Endocrinology Board Exam Started: Jul 13, 2026 10:47 Page 40 of 57 Attempt #2612 Overall: 0 / 283 questions answered Question 196 / 283 Not answered During ward handover: a 72-year-old man is evaluated for proximal myopathy with striae in the context of postpartum thyroid risk. Which is the most appropriate next investigation? A. Serum calcium and PTH B. Pituitary MRI when indicated C. Morning cortisol with ACTH D. Overnight dexamethasone suppression test 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 197 / 283 Not answered In an emergency department assessment: a 55-year-old man presents with proximal myopathy with striae. Relevant risk context includes long-term steroid exposure. What is the most likely diagnosis? A. Primary adrenal insufficiency B. Cushing syndrome C. Type 2 diabetes mellitus D. Primary hypothyroidism E. Primary hyperparathyroidism Show Answer & Explanation Correct Answer: C Explanation: The pattern of proximal myopathy with striae with risk factors such as long-term steroid exposure is most consistent with Type 2 diabetes mellitus. 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 Question 198 / 283 Not answered During ward handover: a 39-year-old man presents with renal stones with hypercalcemia. Relevant risk context includes long-term steroid exposure. What is the most likely diagnosis? A. Type 2 diabetes mellitus B. Primary hyperparathyroidism C. Cushing syndrome D. Primary hypothyroidism E. Primary adrenal insufficiency Show Answer & Explanation Correct Answer: C Explanation: The pattern of renal stones with hypercalcemia with risk factors such as long-term steroid exposure is most consistent with Cushing syndrome. 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 Question 199 / 283 Not answered At a preventive-care consultation: a 72-year-old man presents with renal stones with hypercalcemia. Relevant risk context includes family endocrine history. What is the most likely diagnosis? A. Type 2 diabetes mellitus B. Graves disease C. Primary hyperparathyroidism D. Primary adrenal insufficiency E. Primary hypothyroidism Show Answer & Explanation Correct Answer: C Explanation: The pattern of renal stones with hypercalcemia with risk factors such as family endocrine history is most consistent with Primary hyperparathyroidism. 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 Question 200 / 283 Not answered During morning rounds: a 82-year-old woman presents with heat intolerance with tremor. Relevant risk context includes pituitary pathology. What is the most likely diagnosis? A. Primary hyperparathyroidism B. Cushing syndrome C. Type 2 diabetes mellitus D. Graves disease E. Primary hypothyroidism Show Answer & Explanation Correct Answer: E Explanation: The pattern of heat intolerance with tremor with risk factors such as pituitary pathology is most consistent with Primary hypothyroidism. 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 Cancel « ← Previous Page 40 of 57 Next → »