Endocrinology Test 1 Questions with Correct Answers
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Endo Crinology
Endocrinology Test 1 Questions with Correct Answers
1) You encounter a patient complaining of polyuria, polyphagia, polydipsia, and abdominal pain. Based on these complaints, which of the following would you also expect to find?
A) Complaint of chest pain and shortness of breath
B) Blood gluco...
Endocrinology Test 1 Questions with
Correct Questions
1) You encounter a patient complaining of polyuria, polyphagia, polydipsia, and
abdominal pain. Based on these complaints, which of the following would you also
expect to find?
A) Complaint of chest pain and shortness of breath
B) Blood glucose of less than 70 mg/dL
C) Kussmaul's respirations and a fruity breath odor
D) Blood glucose between 80 and 120 mg/dL
Answer: C
Diff: 3 Page Ref: 250
Standard: Medicine (Endocrine Disorders)
Objective: 1, 4 - Answer-
2) A type II diabetic with a blood glucose of 24 mg/dL would most likely be unconscious
due to:
A) insulin shock.
B) cerebral hypoglycemia.
C) gluconeogenesis.
D) diabetic ketoacidosis.
Answer: B - Answer-
3) Which of the following explains the profound protein catabolism and gluconeogenesis
associated with Cushing's syndrome?
A) Cushing's syndrome affects normal fat deposition.
B) Glucocorticoids cause sodium retention and increased blood volume.
C) Cortisol is an antagonist to insulin.
D) Increased epinephrine and norepinephrine release result in hypermetabolism.
Answer: C - Answer-
4) Your patient is a 39-year-old male with a history of alcoholism. He is unresponsive,
with cool, clammy skin and a weak, rapid pulse of 108. BP = 128/92, RR = 12 and
regular. Your partner manages the airway and assists ventilations, but you are unable to
start an IV after three attempts. Which of the following is most appropriate at this point?
A) Reattempt the IV while en route.
B) Dextrose, 25 g, and thiamine, 100 mg, both IM
C) Glucagon, 1.0 mg, and thiamine, 100 mg, both IM
D) Glucagon 1.0 mg IM
Answer: C - Answer-
5) Your patient is a 68-year-old female who has been in a rehabilitation hospital for one
week following hip replacement surgery. According to the staff, the patient is a type II
, diabetic and is being treated for a postoperative infection. The patient was lethargic
yesterday and was found unresponsive this morning, just before your arrival. Physical
exam reveals an accumulation of secretions in her airway, lung sounds clear and equal
bilaterally, and skin and mucous membranes warm and dry. HR = 119, BP = 86/58, RR
= 16, blood glucose = 864 mg/dL. In addition to initiating basic airway management
measures and gaining IV access, which of the following is the best treatment for this
patient?
A) Intubate, 1 to 2 L NS bolus, 25 g dextrose IV
B) Oxygen by nonrebreather mask, NS at a KVO rate, 50 mEq sodium bicarbonate IV
C) BVM ventilations with supplemental oxygen, NS at a KVO rate
D) Intubate, 1 to 2 L NS bolus
Answer: - Answer-
6) Your patient has a hormone-secreting tumor of the adrenal medulla. What hormone
is most likely to be secreted by this tumor?
A) Cortisol
B) Dopamine
C) Epinephrine
D) ACTH
Answer: C - Answer-
7) Your patient is a 42-year-old male who had surgery four years ago to remove his
posterior pituitary gland because of a tumor. He stopped taking replacement hormones
because they caused depression. Which of the following is the most likely consequence
of the patient's noncompliance with hormone replacement therapy?
A) Hypoglycemia
B) Hypertension
C) Reduced ability to fight infection
D) Dehydration
Answer: D
8) A patient presents with a history of frequent urination, signs and symptoms of
dehydration, and a blood glucose of 958 mg/dL. There is no acetone odor on his breath.
To which of the following can the absence of an acetone odor most likely be attributed?
A) Elimination of ketoacids by the blood buffer system
B) Elimination of ketoacids through Kussmaul's respirations
C) The ability to use enough glucose to meet metabolic needs
D) The ability to convert to the use of amino acids for energy metabolism
Answer: C
Diff: 2 Page Ref: 252
Standard: Medicine (Endocrine Disorders)
Objective: 2, 3 - Answer-
9) A chemical substance that is released into the blood by a gland and that controls or
affects processes in other glands or body systems is a(n):
A) enzyme.
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