The Quizzes about Endocrinology disease – Part 5 (20 test)

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The Quizzes about Endocrinology disease – Part 5 (20 test)
5 (100%) 1 vote

Select the ONE answer that is BEST in each case.

May stimulate surrounding tissue to secrete androgens

Krukenberg’s tumors of the ovary stimulate surrounding ovarian stromal tissue to produce excess androgen. When onset of hair growth (with or without frank virilization) is very rapid, a neoplastic source of androgen is suggested. As well as ovarian tumors, the potential neoplasms include adenomas and carcinomas of the adrenal gland.

 

See all quizzes of  the Endocrinology disease at here:

Part 1Part 2 | Part 3 | Part 4| Part 5 |

 

83. May stimulate surrounding tissue to secrete androgens (SELECT ONE

(A) drugs

(B) adrenal tumor

(C) polycystic ovarian disease (PCOD)

(D) adrenal hyperplasia

(E) idiopathic hirsutism

(F) ovarian tumor

84. Often associated with elevated 17-hydroxyprogesterone levels (SELECT ONE)

(A) drugs

(B) adrenal tumor

(C) polycystic ovarian disease (PCOD)

(D) adrenal hyperplasia

(E) idiopathic hirsutism

(F) ovarian tumor

85. A 15-year-old girl has been losing weight and exercising vigorously. She feels overweight and wants to lose more weight. On examination, she is thin with muscle wasting. Which of the following physical signs is also suggestive of the diagnosis?

(A) salivary gland enlargement

(B) coarse body hair

(C) diarrhea

(D) tachycardia

(E) hypertension

86. A 17-year-old man is brought to the emergency room because of weakness and weight loss. He is diagnosed with an eating disorder and admitted to the hospital. Which of the following lab values is not consistent with this diagnosis?

(A) hypokalemia

(B) hypochloremia

(C) metabolic alkalosis

(D) hyperglycemia

(E) low blood urea nitrogen (BUN)

87. A 22-year-old woman is brought to hospital because of syncope. There were no warning symptoms, and she was fine after the event. Recently she has lost 40 lb because of an eating disorder. She weighs 70 lb, looks unwell, and has little muscle bulk. The blood pressure is 80/60 mm Hg and pulse 50/min. Which of thefollowing is the most likely abnormality on her ECG?

(A) resting sinus tachycardia

(B) increased QRS voltages

(C) short QT interval

(D) increased T waves

(E) prolonged QT interval

88. Which of the following indications for hospitalization is the most appropriate for patients with eating disorders?

(A) when body weight is less than 90% of expected

(B) when body weight is less than 75% of expected

(C) when electrolyte disturbances occur

(D) when body weight is less than 60% of expected

(E) when vomiting is being induced

89. Which of the following is the most likely explanation for the dental abnormalities in bulimia nervosa (BN)?

(A) self-induced physical trauma

(B) self-induced vomiting

(C) excess cortisol levels

(D) osteoporotic changes

(E) estrogen deficiency

90. A 64-year woman with Type II diabetes for 10 years now develops increasing fatigue, dyspnea, and pedal edema. On examination, her blood pressure is 165/90 mm Hg, pulse 90/min, JVP is 4 cm, heart sounds are normal, lungs are clear, and there is 3+ pedal edema. Her urinalysis is positive for 3 gm/L of protein and no casts. Which of the following renal diseases is the most likely diagnosis in this patient?

(A) acute glomerulonephritis

(B) obstructive uropathy

(C) glomerulosclerosis with mesangial thickening

(D) renal infarction

(E) polycystic kidneys

91. Which of the following statements concerning the prognosis of anorexia nervosa (AN) and bulimia nervosa (BN) is correct?

(A) both have an excellent prognosis with mortality not different from age matched controls

(B) AN has significant mortality (5% per decade), but BN does not

(C) BN has significant mortality (5% per decade), but AN does not

(D) both diseases have a high recovery rate

(E) both BN and AN have significant mortality (3–5% per decade)

92. A 24-year-old female is placed on a low residue and low fiber diet. She has a long history of right lower quadrant pain, cramps, and diarrhea. (SELECT ONE)

(A) diabetes

(B) obesity

(C) hypertension

(D) anorexia nervosa (AN)

(E) gastroesophageal reflux (GERD)

(F) postgastrectomy

(G) Parkinson’s disease

(H) cirrhosis

(I) Crohn’s disease

(J) osteoporosis

(K) celiac disease

(L) irritable bowel syndrome

(M) hyperlipidemia

93. A 56-year-old man is started on a low caloric and weight loss diet. He recently started feeling unwell, had vision changes, and noticed numbness in his feet. (SELECT ONE)

(A) diabetes

(B) obesity

(C) hypertension

(D) anorexia nervosa (AN)

(E) gastroesophageal reflux (GERD)

(F) postgastrectomy

(G) Parkinson’s disease

(H) cirrhosis

(I) Crohn’s disease

(J) osteoporosis

(K) celiac disease

(L) irritable bowel syndrome

(M) hyperlipidemia

94. A 52-year-old woman is started on a low sodium diet. She feels well and is experiencing no symptoms. Her physical examination is normal except for a sustained cardiac apical impulse. (SELECT ONE)

(A) diabetes

(B) obesity

(C) hypertension

(D) anorexia nervosa (AN)

(E) gastroesophageal reflux (GERD)

(F) postgastrectomy

(G) Parkinson’s disease

(H) cirrhosis

(I) Crohn’s disease

(J) osteoporosis

(K) celiac disease

(L) irritable bowel syndrome

(M) hyperlipidemia

95. A 64-year-old man is placed on a low simple sugar diet. He is experiencing symptoms of crampy abdominal discomfort, nausea, diarrhea, and diaphoresis 15–30 minutes after eating. (SELECT ONE)

(A) diabetes

(B) obesity

(C) hypertension

(D) anorexia nervosa (AN)

(E) gastroesophageal reflux (GERD)

(F) postgastrectomy

(G) Parkinson’s disease

(H) cirrhosis

(I) Crohn’s disease

(J) osteoporosis

(K) celiac disease

(L) irritable bowel syndrome

(M) hyperlipidemia

96. A 45-year-old woman is placed on a protein restriction diet and a daily laxative regimen. She recently had a hospital admission for confusion related to a chronic illness. (SELECT ONE)

(A) diabetes

(B) obesity

(C) hypertension

(D) anorexia nervosa (AN)

(E) gastroesophageal reflux (GERD)

(F) postgastrectomy

(G) Parkinson’s disease

(H) cirrhosis

(I) Crohn’s disease

(J) osteoporosis

(K) celiac disease

(L) irritable bowel syndrome

(M) hyperlipidemia

97. A 38-year-old woman is told to limit chocolate and caffeine intake for worsening symptoms. She is also told that weight loss is helpful in improving the symptoms for her condition. (SELECT ONE)

(A) diabetes

(B) obesity

(C) hypertension

(D) anorexia nervosa (AN)

(E) gastroesophageal reflux (GERD)

(F) postgastrectomy

(G) Parkinson’s disease

(H) cirrhosis

(I) Crohn’s disease

(J) osteoporosis

(K) celiac disease

(L) irritable bowel syndrome

(M) hyperlipidemia

98. An 83-year-old man with poor nutrition notices easy bruising and bleeding gums. On examination, he has inflamed bleeding gums, multiple areas of ecchymoses, and perifollicular hemorrhages. His coagulation profile and liver function is normal.

(A) niacin

(B) thiamine

(C) pyridoxine

(D) vitamin C

(E) vitamin A

(F) vitamin E

(G) vitamin K

99. A 26-year-old woman started developing frequent headaches, dizziness, and double vision after starting a “megavitamin” program. Her examination is normal except for papilledema.

(A) niacin

(B) thiamine

(C) pyridoxine

(D) vitamin C

(E) vitamin A

(F) vitamin E

(G) vitamin K

100. A 57-year-old man has dyslipidemia with a low HDL and high triglyceride pattern. Recently the dose of one of his medications was increasedand he started experiencing flushing and pruritus secondary to histamine release.

(A) niacin

(B) thiamine

(C) pyridoxine

(D) vitamin C

(E) vitamin A

(F) vitamin E

(G) vitamin K

101. A 43-year-old woman with chronic alcoholism presents with shortness of breath and edema. On examination, her blood pressure is 100/60 mm Hg, pulse 110/min, JVP is 8 cm, the cardiac apex is displaced and enlarged, there are bilateral inspiratory crackles, and there is pedal edema.

(A) niacin

(B) thiamine

(C) pyridoxine

(D) vitamin C

(E) vitamin A

(F) vitamin E

(G) vitamin K

102. A 52-year-old alcoholic notices a skin rash on his chest, and also has symptoms of diarrhea and abdominal pain. On examination, he has a scaly and pigmented rash on the sun-exposed areas of his skin, the abdomen is soft, and his short-term memory is impaired. He has dermatitis, diarrhea, and dementia syndrome.

(A) niacin

(B) thiamine

(C) pyridoxine

(D) vitamin C

(E) vitamin A

(F) vitamin E

(G) vitamin K

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