Endocrine

Question 1

1. Dr. Petersons Mix Lab is suspected to have hypothyroidism. His TT4 was in the normal ranges. All of the following can be used to confirm the diagnosis except?
   a. Trial of methimazole.
   b. Free T4 and TSH levels
   c. Scintigraphy
   d. ultrasound)

Answer 1

a. Trial of methimazole.

Question 2

Cat presented with hyperthyroidism, owner loves cat and has another 7 cats in her house. She is having trouble giving fluffy the oral medication. Which would be the next best course of treatment?

Answer 2

Transdermal methimazole.

Question 3

What is the best diagnostic tool for hypoadrenocorticism? ACTH stimulation test.

Answer 3

ACTH stimulation test.

Question 4

Dog presented with PU/PD, truncal alopecia, weight gain and pot belly. You suspect Hyperadrenocorticism. Which diagnostic tools would be best to differentiate PDH & ADH?

Answer 4

ACTH stimulating test and abdominal ultrasound.

Question 5

Dog that came in with signs of hypoglycemia. Which tests would you do to confirm?

Answer 5

Insulin levels and weight.

Question 6

1. Boxer with confirmed hypercalcemia and mediastinal mass. All of the following treatments would be appropriate EXCEPT:
   a. Fluid therapy
   b. Fluid therapy + furosemide
   c. Dexamethasone injection
   d. Pamidronate

Answer 6

c. Dexamethasone injection

Explanation: Steroids are CONTRAINDICATED with hypercalcemia

Question 7

What are causes of DM in both dogs and cats?

a. Obesity, pancreatitis, steroids or hormonal treatment
b. Obesity, islet amyloidosis, steroids/hormonal treatment
c. Genetics, immune mediated insulinitis
d. Sedentary lifestyle, steroids/hormonal treatment

Answer 7

a. Obesity, pancreatitis, steroids or hormonal treatment

Question 8

Cat with presents for weight loss. Chemistry reveals hyperglycemia and UA reveals glucose in the urine (+4), no ketones. What is the best treatment option?

Answer 8

Start Glargine 1 unit injections BID and recheck in 1 week.

Question 9

1. Cat with DM has become PU/PD again after being on 1.5 units of insulin. Owner does glucose curve (346, 220, 413). What do you recommend?

Answer 9

Increase to 2 units and monitor signs

bring in for further diagnostics (PE, CBC, Chem, UA etc.).

Question 10

Cocker spaniel brought in because owner claims he is PU/PD. Everything checks out as normal. Urine SpGr = 1.031. All of the following therapies are appropriate EXCEPT?
a. Urine culture
b Water deprivation test and DDAVP trial.
c. Have owner measure water consumption for 3 days
d. Abdominal ultrasound

Answer 10

b Water deprivation test and DDAVP trial.