Endocrinology

Question 1

What disease have catechlamines in the urin, headaches, hypertension and palpitations?

Answer 1

Phaeochromocytoma

Question 2

Tanned skin without being on holiday?

Answer 2

Addison’s Disease

Question 3

Increased shoe size, “spade hands, wedding ring too tight

Answer 3

Acromegaly

Question 4

Moon face, proximal weakness, stretch arks, buffalo hump, abdo fat?

Answer 4

Cushings

Question 5

Ketones on breath (sweet smelling / pear drop breath)

Answer 5

DKA

Question 6

Deep laboured breathing (kussmaul breathing)

Answer 6

Metabolic acidosis (esp DKA)

Question 7

Orphan Annie nuclei

Answer 7

Papillary thyroid cancer

Question 8

Bone pain, stones, abdo pain, psychiatric problems (bones, stones, groans and moans)

Answer 8

Hypercalcaemia (hyperparathyroidism)

Question 9

Psammoma bodies

Answer 9

are found in papillary thyroid carcinomas

Question 10

Butterfly rash

Answer 10

SLE

Question 11

Heat intolerance / palpitations

Answer 11

Hyperthyroidism

Question 12

Cold intolerance / weight gain

Answer 12

Hypothyroidism

Question 13

Anosmia and isolated GnRH deficiency

Answer 13

Kallmann’s syndrome

Question 14

Signs of hyperthyroidism plus any eye changes, gritty eyes, smooth velvety skin

Answer 14

Grave’s Disease

Question 15

Trousseau sign, Chyostek sign and QT prolongation (on ECG)

Answer 15

Hypocalcaemia

Question 16

Acute management of hypocalcaemia

Answer 16

IV calcium gluconate (10 ml of 10% calcium gluconate over 10 minutes in 50% dextrose or saline)

Question 17

Brachydactyly of the 4th metacarpal

Answer 17

Pseudohypoparathyroidism