PMS Practice Quiz 1
Endocrine and Metabolic Disorders Quiz
Test your knowledge on critical concepts related to endocrine and metabolic disorders with our comprehensive quiz. This quiz is designed for healthcare professionals, students, and anyone interested in understanding the intricacies of the endocrine system and its impact on human health.
- 30 engaging multiple-choice questions
- Assess your understanding of hormones, diseases, and their effects
- Ideal for preparation for examinations, continuing education, or self-assessment
Of these choices, which is not a way endocrine activity is controlled?
There is a high amount of a hormone in the body, which results in more receptors on target cells.
A negative feedback loop to help control the rate of TRH and TSH production.
T4 staying bound to its carrier till needed
The liver working to help eliminate hormones
Which of the following is not a steroid hormone?
cortisol
Aldosterone
Androgens
Insulin
Which of the following is an effect insulin has on the body?
Decreases triglyceride synthesis
Increases gluconeogenesis
Increases protein breakdown
Increases glycogen synthesis
Which of the following is not a method in which primary hyperparathyroidism increases Calcium in the blood?
PTH increases bone resorption of Ca
PTH increases GI absorption of Ca
PTH decreases renal excretion of Ca
PTH decreases renal excretion of Phosphorus, thus increasing Ca
A Patient comes into the ED complaining of nausea, vomiting and epigastric pain that has been radiating to their back. They also admit to heavy alcohol use. Which one would be on your differential diagnosis?
Acute pancreatitis
DKA episode
Hypothyroidism
Diabetes Insipidus
Which disease process has a common finding of Tg and TGB?
Thyroid nodule
Goiter
Goitrogens
Hyperthyroidism
Direct damage, disease, or disorder to the target organ is considered?
Tertiary
Primary
Secondary
Quaternary
Which part of the pituitary is considered an elongation of the hypothalamus?
Anterior pituitary
Middle pituitary
Adenohypohysis
Posterior pituitary
Which of the following is not one of the tropic hormones?
ACTH
GhRH
LH
FSH
Which of the following diseases has antibodies against TPO and TG?
Hashimoto's thyroiditis
Grave's disease
Subacute thyroiditis
Subclinical hyperthyroidism
What part of the body secretes Calcitonin?
Adrenal medulla
Chief Cells of Parathyroid gland
Alpha cells of pancreas
Proximal convolute tubule in the neprhon
C-Cells in the thyroid
Calcidriol is activated into calcitriol in the ______.
Skin
Liver
Kidney
Nucleus
3. Once pancreatic enzymes escape into the pancreas and surround tissues, with fat necrosis and auto-digestion of pancreatic tissue, the condition is called?
Mild acute pancreatitis
Tropical pancreatitis
Acute hemorrhagic pancreatitis
Chronic obstructive pancreatitis
What could you consider giving to a female patient who recently experienced a miscarriage and is lactating?
Levothyroxine
Insulin
Somatostatin
Dopamine agonist
Which of the following inhibits bone resorption?
PTH
Calcitonin
Vit D
Calcium
What triggers the C-cells of the thyroid to stimulate calcitonin?
Hypercalcemia
Hypomagnesemia
Hypophosphatemia
Hypocalcemia
Which of the following is not an effect T3 (and T4) have on the body at physiologic doses?
Hyperglycemia and protein catabolism
Increase BMR
Brain and bone development/growth
Beta adrenergic effects
Your patient presents with abrupt onset epigastric pain that radiates to her back. She’s be nauseous and has vomited 3 times this morning. She has hypoactive bowel sounds and a fever. Which of the follow is NOT a complication of her condition?
ARDS
ATN
SIRS
Gallstones
4. Which of the following correctly describes the function of counter-regulatory hormones of blood sugar?
Counter regulatory hormones help regulate blood glucose in times of stress, major players including somatostatin, glucagon, and glucocorticoids
Counter regulatory hormones are used to regulate blood glucose in times of fasting or exercise; catecholamines, GH, and glucocorticoids work in various ways to counteract effects of insulin
Counter regulatory hormones help increase the effects of insulin to prevent hyperglycemia states in times of stress
Counter-regulatory hormones are produced by the pancreas when insulin runs out
Which of the following tissues does not require insulin?
Skeletal muscle
Nervous system
Adipose tissue
None of the above require insulin
A 64-year old woman presents to your office because she is not feeling herself lately. She notes that she has been "feeling blue," and feels her brain isn't working as well as it should. She had a thyroid adenoma removed 6 months ago. You conduct a PE and note that Trousseau sign is positive. Labs show elevated phosphate, low serum calcium, low serum PTH. What should the next step be in your care?
Start her on bisphosphonate therapy
Do an MRI of her pituitary.
Start her on a loop diuretic
Check for hypomagnesemia and correct it
For the prior patient in question #21, which of the following is a complication she is at risk for?
Refractory heart failure
Hypothyroidism
CKD
Short QT interval
Which of the following is not associated with hyperglycemia?
Polyphagia
Blurred vision
Drowsiness
Tachycardia
Which of the following is not part of the HP axis control?
Gonads
Parathyroid
Thyroid
Adrenals
Which of the following has the ability to inhibit TSH?
Cortisol
GH
Prolactin
LH
A 9 y/o male with no significant PMH was brought to your ER by his parents feeling very ill. His parents say he’s been peeing more frequently, eating more and drinking a lot more water over the past 36 hours. When speaking to the patient you smell a fruity odor in their breath. Lab results show increased blood glucose of 320, decreased bicarb, decrease pH and UA is positive for glucose and ketones. Which of the following do you suspect your patient has?
Type II DM
Chronic pancreatitis
Type I DM
Acute pancreatitis
Regarding the prior patient in question #26, which of the following accurately describes the pathophysiology of his condition?
Autoimmune destruction of beta cells resulting in no circulating insulin
Hyperglycemia caused by a combination of genetic predisposition and environmental factures that causes decreased insulin production and tissue resistance to insulin
Acute pancreatic acinar cell damage
Interstitial edema, impaired blood flow and ischemia to the pancreas caused by trauma, infection or biliary obstruction
Your 56 y/o patient with history of alcohol abuse x30 years and cirrhosis x 5 years presents to your office complaining of new onset of left foot pain x4 days. Patient reports no recent injury. On PE you note patient has mild swelling and pinpoint tenderness to the distal, lateral aspect of his left foot at the distal aspect of the 5th metatarsal. You decide to order an XR which shows a stress fracture. You place the patient in a cast shoe and refer him to ortho. Two months later your patient presents to your office complaining of persistent pain in his left foot, despite following ortho’s treatment recommendations. You obtain another XR of the foot to find the same stress fracture with failed healing. What vitamin deficiency does this patient most likely have?
Vitamin D3 Deficiency
Vitamin B3 deficiency
Potassium deficiency
Magnesium deficiency
Which of the following plays a role in controlling the secretion of Glucagon?
Strenuous exercise decreases glucagon secretion
Blood glucose mainly controls glucagon secretion
Dawn Phenomenon
Lipolysis initiates glucagon secretion
Which of the following is not true about Magnesium?
Hypermagnesemia is rare
Hypomagnesemia can inhibit PTH synthesis and secretion
Hypomagnesemia is associated with hypocalcemia
Enhances vitamin D effect on intestinal phosphorus absorption
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