Quiz On Endocrine Pathology
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Quiz on Endocrine Pathology
- 1.A patient presents with weight loss, polyphagia, polydypsia, increased tiredness, vomiting, and hyperventilation. He is young and his parents are also diagnosed with the same disease. Which of the following is the most common etiological factor associated with this disease seen in older populations?
- A.
Smoking
- B.
Obesity
- C.
Hypertension
- D.
Infections
- E.
Tumors
- 2.A patient presents with increased growth of skeletal and soft tissue, hypertension, arthritis, menstrual disturbances, and diabetes mellitus. Upon administration of oral glucose, which of the following levels would increase?
- A.
GH
- B.
IGF
- C.
GH and IGF
- D.
ADH
- E.
None of the above
- 3.
- A.
The problem is in the pituitary
- B.
The problem is in the kidneys
- C.
The patient has diabetes mellitus
- D.
The patient has high ADH in the serum
- E.
B and D
- 4.
- A.
Diabetes mellitus
- B.
Cushings syndrome
- C.
Hyperthyroidism
- D.
Diabetes insipitus
- E.
None of the above
- 5.A patient presents with weight loss, sweating, palpitations, tachycardia, tremors, lid lag, exopthalmosis, and a goiter. Upon taking a thyroid scan, there appears to be an increased amount of iodine. What is the pathogenesis of his disease?
- A.
Autoimmune mediated
- B.
Immune complex mediated
- C.
Unknown
- D.
Infection
- E.
None of the above
- 6.
- A.
Hashimoto's disease
- B.
Cretinism
- C.
Protruding tongue, potbelly appearance, dwarflike features
- D.
Iodine deficiency
- E.
Increased iodine levels
- 7.A patient presents with a bump on his neck. Upon taking a tissue sample, there appears to be parafollicular cells. The tumor is also associated with MEN II, although most of the time it is sporadic. What is the best way to moniter treatment?
- A.
Measure thyroid hormone levels
- B.
Measure iodine levels
- C.
Measure TSH levels
- D.
Measure calcitonin levels
- E.
Measure iron levels
- 8.
- A.
TSH
- B.
T4
- C.
Adrenal hormone
- D.
ACTH
- E.
ADH
- 9.
- A.
Addison's disease
- B.
Pheochromocytoma
- C.
Hyperaldosteronism
- D.
Cushing's syndrome
- E.
None of the above
- 10.A patient presents with hypertension, anxiety, palpitations, headache, excessive sweating, and arrhythmias. There appears to be increased levels of catecholamines. The other diseases that also occur in the same area as this tumor would be:
- A.
Cushing's
- B.
Addisions
- C.
Hyperthyroidism
- D.
Goiter
- E.
A and B
- 11.A patient presents with a tumor of the adrenal gland. It is determined that the levels of renin-angiotensin is low. Which of the following would lead to increased renin-angiotensin levels?
- A.
Cushing's syndrome
- B.
Secondary hyperaldosteronism
- C.
Primary hyperaldosteronism, Conn's syndrome
- D.
A and B
- E.
None of the above
- 12.A girl presents with delayed puberty, absent secondary sexual characteristics, and primary amenorrhea. She also appears to be hypertensive and hypokalemia. Which of the following enzymes is increased if there is virilization of a person?
- A.
11bHydroxylase
- B.
17ahydroxylase
- C.
21 b-hydroxylase
- D.
Pyruvate kinase
- E.
Alcohol dehydrogenase
- 13.Dopamine and homovanillic acid are secreted in _
- 14.A patient presents with polyuria and thirst, stones, and nephrocalcinosis. He also has muscle weakness and bone cysts. All of the following is associated with his disease except:
- A.
Hyperparathyroidism
- B.
Excessive vitamin D
- C.
High bone turnover
- D.
Paget's disease
- E.
Less sunlight
- 15.A patient presents with a decreased amount of T cells in the body. He presents with tetany , parasthesias, and muscle cramps. His condition has similarities to all of the following except:
- A.
Rickets
- B.
Hypoparathyroidism
- C.
Osteomalacia
- D.
Acute pancreatitis
- E.
Hypercalcemia
- 16.A patient presents with rhabdomyolysis and depletion of 2-3-diphosphoglycerate. A common complication of high levels of the molecule being affected in this patient would be:
- A.
Metastatic calcification
- B.
Dystrophic calcification
- C.
Heart failure
- D.
Respiratory failure
- E.
None of the above
- 17.A patient with renal failure and high magnesium level would later have _ and _
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