ATI RN
Pediatric Endocrine Exam Questions Questions
Question 1 of 5
A 3-year-old boy presented to emergency unit at 10:00 AM with history of difficult arousal from sleep, lethargy, vomiting, and seizures; the mother stated that he had slept without having his supper. Fasting blood sugar was 38 mg/dL and urinary ketone was low. Of the following, the MOST likely diagnosis is
Correct Answer: D
Rationale: MCAD deficiency presents with hypoketotic hypoglycemia, lethargy, and seizures after fasting, unlike ketotic hypoglycemia (C) or other metabolic disorders (A, B, D).
Question 2 of 5
Physical findings in Graves disease include all of the following EXCEPT
Correct Answer: B
Rationale: Graves disease (hyperthyroidism) causes heat intolerance, not cold intolerance, which is seen in hypothyroidism.
Question 3 of 5
Treatment for the infant described in the previous question should include which of the following (choose as many as are appropriate)?
Correct Answer: B
Rationale: Hydrocortisone replaces cortisol in adrenal insufficiency (Addison’s). DOCA helps aldosterone deficiency (A also correct), but B is primary. Multiple correct: A, B; listed B as representative.
Question 4 of 5
Potential causes of central diabetes insipidus include all of the following EXCEPT
Correct Answer: D
Rationale: Graves disease (thyroid-related) does not cause central diabetes insipidus; others affect the pituitary or hypothalamus.
Question 5 of 5
The treatment of the girl in the previous two questions is best accomplished with
Correct Answer: A
Rationale: Leuprolide (GnRH agonist) suppresses gonadotropin release, halting central precocious puberty.