The one of the following which does not occur in a patient receiving cortisone or corticotropin is:

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Question 1 of 5

The one of the following which does not occur in a patient receiving cortisone or corticotropin is:

Correct Answer: C

Rationale: Cortisone causes potassium loss (hypokalemia), not retention, via mineralocorticoid effects.

Question 2 of 5

Hemolytic jaundice

Correct Answer: D

Rationale: Hemolytic jaundice elevates indirect (unconjugated) bilirubin from red cell breakdown.

Question 3 of 5

Activity of acromegaly is suggested by all of the following, except:

Correct Answer: D

Rationale: Acromegaly increases serum phosphorus (not decreases) due to GH effects on renal reabsorption.

Question 4 of 5

Pregnancy

Correct Answer: A

Rationale: Pregnancy induces insulin resistance, contributing to gestational diabetes.

Question 5 of 5

a patient presents with hypothyroidism. The thyroid gland is found to be normal in size. The serum cholesterol is normal. The patient is started on thyroid replacement and develops high fever, nausea and vomiting. The error in clinical acumen is:

Correct Answer: B

Rationale: Secondary hypothyroidism (pituitary origin) was missed; thyroid replacement without cortisol in adrenal insufficiency caused a crisis.

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