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ATI RN · Obstetrics and Pediatrics · Pediatric Endocrine Exam Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 16-year-old boy has delayed puberty and absence of secondary sexual characteristics; he has decreased sense of smell. Examination reveals shortening of the fourth finger. MRI of the brain shows absence of the olfactory bulbs and sulci; abdominal ultrasonography shows absence of the right kidney. Of the following, the MOST likely diagnosis is

A. Prader-Willi syndrome
B. Kallmann syndrome
C. Laurence-Moon-Bardet-Biedl
D. Klinefelter syndrome

Expert Explanatory Rationale

Correct Answer: Kallmann syndrome

Question 2 of 5

Episodic symptomatic hypocalcemia occurs in the Kenny-Caffey syndrome, the latter is characterized by the following EXCEPT

A. medullary stenosis of the long bones
B. short stature
C. delayed closure of the fontanel
D. advanced bone age

Expert Explanatory Rationale

Correct Answer: advanced bone age

Question 3 of 5

A previously healthy 4-month-old now manifests increasing hypotonia and poor feeding. Physical examination reveals macroglossia, a gallop rhythm and tachycardia, marked flaccidity, but normal mental status. Laboratory studies reveal a blood glucose level of 85 mg/dL and sinus tachycardia with a shortened PR interval on an electrocardiogram. The most helpful diagnostic study would be

A. MRI of the spine
B. glucagon infusion test
C. muscle biopsy
D. lumbar puncture

Expert Explanatory Rationale

Correct Answer: muscle biopsy

Question 4 of 5

The best diagnostic test for the patient in the previous question is

A. serum amino acids
B. nerve conduction studies
C. serum very-long-chain fatty acids
D. MRI angiography

Expert Explanatory Rationale

Correct Answer: serum very-long-chain fatty acids

Question 5 of 5

The upper-to-lower segment ratio is one of methods for growth assessment that changes with age. Of the following, this ratio becomes 1:1 at the age of

A. two year
B. four year
C. six year
D. ten year

Expert Explanatory Rationale

Correct Answer: ten year

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