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dha exam > Endocrine > Flashcards

Endocrine Flashcards

1
Q

Ptn with head trauma and polyuria, what’s the cause

A

Diabetes insipidus

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2
Q

Ptn with DKA, glucose is 34mml what the management

A

Decrease glucose by 3 ml / hour خود الرقم الاول وطبقه

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3
Q

How to treat DKA with IV

A

IV insulin infusion ( IV regular insulin)

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4
Q

Ptn diagnosed with acromegaly, what to do in the future

A

Colonoscopy

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5
Q

Hyperthyroidism ( not pregnant) what the management

A

Methimazole

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6
Q

Drug need to be adjusted in kidney disease

A

Linagliptine

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7
Q

What the drug that reduce stone formation in hyperurecemia

A

Thiazide

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8
Q

When to say that this is cortisol resistance nephrotic syndrome

A

After 4 week of cortisol ttt with no improvement

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9
Q

Treatment of lower UTI is

A

Nitrofurantoin or TMP. SMX

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10
Q

Treatment of upper UTI

A

3rd gen. Cephalosporin, ceftriaxone

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11
Q

Old ptn presents with swollen ankle and eyelids , high BP,and hematuria after taken penicillin to treat her sore throat, what’s the management

A

Furosemide

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12
Q

Ptn present with jaundice, spleenomegaly, spherocytosis, what’s the cause

A

Hemolytic anemia

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13
Q

In ptn with sickle cell what can you give to increase fetal hemoglobin

A

Hydroxyurea

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14
Q

Ptn with ⬆️ in all ( ca, phosphatase, PTH) diagnosis

A

3ry Hyperparathyroidism

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15
Q

……. Is ass with sever eye symptoms in thyrotoxicosis

A

Smoking

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16
Q

Ptn with FH of DM has Ha1C 6.3 and fasting glucose 7.3 what’s next

A

2=hours Glucose

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17
Q

Hypoglycemia after insulin is called

A

Honeymoon

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18
Q

Diabetic on glargine and aspart is suffering from fasting and postprandial hypoglycemia, management?

A

Decrease both drugs

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19
Q

Old female with osteoporosis, treatment

A

Aldronate ( bisphosphonate )

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20
Q

70 year old woman, smoker with low vitamin D and osteoporosis, wich one is the most significant risk factor for her osteoporosis?

A

Age

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21
Q

Ptn with Cushing symptoms not on any medications, with low ACTH , what’s next

A

CT adrenal

22
Q

Hypothyroidism + hyperprolactenemia , what’s next

A

Thyroxine ??????

23
Q

Asymptotic ptn , no goiter with high TSH, normal T4, what next

A

If TSH > 10 give thyroxine / if less repeat test in 6 weeks

24
Q

Alzahimer depression ttt

A

SSRI

25
Q

High BP, high cathecolamies ( pheochromocytoma ) how to treat

A

Alpha blockers

26
Q

Ptn with HTN with FH of HTN his BP 160/100 otherwise normal, BMI 27 what to give

A

ACEI ( in cases 55 year and below or diabetic) if > 55 give CCB?

27
Q

Ptn with typical Cushing features, lab shows high free urine cortisol, low dose dexamethasone high cortisol, low ACTH , how to diagnose

A

Adrenal MRI

28
Q

Ptn with non secreting ACTH adenoma, CT is done what’s next

A

Low dexamethasone suppression test , urine , metanephren

29
Q

Stop metformin if GFR less than …..

A

Less than 30

30
Q

Ptn with hypothyroidism was given thyroxine, she came back after 2 weeks still complaining of high TSH and symptoms what to do

A

Increase dose after 6 weeks

31
Q

Young female with bilateral breast discharge ( maybe milK ) you should do imaging on…..

A

Sella turcica

32
Q

Diabetic ptn on metformin just had a surgery, what shall you do continue metformin or change to …..

A

Basal Boules insulin

33
Q

Ptn with FH of DM type 2 , came with polyuria,Ha1C =7.1 ,fBS = 7 is he pre-diabetic or diabetic

A

Diabetic

34
Q

Young female present with hyperprolactenemia she’s on cabergoline, when do we need to do MRI for her

A

In case she’s having blurred vision

35
Q

Ptn presented with abdominal pain, constripation, behavioral irritability, lab shows increase calcium, PTH , how to manage

A

Hydration + diuretics + pamidronate

36
Q

Safe drug to use in DM with kidney disease

A

Linagliptin

37
Q

Diabetic Ptn, smoker with peripheral artery disease, what he should do

A

Stop smoking

38
Q

30 years old ptn came with high PTH, high calcium, low phosphate, diagnosis

A

Parathyroid adenoma

39
Q

Ptn presents with hyperpigmentation, hyponatremia, hyperkalemia, diagnosis

A

Addison disease

40
Q

Ptn with FH of DM, his Ha1C is 6.3, fasting glucose 7 what do do next

A

2 hours glucose test

41
Q

SLE ptn on hydroxychloroquine present with seizure what to give.

A

Cyclophosphamide

42
Q

Type of visual disturbance that come with pituitary adenoma

A

Bitemporal heminopia

43
Q

Ptn with hyperthyroidism has palpation, what to give her

A

Propranolol

44
Q

Young ptn with hyperthyroidism, with irregular menses, diarrhea, milky discharge, she’s not pregnant. TSH,T4=both are high, how to diagnose

A

MRI pituitary

45
Q

The most common complication of DM is

A

Kidney disease

46
Q

Most common cause leads to discovering incidental adrenal adenoma is

A

Non functioning adenoma

47
Q

Ptn with high prolactin, TSH, T4 . Diagnosis

A

MRI to sella turcica

48
Q

Ptn with hypothyroidism is taking 125mg but TSH still high , T4=normal , you increase the dose to 200 then test to find TSH is still high, what’s the explanation?

A

Non compliance

49
Q

Hypothyroidism ptn asymptotic, with TSH >10 , what to do

A

Give thyroxin

50
Q

Male with vague abdominal pain, CT shows 5cm adrenal mass hypoecoic, with fat content , adrenal hormones are normal , what’s next

A

Adrenalectomy

51
Q

Ptn has painful neck swelling that moves with swallowing, diagnosis

A

Subacute granulomatous thyroiditis

52
Q

44-year-old male married for three years complaining of decreased libido painful tender breasts by lottery bilaterally breastmilk can be expressed manually he came in for an evaluation of his complaints physical examination is otherwise normal prolactin level is very high what investigation what to do

A

MRI ( pituitary tumor)

dha exam (21 decks)

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