFELICITY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67163 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now