Endocrine Disorders: Free CME QuizEndocrine Disorders CME Quiz courtesy of Med-Challenger Online Medical Education
This week's Med-Challenger free CME quiz - Endocrine Disorders - the quick quiz covers the sequence of recommended tests for differentiating primary versus secondary adrenal insufficiency, the characteristics of glycated hemoglobin in the diagnosis and monitoring of blood glucose control, causes for early morning hyperglycemia, and human chorionic gonadotropin–mediated hyperthyroidism due to Graves disease.
A free Endocrine Disorders question included below. The full Endocrine Disorders CME quiz is free online for a limited time. You can earn AMA CME credit - and now you can earn ANCC contact hours as well! Play now.
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QQ220923: Advanced Airway - Pediatric
3rd Mandy Hayes
Here's this week's sample CME board review question on Endocrine Disorders:
A 35-year-old man presents with fatigue, loss of libido, and lethargy for the last 3 years. He has no medical history. He takes a multivitamin but no other medications. He smokes 1 pack of cigarettes every week and drinks 1 glass of wine each night. He does not use drugs. He is the manager at a retail clothing store.
His review of symptoms is notable for a 15-pound weight loss since his last visit 3 years ago. Vitals are: temperature 37.4 °C, heart rate 95 beats/minute, blood pressure 110/65 mm Hg, respiratory rate 14 breaths/minute, and oxygen saturation 99% on room air. Findings on his head, ears, eyes, nose, and throat examination as well as examinations of his neck, heart, lung, abdomen, and neurologic status are all normal. His skin appears tanned, even under his clothes.
You order laboratory studies that show a normal complete blood count, sodium level of 130, potassium level of 5.1, chloride level of 110, bicarbonate level of 25, blood urea nitrogen level of 13, creatinine level of 0.8, and glucose level of 90. The early morning serum cortisol level is 2.5 µg/dL. You suspect primary adrenal insufficiency.
What is the next test to confirm this suspected diagnosis?
See the Answer:
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