ATI RN
Endocrine System in Pediatrics Questions
Question 1 of 5
All the following drugs are secondary causes of hypertriglyceridemia EXCEPT
Correct Answer: A
Rationale: Estrogen (B), thiazides (C), β-blockers (D), and steroids (E) increase triglycerides. Tegretol (carbamazepine, A) does not, primarily affecting neurology.
Question 2 of 5
The specific clue to the diagnosis of fatty acid oxidation disorders may be the finding of hypoglycemia and
Correct Answer: A
Rationale: Hypoketonuria with hypoglycemia is a specific clue to fatty acid oxidation disorders (e.g., MCAD), indicating impaired ketone production, unlike acidosis (B), enzymes (C), ammonia (D), or clotting (E).
Question 3 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 4 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 5 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.