ATI RN
Endocrine System in Pediatrics Questions
Question 1 of 5
A 14-year-old male has unilateral gynecomastia and is Tanner stage 3 in pubertal development. He complains of occasional episodes of breast tenderness, which last less than 30 minutes and occur once a month. His serum estradiol and prolactin levels are normal. The most likely next step in the treatment of this patient is
Correct Answer: A
Rationale: Pubertal gynecomastia is common, transient, and benign in adolescent males with normal labs, requiring only reassurance.
Question 2 of 5
Conditions associated with growth hormone deficiency include all of the following EXCEPT
Correct Answer: D
Rationale: VATER syndrome (vertebral, anal, tracheal, esophageal, renal anomalies) is not typically linked to GH deficiency.
Question 3 of 5
Precocious puberty is defined by all of the following EXCEPT
Correct Answer: D
Rationale: Ectopic gonadotropin production is a cause, not a defining feature, of precocious puberty.
Question 4 of 5
A 6-week-old infant has gained no weight since birth. She is mottled and has an indirect bilirubin level of 24 mg/dL. Her extremities are cold, and her temperature is 35°C. The most likely diagnosis is
Correct Answer: D
Rationale: Hypothyroidism in infants presents with poor growth, jaundice, hypothermia, and mottling due to low metabolism.
Question 5 of 5
All of the following are associated with hypocalcemia EXCEPT
Correct Answer: A
Rationale: Maternal hyperparathyroidism causes neonatal hypercalcemia, not hypocalcemia; others lead to low calcium.