Endocrinology Board Exam Started: Jul 13, 2026 12:40 Page 38 of 57 Attempt #2712 Overall: 0 / 283 questions answered Question 186 / 283 Not answered At a multidisciplinary case conference: a 42-year-old man presents with proximal myopathy with striae. Relevant risk context includes family endocrine history. What is the most likely diagnosis? A. Primary hyperparathyroidism B. Type 2 diabetes mellitus C. Graves disease D. Primary adrenal insufficiency E. Cushing syndrome Show Answer & Explanation Correct Answer: E Explanation: The pattern of proximal myopathy with striae with risk factors such as family endocrine history is most consistent with Cushing syndrome. This answer best matches the expected diagnostic framework for 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 187 / 283 Not answered At a preventive-care consultation: a 69-year-old man is evaluated for heat intolerance with tremor in the context of family endocrine history. Which is the most appropriate next investigation? A. Overnight dexamethasone suppression test B. Pituitary MRI when indicated C. Morning cortisol with ACTH D. TSH with free T4 E. HbA1c with fasting glucose Show Answer & Explanation Correct Answer: E 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 188 / 283 Not answered During morning rounds: a 59-year-old man presents with heat intolerance with tremor. Relevant risk context includes pituitary pathology. What is the most likely diagnosis? A. Primary adrenal insufficiency B. Primary hypothyroidism C. Graves disease D. Cushing syndrome E. Primary hyperparathyroidism Show Answer & Explanation Correct Answer: D Explanation: The pattern of heat intolerance with tremor with risk factors such as pituitary pathology is most consistent with Cushing syndrome. This answer best matches the expected diagnostic framework for 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 189 / 283 Not answered At a preventive-care consultation: a 53-year-old woman presents with polyuria with weight loss. Relevant risk context includes pituitary pathology. What is the most likely diagnosis? A. Graves disease B. Type 2 diabetes mellitus C. Cushing syndrome D. Primary hypothyroidism E. Primary adrenal insufficiency Show Answer & Explanation Correct Answer: A Explanation: The pattern of polyuria with weight loss with risk factors such as pituitary pathology is most consistent with Graves disease. This answer best matches the expected diagnostic framework for Endocrinology. Reference: American Thyroid Association 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 190 / 283 Not answered During ward handover: a 44-year-old woman presents with renal stones with hypercalcemia. Relevant risk context includes pituitary pathology. What is the most likely diagnosis? A. Graves disease B. Primary adrenal insufficiency C. Primary hyperparathyroidism D. Primary hypothyroidism E. Cushing syndrome Show Answer & Explanation Correct Answer: B Explanation: The pattern of renal stones with hypercalcemia with risk factors such as pituitary pathology is most consistent with Primary adrenal insufficiency. This answer best matches the expected diagnostic framework for 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 Cancel « ← Previous Page 38 of 57 Next → »