ABIM Endocrinology Exam Questions With 100% Verified Answers.
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Course
ABIM
Institution
ABIM
wertotal testosterone and dehydroepiandrosterone levels
In a patient with secondary amenorrhea and elevated prolactin and/or FSH levels further
evaluation should consist of? - answerMRI of the pituitary gland
In a patient with secondary amenorrhea who previously had dilation and curettage or a u...
ABIM Endocrinology Exam Questions With
100% Verified Answers.
Panretinal laser photocoagulation therapy for diabetic retinopathy typically results in? -
answer✔retained central vision but poorer peripheral and night vision.
An adrenal incidentaloma that is 6 cm in size or larger and has a high CT attenuation value
requires what therapy? - answer✔surgical removal
In a patient with secondary amenorrhea and normal findings of screening laboratory studies, the
cornerstone of further evaluation is? - answer✔a progesterone withdrawal challenge.
In a patient with secondary amenorrhea and clinical evidence of hyperandrogenism, such as
hirsutism or the presence of virilization (voice deepening, clitoral enlargement) further
evaluation should consist of? - answer✔total testosterone and dehydroepiandrosterone levels
In a patient with secondary amenorrhea and elevated prolactin and/or FSH levels further
evaluation should consist of? - answer✔MRI of the pituitary gland
In a patient with secondary amenorrhea who previously had dilation and curettage or a uterine
infection further evaluation should consist of? - answer✔pelvic ultrasonography
* Asherman syndrome due to endometrial scarring should be considered
When should patients with subclinical hypothyroidism be treated with levothyroxine? -
answer✔if they are at high risk for progression to overt hypothyroidism
* thyroid-stimulating hormone level greater than 10 microunits/mL [10 milliunits/L]
* positive family history
* goiter
* presence of anti-thyroid peroxidase antibodies
* or desire to become pregnant.
In a patient with disseminated tuberculosis with hypercalcemia consider? -
answer✔Hypercalcemia can be caused by the production of 1,25-dihydroxyvitamin D by
granulomatous disease with TB or with sarcoidosis, crohn's disease or leprosy.
elevated PTH
hypercalcemia
In patients who have hypercalcemia with malignancy consider what cause? - answer✔PTH-
related protein (PTHrP)
* PTHrP has most, if not all, of the metabolic effects of PTH, including osteoclast activation,
increased renal tubular calcium reabsorption, and increased clearance of phosphorus by the
kidneys.
What are the expected findings in a patient with Sarcoidosis and hypercalcemia? - answer✔High
Serum Calcium
High Serum Phosphorus
Low PTH
What is a likely cause of diabetes mellitus in a patient with hypertension, central obesity, and
hypokalemia?
What is the appropriate diagnostic study? - answer✔* Cushing syndrome
* 24-Hour urine free cortisol excretion
* an overnight dexamethasone suppression test, or a midnight salivary cortisol measurement can
also make the diagnosis.
* Adrenal CT is appropriate after Cushing syndrome is diagnosed
The most common cause of Cushing syndrome is?
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