Endocrinology Board Exam Started: Jul 13, 2026 08:50 Page 42 of 57 Attempt #2421 Overall: 0 / 283 questions answered Question 206 / 283 Not answered During ward handover: a 34-year-old man is evaluated for fatigue with cold intolerance in the context of metabolic syndrome. Which is the most appropriate next investigation? A. Overnight dexamethasone suppression test B. Pituitary MRI when indicated C. Morning cortisol with ACTH D. Serum calcium and PTH E. TSH with free T4 Show Answer & Explanation Correct Answer: D Explanation: Serum calcium and PTH 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 207 / 283 Not answered At a preventive-care consultation: a 41-year-old woman is evaluated for fatigue with cold intolerance in the context of postpartum thyroid risk. Which is the most appropriate next investigation? A. TSH with free T4 B. Overnight dexamethasone suppression test C. HbA1c with fasting glucose D. Pituitary MRI when indicated E. Serum calcium and PTH Show Answer & Explanation Correct Answer: A Explanation: TSH with free T4 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 208 / 283 Not answered At a multidisciplinary case conference: a 29-year-old woman presents with heat intolerance with tremor. Relevant risk context includes long-term steroid exposure. What is the most likely diagnosis? A. Graves disease B. Type 2 diabetes mellitus C. Primary hypothyroidism D. Cushing syndrome E. Primary hyperparathyroidism Show Answer & Explanation Correct Answer: A Explanation: The pattern of heat intolerance with tremor with risk factors such as long-term steroid exposure is most consistent with Graves disease. 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 209 / 283 Not answered During ward handover: a 46-year-old man has renal stones with hypercalcemia with risk profile of postpartum thyroid risk. After initial stabilization and assessment, what is the most appropriate management step? A. Individualized glucose-lowering plan B. Urgent stress-dose corticosteroid in adrenal crisis C. Levothyroxine replacement with TSH-guided titration D. Evidence-based osteoporosis risk reduction E. Targeted management of hypercortisolism cause Show Answer & Explanation Correct Answer: E Explanation: Targeted management of hypercortisolism cause is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 210 / 283 Not answered In an outpatient specialty clinic: a 41-year-old woman presents with fatigue with cold intolerance. Relevant risk context includes family endocrine history. What is the most likely diagnosis? A. Graves disease B. Primary hypothyroidism C. Cushing syndrome D. Primary hyperparathyroidism E. Type 2 diabetes mellitus Show Answer & Explanation Correct Answer: A Explanation: The pattern of fatigue with cold intolerance with risk factors such as family endocrine history 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 Cancel « ← Previous Page 42 of 57 Next → »