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Endocrine Cases + smarty PANCE Questions with Correct Answers 62-year-old female complaining of joint pain and generalized fatigue. The patient reports a history of recurrent kidney stones and depression. Radiographs ...

Endocrine Cases + smarty PANCE Questions with Correct Answers 62-year-old female complaining of joint pain and generalized fatigue. The patient reports a history of recurrent kidney stones and depression. Radiographs show osteopenia and subperiosteal resorption on the phalanges (Bones, stones, abdominal groans and psychiatric moans). What is your best diagnosis? Hyperparathyroidism While on rotation in the NICU, you notice an infant with a round face, large tongue, and a protruding umbilical hernia. What is the most likely explanation for these findings. A. mother was hyperthyroid during pregnancy B. 17,20 lyase deficiency C. perinatal hypothyroidism D. pituitary dwarfism C. perinatal hypothyroidism A 26 year old female presents to the ER with a fever, palpitations, anxiety and tachycardia. She admits that she has not been taking her methimazole for the past 2 months and had 3 exams yesterday. Of the following, which is most likely the reason for her symptoms: A. increased calcitonin B. increased PTHrP C. up-regulation of adrenergic receptors D. down-regulation of adrenergic receptors C. up-regulation of adrenergic receptors A 46 year old female was brought to the ED by her husband after finding her in bed shivering and notably slowed speech. The husband reports that his wife has a history of a thyroid disorder but can't remember which one. On further history, he pulls out her recent hospital paperwork and you see that she underwent a radioactive iodine ablation last month and was prescribed postoperative levothyroxine which the husband denies seeing the wife take. Which of the following is most likely the diagnosis of your patients? A.Subacute thyroiditis B. Myxedema coma C. Thyroid storm D. Congenital hypothyroidism B. Myxedema coma A patient with an elevated 17-OHP will most likely need life-long treatment with which of the following medications: A. prednisone B. levothyroxine C. hydrocortisone D.propranolol C. hydrocortisone A 36 year old female presents to the ER complaining of weakness, muscle aches, HA, N/V and recent weight loss of 10 lbs in the last 2 weeks. On physical exam you note that she does not have any discoloration in her skin and no thyroid abnormalities and decide to order labs. Which of the following do you expect to see?

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