Final Exam Review

Question 1

How does apoplexy lead to diplopia?

Answer 1

Blood accumulates in the cavernous sinus and presses on the nerves that pass through there.

Question 2

Vanadium has shown efficacy in which kind of diabetes?

Answer 2

Type 2

Question 3

Which pituitary cell is basophilic?

Answer 3

ACTH

Question 4

In which neoplasm is petrosal sampling done to locate the origin of the defect?

Answer 4

ACTH adenoma

Question 5

What is the risk of CSF leak after a transsphenoidal resection?

Answer 5

1%

Question 6

Most dihydrotestosterone comes from ___________ (in both men and women).

Answer 6

peripheral tissues

Question 7

On which cells does FSH act?

Answer 7

Sertoli in males and granulose in females

Question 8

How is the inferior petrosal sinus test used?

Answer 8

Blood is taken from the inferior petrosal sinus and from elsewhere in the body’s periphery. If the ACTH is much higher in the IPS sample, then it is likely a pituitary ACTH-secreting adenoma. If the levels are equal, then ectopic ACTH-secreting tumor is likely.

Question 9

What drug can treat adrenal adenoma Cushing’s?

Answer 9

Ketoconazole

Question 10

What signs are suggestive of a malignant thyroid nodule?

Answer 10

Cold nodule; young person; solitary

Question 11

The best initial test for evaluating a thyroid nodule is ________.

Answer 11

TSH

Question 12

Which drugs prevent activation of T4?

Answer 12

Beta-blockers
PTU
Glucocorticoids