Endocrinology, Diabetes, and Metabolism Board Review #2 Rob ...

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15 • A 65-year-old woman is seen in the office after a CT scan obtained bt i d in i the th emergency department d t t for f suspected renal colic incidentally revealed an adrenal nodule. • OOn physical h i l examination, i ti temperature t t is i 36.5 36 5 °C (97.7 °F), blood pressure is 128/74 mm Hg, pulse rate is 88/min, respiration rate is 16/min, and BMI is 30. All other examination findings are normal. normal There is no evidence of masculinization. • The previously obtained CT scan of the abdomen reveals a 22.5 5-cm cm right adrenal mass with an attenuation value of 10 Hounsfield units; the liver and kidneys appear normal. Findings on a chest radiograph g p are also normal.
• In addition to an overnight g 1-mg g dexamethasone suppression test, which of the following is the most reasonable next step in the evaluation of this patient? p A. Determination of the serum aldosterone to plasma renin activity ratio BB. Determination of the serum aldosterone to plasma renin activity ratio and measurement of plasma dehydroepiandrosterone sulfate level CC. MMeasurement t of f morning i serum cortisol ti l and d plasma dehydroepiandrosterone sulfate levels D. Measurement of plasma p metanephrine p level
Page 1 and 2: Endocrinology, Diabetes, and Metabo
Page 3 and 4: Rules of the Game • I’m Im not
Page 5 and 6: • Which of the following is the m
Page 8 and 9: 12 • A 60-year-old-woman is evalu
Page 10: • Which of the following addition
Page 18: • In addition to an overnight g 1
Page 24 and 25: 22 • A 28-year-old woman is evalu
Page 26 and 27: • The patient should be counseled
Page 28 and 29: 27 • A 45-year-old woman is evalu
Page 30: • Which of the following is the m
Page 33 and 34: • Which of the following is the b
Page 36 and 37: 34 • A 34-year-old man is evaluat
Page 38: • In addition to treating the hyp
Page 46: • Which of the following is the b
Page 52 and 53: 58 • A pregnant 23-year-old woman
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• Which of the following is the m
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87 • A 62-year-old man is evaluat
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Endocrinology, Diabetes, and Metabolism Board Review #2 Rob ...

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