WorksheetsEndocrine Disorders
Total questions: 8
Worksheet time: 8mins
13 yo has new-onset DKA. WHAT is FIRST step in management?
0.9% sodium chloride bolus, 10 mL/kg intravenously over 1 hour
3% sodium chloride bolus, 5 mL/kg intravenously over 20 minutes
To administer intravenous insulin, 0.1 unit/kg
To perform rapid sequence endotracheal intubation
15 yo is concerned he is not developing puberty, SMR 3 pubic hair, SMR 1 testes; also has anosmia, no axillary or facial hair. MOST likely diagnosis?
constitutional delay of puberty
functional hypogonadism
Kallman syndrome
Klinefelter syndrome
NB with persistent hypoglycemia, stretched phallic length of 1.8 cm; right testicle is not palpable, still jittery despite dextrose. MOST likely cause of hypoglycemia?
fatty acid oxidation disorder
hyperinsulinism
hypopituitarism
transitional hypoglycemia
14 yo has obesity, mild PCOS symptoms, acanthosis nigricans. Of the following, the BEST test to order is?
a hemoglobin A1c level
an insulin level
a midnight salivary cortisol level
a thyroid-stimulating hormone level
13 yo is SMR 3 pubic hair, SMR 1genitalia. Tall stature, mild language delay, upper-to-lower segment ratio is high. The test that will MOST likely lead to the diagnosis is
echocardiography
an insulin-like growth factor-1 level
a karyotype
a serum homocysteine level
8 yo with trisomy 21 has new-onset enlarged thyroid on PE. No symptoms or other problems noted. The MOST likely cause of his examination findings is
Graves disease
Hashimoto thyroiditis
multinodular goiter
simple colloid goiter
8 yo has dropped-off on height, weight has maintained. Also has bilateral epicanthal folds, a high-arched palate, and multiple benign-appearing nevi. Has mild intellectual deficits. The test MOST likely to reveal the diagnosis is
brain MRI
an insulin-like growth factor-1 level
a karyotype
a thyroid-stimulating hormone level
9 yp has dropped off height and weight on growth charts. Also has worsening vision over the past month. She has also been having intermittent headaches at school that her mother attributes to her vision problems. The test MOST likely to reveal the diagnosis is?
bone age radiography
brain MRI
a karyotype
a thyroid-stimulating hormone level
