ATI RN · Obstetrics and Pediatrics · Pediatric Endocrine Exam Questions
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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
Expert Explanatory Rationale
Correct Answer: Kallmann syndrome
Episodic symptomatic hypocalcemia occurs in the Kenny-Caffey syndrome, the latter is characterized by the following EXCEPT
Expert Explanatory Rationale
Correct Answer: advanced bone age
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
Expert Explanatory Rationale
Correct Answer: muscle biopsy
The best diagnostic test for the patient in the previous question is
Expert Explanatory Rationale
Correct Answer: serum very-long-chain fatty acids
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
Expert Explanatory Rationale
Correct Answer: ten year
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