Dunphy - Endocrine and Metabolic Problems

42. The patient has hyperosmolar hyperglycemic syndrome. Which laboratory findings would the clinician observe? A. Plasma bicarbonate 8 mEq/L B. Blood glucose level 40 mg/dL C. Serum osmolality 420 mOsm/kg D. Blood pH 7.20 - C. Serum osmolality 420 mOsm/kg A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months. On physical examination, the clinician notices muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which test should be ordered next? A. Serum calcium B. Thyroid-stimulating hormone C. Electrolytes D. Urine specific gravity - B. Thyroid-stimulating hormone A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus. Which condition should be included in the differential diagnosis? A. Peripheral vascular disease B. Pheochromocytoma C. Cushing's disease D. Acromegaly - B. Pheochromocytoma A 45-year-old male presents with throbbing podagral pain and tophi in the ear pinnae. Which medication should the clinician prescribe for this acute attack? A. Colchicine (Colcrys) B. Probenecid (Benemid) C. Allopurinol (Zyloprim) D. Pegloticase (Krystexxa) - A. Colchicine (Colcrys