ATI RN
Pediatric Endocrine Exam Questions Questions
Question 1 of 5
The first clinical manifestation of acquired hypothyroidism is
Correct Answer: C
Rationale: Growth deceleration (C) is often the earliest sign of acquired hypothyroidism in children.
Question 2 of 5
Episodic symptomatic hypocalcemia occurs in the Kenny-Caffey syndrome, the latter is characterized by the following EXCEPT
Correct Answer: D
Rationale: Kenny-Caffey syndrome features delayed bone age, not advanced (D).
Question 3 of 5
Glucocorticoids readily penetrate the blood-brain barrier and have direct effects on brain metabolism. They have the following actions EXCEPT
Correct Answer: D
Rationale: Glucocorticoids impair concentration (not improve, E) and cause insomnia (B), irritability (C), and memory issues (D).
Question 4 of 5
High-dose glucocorticoids (the equivalent of >10 times physiologic cortisol secretion) can be administered without requiring a subsequent tapering for
Correct Answer: B
Rationale: Up to 7 days (B) of high-dose glucocorticoids can be stopped without tapering, as HPA axis suppression is minimal.
Question 5 of 5
All the following tests are of diagnostic utility in the diagnosis of Cushing syndrome EXCEPT
Correct Answer: C
Rationale: Glucose tolerance test (C) assesses diabetes, not Cushing syndrome directly; others (A, B, D, E) are diagnostic.