SHADOW HEALTH SICK VISIT
MANAGEMENT OF ENDOCRINE
CONDITIONS CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Asked about blood glucose monitoring.
Answer: Reports checking blood sugar once a dayReports checking sugar in
the morningReports using glucometerReports blood sugar number is usually
around 90Reports having adequate supplies
◍ What physical sign is associated with Cushing syndrome?.
Answer: Multiple bruises over various parts of the body.
◍ What are the signs of Gigantism?.
Answer: Excessive height, enlarged hands/feet, delayed puberty.
◍ What is the treatment for hypothyroidism?.
Answer: The treatment for hypothyroidism typically involves hormone
replacement therapy with levothyroxine.
◍ What are the symptoms of a thyroid storm?.
Answer: High fever, rapid heart rate, increased GI function, and altered
mental status.
◍ Asked about breast health.
Answer: Reports doing occasional breast examsDenies having a
mammogramDenies changes to breastsDenies history of breast cancer
◍ Recommendation.
Answer: I have a sliding scale order with directions to call for a dose if the
patient's blood glucose is over 350. I recommend a dose of insulin aspart.
, ◍ For a client with hyperthyroidism, treatment is most likely to include:a
thyroid hormone antagonist.thyroid extract.a synthetic thyroid
hormone.emollient lotions..
Answer: a thyroid hormone antagonist
◍ Asked about last visit to a healthcare provider.
Answer: Reports last visit to a healthcare provider was 4 months ago
Reports reason for last visit was annual gynecological examReports last
general physical examination was 5 months ago
◍ 7. A "sweat test" or newborn screening may be used to detect: a. Cystic
fibrosisb. Adrenal insufficiencyc. Grave's diseased. Hypothyroidism.
Answer: 7. A: Cystic fibrosis is the most common inherited fatal disease of
children and young adults in the United States. Cystic fibrosis is usually
diagnosed by the time an affected child is three years old. Often, the only
signs are a persistent cough, a large appetite but poor weight gain, an
extremely salty taste to the skin, and large, foul-smelling bowel movements.
A simple sweat test is currently the standard diagnostic test. The test
measures the amount of salt in the sweat; abnormally high levels are the
hallmark of the disorder.
◍ What are the cardiovascular effects of hypothyroidism?.
Answer: Bradycardia and potential cardiac complaints.
◍ Asked review of systems for gastrointestinal.
Answer: Denies gastrointestinal issues
◍ What nursing interventions are important post-operatively for thyroid
surgery?.
Answer: Post-operative nursing interventions for thyroid surgery include
monitoring vital signs, checking for signs of bleeding, and assessing for
signs of hypocalcemia.
◍ What are common symptoms of pituitary dysfunction?.
Answer: Lethargy, loss of muscle strength/mass, decreased libido, delayed
secondary sex characteristics, height/weight changes, vision changes,
MANAGEMENT OF ENDOCRINE
CONDITIONS CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Asked about blood glucose monitoring.
Answer: Reports checking blood sugar once a dayReports checking sugar in
the morningReports using glucometerReports blood sugar number is usually
around 90Reports having adequate supplies
◍ What physical sign is associated with Cushing syndrome?.
Answer: Multiple bruises over various parts of the body.
◍ What are the signs of Gigantism?.
Answer: Excessive height, enlarged hands/feet, delayed puberty.
◍ What is the treatment for hypothyroidism?.
Answer: The treatment for hypothyroidism typically involves hormone
replacement therapy with levothyroxine.
◍ What are the symptoms of a thyroid storm?.
Answer: High fever, rapid heart rate, increased GI function, and altered
mental status.
◍ Asked about breast health.
Answer: Reports doing occasional breast examsDenies having a
mammogramDenies changes to breastsDenies history of breast cancer
◍ Recommendation.
Answer: I have a sliding scale order with directions to call for a dose if the
patient's blood glucose is over 350. I recommend a dose of insulin aspart.
, ◍ For a client with hyperthyroidism, treatment is most likely to include:a
thyroid hormone antagonist.thyroid extract.a synthetic thyroid
hormone.emollient lotions..
Answer: a thyroid hormone antagonist
◍ Asked about last visit to a healthcare provider.
Answer: Reports last visit to a healthcare provider was 4 months ago
Reports reason for last visit was annual gynecological examReports last
general physical examination was 5 months ago
◍ 7. A "sweat test" or newborn screening may be used to detect: a. Cystic
fibrosisb. Adrenal insufficiencyc. Grave's diseased. Hypothyroidism.
Answer: 7. A: Cystic fibrosis is the most common inherited fatal disease of
children and young adults in the United States. Cystic fibrosis is usually
diagnosed by the time an affected child is three years old. Often, the only
signs are a persistent cough, a large appetite but poor weight gain, an
extremely salty taste to the skin, and large, foul-smelling bowel movements.
A simple sweat test is currently the standard diagnostic test. The test
measures the amount of salt in the sweat; abnormally high levels are the
hallmark of the disorder.
◍ What are the cardiovascular effects of hypothyroidism?.
Answer: Bradycardia and potential cardiac complaints.
◍ Asked review of systems for gastrointestinal.
Answer: Denies gastrointestinal issues
◍ What nursing interventions are important post-operatively for thyroid
surgery?.
Answer: Post-operative nursing interventions for thyroid surgery include
monitoring vital signs, checking for signs of bleeding, and assessing for
signs of hypocalcemia.
◍ What are common symptoms of pituitary dysfunction?.
Answer: Lethargy, loss of muscle strength/mass, decreased libido, delayed
secondary sex characteristics, height/weight changes, vision changes,
