One of the following is not routinely done in children with suspected hypothyroidism

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Endocrine System Pediatrics Questions

Question 1 of 5

One of the following is not routinely done in children with suspected hypothyroidism

Correct Answer: A

Rationale: Sonography (A) is not routine; TSH (C) and free T4 (B) are primary tests, with antibodies (D, E) for autoimmune causes.

Question 2 of 5

Type Ia accounts for the majority of patients with pseudohypoparathyroidism (PHP), they have the following skeletal abnormalities EXCEPT

Correct Answer: D

Rationale: Bowing (D) is not a feature of PHP type Ia; others are part of Albright hereditary osteodystrophy.

Question 3 of 5

Patients with mineralocorticoid deficiency can develop the following EXCEPT

Correct Answer: C

Rationale: Mineralocorticoid deficiency causes metabolic acidosis, not alkalosis (C), due to sodium loss and hydrogen retention.

Question 4 of 5

Classic 21-hydroxylase deficiency occurs in approximately 1 in 15,000-20,000 births in most populations. Of affected infants, the salt-losing form constitute about

Correct Answer: D

Rationale: About 70% (D) of 21-hydroxylase deficiency cases are salt-losing.

Question 5 of 5

In primary aldosteronism, one of the following is low

Correct Answer: B

Rationale: Primary aldosteronism causes metabolic alkalosis, lowering serum CO₂ (B) due to HCO₃ retention.

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