COMPREHENSIVE STUDY GUIDE 2026
PRACTICE QUESTIONS AND ACCURATE
ANSWERS GRADED A+
◉ 2. A 54-year-old patient with pulmonary tuberculosis (lung
infection) is evaluated for syndrome of inappropriate ADH secretion
(SIADH). Which of the following clinical manifestations would be
expected in this patient?
A) Peripheral edema
B) Tachycardia
C) Low blood pressure
D) Concentrated urine Answer: D) Concentrated urine
◉ 3. A 22-year-old male is admitted to the intensive care unit with a
closed head injury sustained in a motorcycle accident. The injury has
caused severe damage to the posterior pituitary. Which of the
following complications should be anticipated?
A) Dilutional hyponatremia
B) Dehydration from polyuria
C) Cardiac arrest from hyperkalemia
D) Metabolic acidosis Answer: B) Dehydration from polyuria
,◉ 4. A 50-year-old male patient presents with polyuria and extreme
thirst. He was given exogenous ADH. For which of the following
would this treatment be effective?
A) Neurogenic diabetes insipidus
B) Psychogenic diabetes insipidus
C) Nephrogenic diabetes insipidus
D) SIADH Answer: A) Neurogenic diabetes insipidus
◉ 5. A 15-year-old female presents with brain trauma causing
damage to the pituitary. Tests reveal that the levels of all her
pituitary hormones are abnormally low. The most immediate
concern for this patient is related to:
A) depressed metabolic rate.
B) loss of gonadal function.
C) a deficiency of cortisol.
D) failure to grow to full adult height Answer: C) a deficiency of
cortisol.
◉ 6. A couple are having problems conceiving a child. The husband
reports episodes of impotence and general disinterest in sex, and
analysis of his semen shows low volume with few sperm. He has also
been having headaches and blurred vision. Which of these is the
most likely cause?
A) a tumor of the posterior pituitary
, B) damage to the stalk connecting the hypothalamus and pituitary
C) hypersecretion of ACTH
D) a prolactinoma Answer: D) a prolactinoma
◉ 7. The level of T3 in Graves disease is usually abnormally:
A) low.
B) high.
C) variable.
D) absent. Answer: B) high.
◉ 8. Visual disturbances are a common occurrence in patients with
untreated Graves disease. The main cause of these complications is:
A) decreased blood flow to the eye.
B) orbital edema and extraocular muscle paralysis.
C) TSH neurotoxicity to retinal cells.
D) local lactic acidosis. Answer: B) orbital edema and extraocular
muscle paralysis.
◉ 9. The basal metabolic rate is unusually _____ with hypothyroidism.
A) high
B) low
C) steady