Metabolic

Question 1

Common cause of seizure in diabetics is

Answer 1

Hypoglycemia

Question 2

What blood glucose would result in coma?

Answer 2

<2

Question 3

Treatment for hypoglycemia

Answer 3

Glucose, D50 1 amp (=50mL, =25g) IV

Question 4

Symptoms of hyponatremia start at Na

Answer 4

125-130

Question 5

What is the main risk to the brain with hypernatremia?

Answer 5

Rapid decrease in brain volume can cause hemorrhages (subarachnoid and intracerebral) and irreversible neurologic damage

Question 6

Why does alcohol withdrawal cause seizures?

Answer 6

Autonomic hyperactivity due to removal of alcohols inhibitors effects

Question 7

When would an alcohol induced seizure occur after stopping drinking?

Answer 7

Within 12-48 hours after last alcoholic beverage

Question 8

Genetic disease that presents in adulthood and looks like COPD and liver disease

Answer 8

Alpha 1 antitrypsin deficiency

Question 9

Patient with hyperthyroid sx, suppressed TSH, and “hot” thyroid nodule

Answer 9

Toxic adenoma

Question 10

Treatment for toxic adenoma and multinodular goiter

Answer 10

Beta blocker and thionamide (methimazole)

Question 11

If left untreated patients with severe hyperthyroidism can develop

Answer 11

Rapid bone loss, OP, hypercalcemia and hypercalciuria

Question 12

Fetal hyperthyroidism can be seen in patients with active

Answer 12

Graves’ disease

Question 13

Diagnostic findings for chronic autoimmune thyroiditis (hashimotos)

Answer 13

Positive TPO antibody, variable radioiodine uptake

Question 14

Diagnostic findings for painless (silent) thyroiditis

Answer 14

Positive TPO antibody, low radioiodine uptake

Question 15

Diagnostic findings for subacute