Endocrinology — MCQs

Which of the following findings is NOT typically associated with hyperparathyroidism?

A 50-year-old man presents with fatigue and unsteadiness. He reports poor appetite, a 10-lb weight loss, and heavy alcohol consumption following job loss. Examination reveals a cachectic appearance and an enlarged liver (span 18 cm), with normal heart and lung findings. Laboratory tests show a significantly low magnesium level (0.7 mEq/L). What is the most likely cause of his hypomagnesemia?

What is the recommended first-line medical therapy for hypertension in a pregnant patient with pheochromocytoma?

A 58-year-old woman presents with difficulty in swallowing. After a comprehensive workup by a gastroenterologist rules out primary esophageal disease, she is referred to an endocrinologist. The endocrinologist suspects Riedel thyroiditis. Which of the following physical examination findings would best help confirm this diagnosis?

I131 is the preferred treatment for which patient group?

A 40-year-old male with a known history of Type 2 Diabetes Mellitus managed with oral hypoglycemic agents presents for a routine check-up. The patient is obese with a Body Mass Index of 28.5 kg/m². His vital signs and blood work are as follows: Blood pressure = 150/90 mm Hg, Fasting glucose = 118 mg/dL, Post-prandial glucose = 154 mg/dL. He is currently on a low-calorie diet and engages in regular exercise. What is the most appropriate management strategy for obesity in this patient?

A 30-year-old female patient complains of weakness and easy fatigue over the past 6 months. She has a 3-month history of severe hypertension requiring antihypertensive medications, recent weight gain of 4.5 kg, and currently weighs 75 kg. Her blood pressure is 170/100 mm Hg. Physical examination reveals purple striae on the abdomen and a "buffalo hump." Fasting serum glucose concentration is 140 mg/dl. A CT scan of the abdomen shows a 6-cm mass posterior to the inferior vena cava. Which of the following organs is the most likely origin of the mass?

A patient presents with shock and is suspected to have hypoglycemia. What is the primary basis for treatment?

A 50-year-old woman presents with acute right flank pain of 72 hours in duration. Her temperature is 37°C, BP 140/85 mm Hg, and pulse 85/minute. A CBC is normal. Urinalysis reveals hematuria and urine cultures are negative. Imaging studies show stones in the right renal pelvis and ureter. This patient's condition may be associated with which of the following endocrine disorders?

A 23-year-old female air force officer notes a lower pitch to her voice, coarsening of her hair, an increased tendency toward weight gain, menorrhagia, and increasing intolerance to cold. Which of the following laboratory abnormalities is expected?