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ENDOCRINE ROSH Exam Practice Questions and Answers (100% Pass)
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ENDOCRINE ROSH Exam Practice Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AMENDOCRINE ROSH Exam Practice
Questions and Answers (100% Pass)
A 42-year-old woman presents to the primary care clinic for a 1-day history of muscle pain in her
calves, weakness, and brown-colored urine. Her calves are tender to the touch and mildly
edematous. She was recently started on high-intensity statin therapy and reports that she is also
taking a fibrate medication that she was prescribed by another provider. What laboratory test
should be ordered to diagnose the suspected condition?
AAST
BCRP
CESR
DSerum CK - ✔️✔️D
A 32-year-old woman with a history of Graves' disease presents to your office with a question
about her medication. She just found out she is pregnant and wants to know if any changes need
to be made to her treatment regimen during her pregnancy. Which of the following is the most
appropriate therapy?
ACarbimazole
BLevothyroxineYour Answer
CMethimazole
DPropylthiouracil - ✔️✔️D
A 7-year-old boy who is otherwise healthy presents to the clinic and is accompanied by his
concerned caregiver who reports that the child seems to have begun pubertal development. On
the physical assessment, there is symmetrical testicular growth and sparse hair growth at the base
of the penis. The clinician will formulate a plan of care based on which of the following most
probable causes for the suspected condition?
ACentral nervous system lesionCorrect Answer
BCryptorchidismYour Answer
CExogenous sex steroids
1
,©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
DKlinefelter syndrome - ✔️✔️A
A 32-year-old man presents to the clinic for weight management. Considering his elevated BMI,
elevated blood pressure, increased waist circumference, and elevated fasting blood glucose, the
clinician diagnoses him with metabolic syndrome. In addition to blood pressure control, the
clinician recommends a low-calorie diet of 1,500 kcal/day and an exercise regimen. What is the
recommended weight reduction for this patient?
A10% decrease in body weight within 12 months
B10% decrease in body weight within 2 months
C10% decrease in body weight within 6 monthsCorrect Answer
D20% decrease in body weight within 3 months - ✔️✔️C
A 30-year-old man with a history of type 2 diabetes mellitus and untreated hypertriglyceridemia
with triglycerides between 1,000-1,500 mg/dL presents to the clinic for a routine follow-up.
What is an expected physical exam finding due to hypertriglyceridemia?
AAcanthosis nigricans
BEruptive xanthomasCorrect Answer
CThyroid nodule
DVision impairment - ✔️✔️B
A 37-year-old woman presents to the clinic to establish care. She has no current concerns and no
significant medical history. She is not currently employed, drinks alcohol socially, eats a high-
carbohydrate diet, and is physically inactive. On exam, you note obesity, a high level of
abdominal fat distribution, and acanthosis nigricans. Which of the following is most likely to
confirm the diagnosis of the suspected condition?
AA1C level of 7.5%Correct Answer
BBlood pressure reading of 172/91 mm Hg
CLow-density lipoprotein level of 185 mg/dL
DThyroid-stimulating hormone level of 0.2 U/mL - ✔️✔️A
A 41-year-old man presents to the clinic for an annual check-up. He has no previous medical
history. Which of the following results in this patient's fasting lipid panel indicates an increased
risk of atherosclerotic cardiovascular disease?
AHDL-C of 62 mg/dL
BLDL-C of 100 mg/dL
2
,©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
CTotal cholesterol of 182 mg/dL
DTriglycerides of 192 mg/dL - ✔️✔️D
A new thyroid nodule is found in an 82-year-old man. He questions the risk of this nodule being
malignant. You perform a detailed history and discover that his maternal uncle worked as a
nuclear energy technologist and had "some kind" of head and neck cancer. As a child, the patient
received radiation treatments for severe acne. He has had 6 CT scans throughout his life. He is
retired, but worked as a plumber in a hydroelectric plant for 35 years. Which of the following
risk factors places him at highest risk for a malignant thyroid nodule?
AChildhood acne treatmentCorrect Answer
BExposure to CT scans
CFamily history
DOccupational exposure - ✔️✔️A
Which of the following patients is at greatest risk for renal artery stenosis?
AA 30-year-old with hypertension
BA 48-year-old with kidney disease
CA 60-year-old with hepatitis
DA 68-year-old smoker - ✔️✔️D
A 61-year-old woman presents to the clinic for a reevaluation after 6 months of diet and lifestyle
interventions for dyslipidemia. She is not diabetic, has no family history of premature
atherosclerotic cardiovascular disease, and medications include omeprazole and levothyroxine.
At her initial exam 6 months ago, findings included total cholesterol 276 mg/dL, HDL 64 mg/dL,
LDL-C 176 mg/dL, triglys unsure about starting a medication. What is the best next step for this
patient?
AAdvise a high-intensity statinYour Answer
BConsider a coronary artery calciumCorrect Answer
CInitiate a blood pressure lowering medication
DStart ezetimibe to lower LDL-C - ✔️✔️B
A 29-year-old G1 woman at 11 weeks gestation with a family history of hypothyroidism not
currently on medication has baseline TSH levels 0.2 mU/L below the normal reference range.
What is the best next step in management?
AInitiate levothyroxine therapy
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, ©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
BInitiate methimazole therapy
CInitiate propylthiouracil therapy
DTherapy is not indicated - ✔️✔️D
You are chart auditing the records of a 70-year-old woman with an unknown medical history.
During her previous visit, she was prescribed rosuvastatin 20 mg daily. Which of the diagnoses
and corresponding low-density lipoprotein values would be most appropriate to warrant this
medication during the previous visit?
ADiabetes mellitus with low-density lipoprotein 60 mg/dL
BHypertension with low-density lipoprotein 130 mg/dL
CObesity with low-density lipoprotein 140 mg/dLYour Answer
DPeripheral artery disease with LDL 90 - ✔️✔️D
Which of the following labs should be ordered first when a patient has suspected acromegaly?
AGrowth hormoneYour Answer
BHemoglobin A1C
CInsulin-like growth factor 1Correct Answer
DThyroid stimulating hormone - ✔️✔️C
Which of the following is considered first-line pharmacotherapy for children 10 years of age or
older who fail to reach the targeted low-density lipoprotein cholesterol with lifestyle counseling
over a period of six months?
ACholestyramine
BEzetimibeYour Answer
CGemfibrozil
DLovastatin - ✔️✔️D
A 16-year-old boy presents to the clinic with increased thirst and increased urination for six
months. He reports feeling thirsty once an hour and needing to use the bathroom once every two
hours. He also reports frequent nocturia, and on one occasion he had an episode of enuresis after
having an exhausting and stressful day. He notes that he has been more tired lately. He reports no
painful or burning urination, abdominal pain, headache, confusion, palpitations, blurred vision,
recent weight changes, or feelings of depression. He has never had loss of consciousness or been
hospitalized. His past medical history ig fundoscopy, is normal. Initial laboratory tests are
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