Answer 40

40.  Choice D is the correct answer.  Hyperpigmented skin is seen in almost all patients.  Pubic hair loss, axillary hair loss, amenorrhea, decreased libido, depression, psychosis, and organic brain syndrome can be seen in patients with adrenal insufficiency.  

Question 40

40.  All of the following are physical findings seen in patients with adrenal insufficiency except:

A.  Hyperpigmented skin
B.  Pubic hair loss
C.  Amenorrhea
D.  Increased libido

Answer 39

39.  Choice D is the correct answer.  Indications for initial surgical treatment of thyroid cancer includes:  tumor size 1-2 cm, metastasis present, papillary or follicular cancer.  Anaplastic thyroid cancer is a cancer that appears to arise from other cancers.

Question 39

39.  Which of the following conditions is surgery recommended as they initial treatment of thyroid cancer?

A.  Primary Tumor 1-2 cm
B.  Metastasis present
C.  Differentiated cell type (papillary and follicular)
D.  Anaplastic Thyroid Cancer

Answer 38

38.  Choice B is the correct answer.  Multiple Endocrine Neoplasia is not known to be a disorder that typically causes hyperthyroidism.  Conditions known to cause hyperthyroidism include:  Graves Disease, Toxic Multinodular Goiter, Thyroiditis, Hashimoto Thyrotoxicosis, Toxic Adenoma, Multinodular Goiter, Iodine Induced Hyperthyroidism, Trophoblastic Disease, Germ Cell Tumors, Thyroiditis, and exogenous and endogenous thyroid hormone production.

Question 38

38.  All of the following disorders are known to cause hyperthyroidism except:

A.  Graves Disease
B.  Multiple Endocrine Neoplasia
C.  Toxic Multinodular Goiter
D.  Thyroiditis

Answer 37

37.  Choice D is the correct answer.  Hypercalcemia presents as "bones, stones, intestinal groans, and psychiatric psychosis."  So common signs and symptoms of hypercalcemia include bone pain, anorexia, nausea, constipation, polydipsia, polyuria, kidney stone, muscle weakness, polyuria, and psychiatric psychosis.

Question 37

37.  All of the following symptoms are consistent with hypercalcemia except?

A.  Bone Pain
B.  Constipation
C.  Nausea
D.  Diarrhea

Answer 36

36.  Choice B is the correct answer.  Primary hyperparathyroidism and Malignancy typically have high PTH and high calcium.  Secondary hyperparathyroidism the PTH is elevated because of a low calcium.  Secondary hypoparathyroidism can come from renal failure, impaired calcitrol production, and vitamin D deficiency.  FHH is due to inactivation of the calcium sensing receptors in the kidneys.  Has a high calcium and a mildly elevated PTH concentration.

Question 36

36.  Your patient is a 45 year old female that presents with high PTH and a low calcium.  Which of the following is the most likely diagnosis?

A.  Primary Hyperparathyroidism
B.  Secondary Hyperparathyroidism
C.  Malignancy
D.  Familial hypocalcuric hypercalcemia