The normal level of serum thyroid-stimulating hormone in first week of term infants is up to

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Pediatric Endocrine Exam Questions Questions

Question 1 of 5

The normal level of serum thyroid-stimulating hormone in first week of term infants is up to

Correct Answer: D

Rationale: TSH can reach up to 27 mIU/L in the first week due to the neonatal surge (E).

Question 2 of 5

Adverse reaction reported exclusively with propylthiouracil is

Correct Answer: A

Rationale: Severe liver disease (A) is a rare, exclusive side effect of propylthiouracil, unlike methimazole.

Question 3 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 4 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 5 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.

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