DUNPHY ENDOCRINE, METABOLIC AND PSYCHC

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DUNPHY ENDOCRINE, METABOLIC AND PSYCHC

PROBLEMS EXAM AND PRACTICE EXAM NEWEST

2025 ACTUAL EXAM 500 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS) |A+

GRADED/ BRAND NEW EXAM!!!

A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with type 2 diabetes mellitus (DM). The A1c is 7.1%. What is the best initial treatment?

• No treatment at this time
• Diet and exercise
• Diet, exercise, and metformin
• Diet, exercise, and exogenous insulin - Answer-C. Diet,

exercise, and metformin

The clinician suspects that a patient seen in the office has hyperthyroidism. Which test should the clinician order on the initial visit?

• Sensitive thyroid-stimulating hormone (TSH) assay and

T4

• Free T4 and serum calcium
• Nuclear scintigraphy with radiolabeled iodine (123I) 1 / 3

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• Magnetic resonance imaging - Answer-A. Sensitive

thyroid-stimulating hormone (TSH) assay and T4

Which statement made by a patient with type 1 diabetes indicates successful teaching regarding general guidelines for exercise?

• "I will not exercise if my blood sugar is 315."
• "I should just check my blood glucose after exercise."
• "I should eat more carbohydrates if my blood glucose is

less than 200."

• "I will exercise when my urine ketones are positive but

blood sugar is 260." - Answer-A. "I will not exercise if my blood sugar is 315."

A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states that he took his insulin this morning but was late for work and did not eat breakfast. Which action should the clinician take first?

• Administer glucagon subcutaneously.
• Have him drink 4 ounces of juice.
• Call 911. 2 / 3

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• Ask him about his usual eating habits. - Answer-B.

Have him drink 4 ounces of juice.

A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine. Which condition that the patient also has would be a contraindication to taking metformin?

• Ulcerative colitis
• Inflammatory bowel disease
• Chronic obstructive pulmonary disease
• Renal disease - Answer-D. Renal disease

A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past

• months. On physical examination, the clinician notices

muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which test should be ordered next?

• Serum calcium
• Thyroid-stimulating hormone
• Electrolytes
• Urine specific gravity - Answer-B. Thyroid-stimulating

hormone

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