Exam 2026-2027 Actual Complete Real Exam Questions And
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Shelia is a 42 year old female who presents to her health clinic
complaining of
chronic fatigue, brittle nails, and constipation. She
wonders if these are
symptoms of menopause because her menstrual cycle has
also become very
irregular. What endocrine disorder would you suspect?
- ANSWER -
Hypothyroidism
**Without adequate thyroid hormone, the body's metabolic
processes slow
down.
When looking at Shelia's (who's been diagnosed with
hypothyroidism) bloodwork, would you expect her T3 and T4
levels to be high or low? What about her TSH? - ANSWER -#T3
/T4 levels are low due to inadequate production
#TSH is high because the pituitary recognizes the low thyroid
hormone levels and signals the thyroid gland to produce more
,Henry is a 12 year old patient with a hx of T1DM who was
brought to the ED by
his parents. They report that he started having n/v today, his
breathing sounded
different, and he was very lethargic. They mention that
he recently had
bronchitis. What would you suspect that Henry is
experiencing? - ANSWER -
Diabetic ketoacidosis (DKA) which is a
complication of diabetes.
**An infection such as bronchitis can trigger increased
glucose levels and
increases the risk for
DKA.
Cerebral edema is a complication of _______ due to increased
blood volume
and dilutional hyponatremia. This complication can result in
papilledema or
compression of the optic disc. -
ANSWER -DKA
Early s/sx of cerebral edema include headache, confusion, and
lethargy but in
severe cases seizures, pupil changes and respiratory
arrest may occur.
,What is diabetes insipidus (DI)? - ANSWER -A condition
characterized by either
a deficiency of antidiuretic hormone (ADH), or an
insensitivity to ADH.
**Blood glucose levels are normal. Kidneys can't properly
concentrate the urine.
**Can cause an imbalance of minerals (sodium/potassium) in
your blood that
maintain the fluid balance in
your body.
What blood and urine test can help diagnose diabetes
insipidus (DI)? -
ANSWER -#Sodium level - will
be high
#Osmolality (serum or plasma) -
will be high
#Osmolality (urine) - will
be low
#Polydipsia (excessive
thirst)
What is a goiter and what is it caused by? - ANSWER -A goiter
is an enlarged
thyroid gland and is caused by low iodine
in the diet.
, **The body needs iodine to produce thyroid hormone.
What is Addison's disease? And what are s/sx? - ANSWER -
Adrenal insufficiency; the patient will be low in cortisol and
aldosterone but their potassium will be high.
#Salt craving
#Extreme fatigue
#Areas of darkened skin
#N/V/D
#Muscle/Joint pain
What is Cushing's disease? And what are s/sx? - ANSWER -
When the body has too much of the hormone cortisol. This can
result from the body making too much cortisol, or from taking
medicines called glucocorticoids, which affect the body the
same way as cortisol.
#Weight gain in face or trunk (Moon face/Buffalo hump)
#Apple shaped fat distribution
#Darkening skin under breast, belt line and neck.
#Purple stretch marks (striae)
#Easy bruising
#Poor wound healing
#Women develop hirsutism (male pattern hair growth)
What is DKA, what is it characterized by, and what s/sx would
you expect to