Endocrinology Board Exam Started: Jul 13, 2026 12:54 Page 22 of 57 Attempt #2751 Overall: 0 / 283 questions answered Question 106 / 283 Not answered In an emergency department assessment: a 79-year-old woman is evaluated for renal stones with hypercalcemia in the context of pituitary pathology. Which is the most appropriate next investigation? A. HbA1c with fasting glucose B. Pituitary MRI when indicated C. Morning cortisol with ACTH D. Overnight dexamethasone suppression test E. TSH with free T4 Show Answer & Explanation Correct Answer: A Explanation: HbA1c with fasting glucose is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Endocrinology. Reference: Endocrine Society Clinical Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 107 / 283 Not answered During ward handover: a 46-year-old woman has polyuria with weight loss with risk profile of pituitary pathology. After initial stabilization and assessment, what is the most appropriate management step? A. Antithyroid therapy with risk stratification B. Individualized glucose-lowering plan C. Urgent stress-dose corticosteroid in adrenal crisis D. Levothyroxine replacement with TSH-guided titration E. Targeted management of hypercortisolism cause Show Answer & Explanation Correct Answer: A Explanation: Antithyroid therapy with risk stratification is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Endocrinology. Reference: ADA Standards of Care in Diabetes Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 108 / 283 Not answered During morning rounds: a 58-year-old woman is evaluated for fatigue with cold intolerance in the context of autoimmune disease. Which is the most appropriate next investigation? A. HbA1c with fasting glucose B. Overnight dexamethasone suppression test C. Morning cortisol with ACTH D. Pituitary MRI when indicated E. Serum calcium and PTH Show Answer & Explanation Correct Answer: D Explanation: Pituitary MRI when indicated is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Endocrinology. Reference: AACE Endocrine Guidance; Endocrinology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 109 / 283 Not answered In an outpatient specialty clinic: a 25-year-old man is evaluated for renal stones with hypercalcemia in the context of long-term steroid exposure. Which is the most appropriate next investigation? A. Overnight dexamethasone suppression test B. Morning cortisol with ACTH C. Pituitary MRI when indicated D. HbA1c with fasting glucose E. TSH with free T4 Show Answer & Explanation Correct Answer: B Explanation: Morning cortisol with ACTH is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Endocrinology. Reference: Endocrine Society Clinical Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 110 / 283 Not answered During morning rounds: a 50-year-old woman presents with renal stones with hypercalcemia. Relevant risk context includes family endocrine history. What is the most likely diagnosis? A. Primary hyperparathyroidism B. Primary adrenal insufficiency C. Type 2 diabetes mellitus D. Cushing syndrome E. Primary hypothyroidism Show Answer & Explanation Correct Answer: B Explanation: The pattern of renal stones with hypercalcemia with risk factors such as family endocrine history is most consistent with Primary adrenal insufficiency. This answer best matches the expected diagnostic framework for Endocrinology. Reference: Endocrine Society Clinical Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 22 of 57 Next → »