Endocrinology quiz - Physical Diagnosis PDX

What condition would be compatible with the finding demonstrated in this video?

Hyperthyroidism

Hypokalemia

Hypothyroidism

Hypocalcemia

None

This patient presents with chronic abdominal pain, weight loss, and light-headedness. He has also noticed skin changes over the past 5-6 years. For reference, prior to these changes his natural skin tone resembled that of his wife, whose hand is pictured. What diagnostic study should be obtained?

IGF-1 level

ACTH stimulation test

Urine metanephrines

Serum ferritin

None

What is the most likely diagnosis?

Hypothyroidism

Hyperthyroidism

Acromegaly

Cushing’s syndrome

None

A young woman presents with weight gain and bradycardia. What additional finding might be expected in this patient?

Phalen’s sign

Fine tremor

Thin skin

Delayed relaxation phase of deep tendon reflexes

None

What diagnostic test should be ordered in this case?

ACTH stimulation test

24-hour urine free cortisol

Serum TSH and free T4

Serum IGF-1

None

What is the most likely diagnosis?

Cushing’s syndrome

Hypothyroidism

Adrenal insufficiency

Hyperthyroidism

None

A young woman presents with weight gain and bradycardia. What finding is demonstrated in this image?

Coarse facies of acromegaly

Masked facies of Parkinson’s disease

Queen Anne’s sign of hypothyroidism

Moon facies of Cushing’s syndrome

None

A young man presents with rapid weight gain. What additional finding might be
expected in this patient?

Thin skin

Ecchymoses

Buffalo hump

All of the above

None

What finding is demonstrated in this image?

Abdominal striae

Buffalo hum

Cullen’s sign

Grey-Turnersign

None

10.

What finding is demonstrated in this patient?

Boutonniere deformity

Swan neck deformity

Diabetic cheiroarthropathy

Carpal tunnel syndrome

None