DUNPHY ENDOCRINE AND METABOLIC

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DUNPHY ENDOCRINE AND METABOLIC

PROBLEMS EXAM A ND PRACTICE EXAM

NEWEST 2025 ACTUAL EXAM 150 QUESTIONS

AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |A+ GRADED

Which laboratory finding should the clinician observe in a patient with untreated Graves' disease?

• Elevated TSH
• Decreased T3
• Decreased TSH receptor antibody test
• Elevated antithyroglobulin antibodies - ANSWER-D.

Elevated antithyroglobulin antibodies

The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient would indicate teaching has been effective?

• "I'll take my pill before breakfast."
• "I know to take my Glucotrol at bedtime." 1 / 4

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• "It is important to take my medication right after I eat."
• "Since I only like to eat two meals a day, I can take the pill

between my meals." - ANSWER-A. "I'll take my pill before breakfast."

A male patient with diabetes asks the clinician why he needs to check his blood sugar at home even when he feels good. Which response by the clinician would be most appropriate?

• "Control of glucose will help postpone or delay

complications."

• "Regularly checking blood sugar will help you."
• "Monitoring glucose will promote a sense of connectedness."
• "Because you know it is the right thing to do for your

disease." - ANSWER-A. "Control of glucose will help postpone or delay complications."

How often should the clinician examine the feet of a person with diabetes?

• Every year
• Every 6 months
• Every 3 months
• Every visit - ANSWER-D. Every visit 2 / 4

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The clinician sees a patient who has a body mass index (BMI) of 32.4 kg/m2. How would the clinician classify this patient?

• Overweight
• Obesity Class 1
• Obesity Class 2
• Obesity Class 3 - ANSWER-B. Obesity Class 1

Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout.Which of the following should the clinician expect in the initial test results for this patient?

• Elevated uric acid level
• Elevated blood urea nitrogen
• Decreased urine pH
• Decreased C-reactive protein - ANSWER-A. Elevated uric

acid level

Which blood test would confirm a diagnosis of diabetes mellitus?

• A1c 5.5%
• Fasting plasma glucose level of 120 mg/dL 3 / 4

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• Oral glucose tolerance test 250 mg/dL (2-hour level)
• Random plasma glucose level 175 mg/dL - ANSWER-C.

Oral glucose tolerance test 250 mg/dL (2-hour level)

Which test should the clinician order to confirm Charcot foot?

• Bone scan of lower extremities
• Computed tomography (CT) scan
• X-ray of the foot
• Culture of the foot ulcer - ANSWER-C. X-ray of the foot

A vegetarian patient with gout asks the clinician about foods to avoid. The clinician should advise the patient to avoid which of the following foods?

• Rice
• Carrots
• Spinach
• Potatoes - ANSWER-C. Spinach

The clinician should question the patient with suspected gout about use of which of these medications?

• Antihypertensives
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