Activity of acromegaly is suggested by all of the following, except:

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Question 1 of 5

Activity of acromegaly is suggested by all of the following, except:

Correct Answer: D

Rationale: Acromegaly increases serum phosphorus (not decreases) due to GH effects on renal reabsorption.

Question 2 of 5

a patient presents with hypothyroidism. The thyroid gland is found to be normal in size. The serum cholesterol is normal. The patient is started on thyroid replacement and develops high fever, nausea and vomiting. The error in clinical acumen is:

Correct Answer: B

Rationale: Secondary hypothyroidism (pituitary origin) was missed; thyroid replacement without cortisol in adrenal insufficiency caused a crisis.

Question 3 of 5

A small irregular pupil responding to convergence accommodation but not to light is:

Correct Answer: B

Rationale: Argyll-Robertson pupil (neurosyphilis) reacts to accommodation but not light.

Question 4 of 5

Petit mal seizures

Correct Answer: B

Rationale: Petit mal (absence) seizures feature brief consciousness lapses.

Question 5 of 5

A patient presents with generalized paresthesias and a spinal fluid which is normal, except for a protein of 90 mgm%:

Correct Answer: C

Rationale: Guillain-Barré syndrome features elevated CSF protein (albuminocytologic dissociation) with paresthesias.

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