ENDO Clinical Cases for Integrated MCQs PDF
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This document contains clinical cases related to endocrinology, suitable for medical students or professionals who want to practice their knowledge. The cases include details on patient symptoms, lab results, and diagnosis. The document includes multiple-choice questions (MCQs) for practicing knowledge.
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**[Case 1: Type 2 diabetes:]** Nadir, 43 years old, taxi driver by profession presents with the complaints of a 1-month history of persistent polydipsia and polyuria. He appeared obese but did not look ill and his mental status was intact. His physical examination was unremarkable except a BMI 32 k...
**[Case 1: Type 2 diabetes:]** Nadir, 43 years old, taxi driver by profession presents with the complaints of a 1-month history of persistent polydipsia and polyuria. He appeared obese but did not look ill and his mental status was intact. His physical examination was unremarkable except a BMI 32 kg/m2. Labs revealed glycated hemoglobin (HbA1c) of 9.1% (normal upto 6.5%), fasting plasma glucose level of 127 mg/dL (normal upto 100 mg/dL). Based on all the tests, the Dr advised Nadir lifestyle modifications, diet therapy, regular exercise and oral medications. Extended stems: MCQ: **[Case 2: Graves' disease]** Hoor, a 43-year-old female, presented to our hospital with a 1-year history of palpitation, fatigue, and hand tremor. Her situation was getting worse within 2 months. On examination, a goiter was present. Moist skin, hand tremor, and tachycardia (110/min) were presented as well. The rest of the physical examination was unremarkable. Lab investigations revealed low TSH. Extended stems: MCQ: **[Case 3: Acromegaly]** Dr Abdullah met his cousin Ahmad (35 years old) after a gap of 2 years in a family gathering. Dr Abdullah noticed Ahmad's prominent mandible, prominent supraorbital ridges and nose bridge, as well as large hands and feet. He asked Ahmad to visit his hospital for endocrine testing. Endocrine tests performed subsequently included serum adrenocorticotropic hormone, thyroid-stimulating hormone, prolactin, hemoglobin A1C, insulin-like growth factor 1 (IGF-1), Growth Hormone, and parathyroid hormone levels. All of his biochemical markers were normal except for two hormones: his serum IGF-1 and GH. Further tests confirmed the diagnosis of a Pituitary adenoma. Extended stems: MCQ:
