Fellowship - January 2015

Question 0

In what circumstance can you diagnose primary hyperaldosteronism in a patient on spironlactone?

Answer 0

If the renin is suppressed it means all of the aldosterone is coming for the adenoma.

Question 1

What does increasing the dose of DDAVP do to magnitude of diuretic effect?

Answer 1

Nothing

Just increases the duration of effect.

Question 2

What is the normal (optimal) range of 25 OH Vitamin D level?

Answer 2

30 - 80

Question 3

Which is the best screening test for Cushing’s syndrome in pregnancy?

Answer 3

24-hour urinary free cortisol.

Question 4

Which screening test should you not do for Cushing’s syndrome in pregnancy?

Answer 4

Dexamethasone suppression test.

Question 5

What happens to urinary free cortisol in pregnancy?

Answer 5

Increases as pregnancy progresses and can be three times upper limits of normal by term.

Question 6

Does pregnancy affect the diurnal rhythm of cortisol?

Answer 6

No.

Question 7

What happens to the nadir of cortisol in pregnancy (at midnight)?

Answer 7

Slightly elevated compared to non-pregnant women.

Question 8

What is neuroglycopenia?

Answer 8

Brain does not function when blood glucose is too low.