Board exam

A child with a BMI 90 (Obese), has gynecomastia; the physical examination of the breast is negative. Recheck the patient in 6 months to monitor for changes. Refer to endocrinologist.

Adolescent male with Tanner stage III gynecomastia, sometimes painful. What to do?. Observe (no action necessary). Refer to endocrinology.

Early teen male with gynecomastia. it will resolve within 2 years if not refer to Endocrinologist. Refer to endocrinology.

Adolescent with gynecomastia. What should NP consider?. Marijuana use. Refer to endocrinology.

An adolescent male with gynecomastia, and they did some labs on him, including TSH. What is the next lab the NP orders: Prolactin. TSH. Estrogen. Progesterone.

Patient with clinical picture and diagnosis of hypogonadism, testosterone values were low. What other studies have been done?. Prolactin. TSH. Testosterone.

Patient with decreased libido. When is the best time to check testosterone levels. Before 10 am. After meal. Before breakfast.

Patient with decreased libido, which test do you order?. Testosterone level. Androgen level. Estrogen level. Aldosterone level.

Adolescent with galactorrhea: High prolactin levels. High cholesterol. High TSH level.

Hyperthyroidism: Weight loss, tachycardia, anxiety, palpitations, heat intolerance. Weigh gain. Bradicardia. Cold intolerance.

All symptoms correspond with Hyperthyroidism except. Cold intolerance. Heat intolerance. Palpitations. Weigh loss.