Endocrinology Board Exam Started: Jul 13, 2026 04:09 Page 47 of 57 Attempt #1892 Overall: 0 / 283 questions answered Question 231 / 283 Not answered At a multidisciplinary case conference: a 45-year-old woman is evaluated for renal stones with hypercalcemia in the context of autoimmune disease. Which is the most appropriate next investigation? A. TSH with free T4 B. Overnight dexamethasone suppression test C. HbA1c with fasting glucose D. Morning cortisol with ACTH E. Serum calcium and PTH Show Answer & Explanation Correct Answer: E 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: 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 232 / 283 Not answered During morning rounds: a 38-year-old man presents with renal stones with hypercalcemia. Relevant risk context includes long-term steroid exposure. What is the most likely diagnosis? A. Graves disease B. Cushing syndrome C. Type 2 diabetes mellitus D. Primary hypothyroidism E. Primary hyperparathyroidism 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 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 233 / 283 Not answered At a multidisciplinary case conference: a 72-year-old man is evaluated for polyuria with weight loss in the context of pituitary pathology. Which is the most appropriate next investigation? A. TSH with free T4 B. Morning cortisol with ACTH C. HbA1c with fasting glucose D. Serum calcium and PTH E. Overnight dexamethasone suppression test Show Answer & Explanation Correct Answer: E Explanation: Overnight dexamethasone suppression test is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in 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 234 / 283 Not answered During morning rounds: a 36-year-old man is evaluated for proximal myopathy with striae in the context of pituitary pathology. Which is the most appropriate next investigation? A. Overnight dexamethasone suppression test B. Morning cortisol with ACTH C. Serum calcium and PTH D. Pituitary MRI when indicated 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: 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 235 / 283 Not answered During morning rounds: a 82-year-old man presents with polyuria with weight loss. Relevant risk context includes postpartum thyroid risk. 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: D Explanation: The pattern of polyuria with weight loss with risk factors such as postpartum thyroid risk 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 47 of 57 Next → »