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APEA Endo Pharm, Patho, & Assess QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY GRADED A+
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APEA Endo Pharm, Patho, & Assess QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY GRADED A+

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  • 30 de octubre de 2024
  • 19
  • 2024/2025
  • Examen
  • Preguntas y respuestas

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APEA Endo QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) | ALREADY GRADED A+

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? - ANSWER Hyperthyroidism


A 20-year-old with acanthosis nigricans should be evaluated for: - ANSWER
Diabetes mellitus-skin condition characterized by dark velvety patches in the body
folds or creases


A 29-year-old women 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: - ANSWER Cushing syndrome


A 30-year-old women 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: - ANSWER Addison's disease


A 42-year-old women c/o palpitations, anxiety, and weight loss. Which 2 lab tests
would be most helpful in diagnosing this pt? - ANSWER 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: -
ANSWER 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: - ANSWER Fruity breath


A butterfly-shaped gland located in the middle of the neck below the larynx and
above the clavicles is the: - ANSWER Thyroid gland.


A common arrhythmia associated with hyperthyroidism is: - ANSWER 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: - ANSWER
Ophthalmopathy


A common clinical term used to refer to women with an excess growth or terminal
hair in male pattern is: - ANSWER Hirsutism


A common symptom noted in patients who have a thyroid goiter is: - ANSWER
A frequent cough-due to anatomic relationship


A finding NOT identified in boys diagnosed with Klinefelter syndrome is: -
ANSWER high sperm count-chromosomal condition that affects male physical
and cognitive development


A general term for an enlarged thyroid is: - ANSWER Goiter

, A hormonal disorder in adults resulting from the overproduction of growth
hormones is known as: - ANSWER 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: - ANSWER 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: - ANSWER
inhibiting hormone overproduction


A pt has an enlarged thyroid gland with an audible bruit. The examiner should
suspect: - ANSWER 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: - ANSWER 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: - ANSWER 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: - ANSWER Persistent abd pain, radiating to the back-monitored for sx
of acute pancreatitis

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