Endocrinology

Question 1

Elevated PTH and calcium, low phosphate, short QT interval

Bones, stones, moans, and psychiatric groans

Answer 1

Primary hyperparathyroid

Question 2

Elevated PTH, Normal/low calcium, Renal failure and Vit D deficiency

Answer 2

Secondary hyperparathyroid

Question 3

Neck surgery, Chvostek and Trousseau, prolonged QT

Answer 3

Hypoparathyroid

Question 4

Eye and skin manifestations

Answer 4

Graves

Question 5

Propylthiouracil (1st trimester), Methimazole (after first trimester)

Answer 5

Hyperthyroid tx

Question 6

Low TSH and Free T4, check adrenal function

Answer 6

Central hypothyroidism

Question 7

TSH, US, Warm nodules are benign, cold nodules are likely CA

Answer 7

Thyroid nodule

Question 8

Pituitary adenoma, lung tumor, adrenal tumor, low ACTH = adrenal, High ACTH = pituitary or lung

Answer 8

Cushings

Question 9

Increased ACTH = adrenal, Low ACTH = pituitary, ACTH stimulation test, hyponatremia and hyperkalemia

Answer 9

Addisons

Question 10

Androgen and/or estrogen secreting = CA, CT Scan, Surgery

Answer 10

Adrenal Cortical Carcinoma

Question 11

Increased growth hormone, pituitary tumor, Large hands/feet, increased insulin-like growth factor

Answer 11

Acromegaly

Question 12

Low C-peptide, Antibodies, Beta cell destruction

Answer 12

Type I DM

Question 13

Insulin insensitivity, weight loss, metformin

Answer 13

Type II DM

Question 14

Hyperglycemia (<1,000, but usually ~350), Type I, Anion gap metabolic acidosis and serum ketones, infection, hypokalemia

Answer 14

Diabetic Ketoacidosis

Question 15

Glucose > 1,000, Type II DM

Answer 15

Hyperosmolar hyperglycemic state (HHS)

Question 16

Triglycerides >1,000 = pancreatitis, statins first line

Answer 16

Hyperlipidemia

Question 17

Galactorrhea, oligomenorrhea, amenorrhea, hook effect, HCG, TSH, MRI, Cabergoline

Answer 17

Prolactinemia