MN-566 QUIZ 4

The clinician suspects that a patient seen in the office has hyperthyroidism. Which test should the clinician order on the initial visit? Question 1 options: a) Sensitive thyroid-stimulating hormone (TSH) assay and T4 b) Free T4 and serum calcium c) Nuclear scintigraphy with radiolabeled iodine ( 123I) d) Magnetic resonance imaging A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine. Which condition that the patient also has would be a contraindication to taking metformin? Question 2 options: a) Ulcerative colitis b) Inflammatory bowel disease c) Chronic obstructive pulmonary disease d) Renal disease The clinician suspects a patient has Addison’s disease. Which clinical manifestation would the clinician observe upon a physical examination? Question 3 options: a) Moon face b) Central obesity c) Hyperpigmentation d) Myxedema coma Which blood test would confirm a diagnosis of diabetes mellitus? Question 4 options: a) A1c 5.5% b) Fasting plasma glucose level of 120 mg/dL c) Oral glucose tolerance test 250 mg/dL (2-hour level) d) Random plasma glucose level 175 mg/dL The patient has metabolic syndrome. The patient is at increased risk for which condition? Question 5 options: a) Anxiety disorder b) Gallbladder disease c) Diabetes mellitus d) Hyperparathyroidism