ATI RN
Endocrine System in Pediatrics Questions
Question 1 of 5
All the following are features of neonatal adrenoleukodystrophy (ALD) EXCEPT
Correct Answer: D
Rationale: Neonatal ALD includes hepatomegaly (A), liver dysfunction (B), hearing loss (C), and retinal changes (E). Chondrodysplasia punctata (D) is more typical of other peroxisomal disorders.
Question 2 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 3 of 5
Constitutional growth delay is characterized by all of the following EXCEPT
Correct Answer: D
Rationale: Insulin resistance is not a feature of constitutional growth delay, which is a normal variant with delayed puberty and growth.
Question 4 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 5 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.