Endocrinology

Question 1

Prolactin secreted from where

Answer 1

Anterior pituitary

Question 2

Excess prolactin men features

Answer 2

Loss of libido
Galactorrhoea
Impotence

Question 3

Excess prolactin women

Answer 3

Amenorrhoea

Galactorrhoea

Question 4

Causes of raised prolactin

Answer 4

Prolactinoma 
Pregnancy
Oestrogen
Drugs (metocloperamide)
Acromegaly 
PCOS
PRIMARY HYPOTHYROIDSIM

Question 5

Hba1c target in T1DM

Answer 5

48

Question 6

If patient symptomatic of t2dm, what glucose tests are diagnostic

Answer 6

Fasting > 7

Random > 11.1

Question 7

Astmptommatic t2dm, what test and value is diagnostic

Answer 7

Hba1c > 48

Question 8

What value of fasting glucose is impaired glucose tolerance

Answer 8

6.1-7

Question 9

Drug causes of gynacomastia

5

Answer 9

Spiro 
Digoxin 
Cimetidine
Cannabis
Finasteride

Question 10

Androgen high or low to cause gynaecomastia

Answer 10

Low

Question 11

Causes of gynaecomastia

5

Answer 11

Testicular failure
Androgen failure (klinefelters)
Liver disease
Testicular cancer
Hyperthyroid

Question 12

Best test to measure response of levothyroxine

Answer 12

TSH

Question 13

When to add second drug in t2dm

Answer 13

When Hba1c hits 58

Question 14

Target blood pressure in diabetics

Answer 14

140/80

Question 15

Target bp on diabetics with end organ damage

Answer 15

130/80

Question 16

Steroids linked to AVN

Answer 16

Remember

Question 17

Next line medications after metformin in order

Answer 17

Sulfonylurea
Gliptin
Pioglitazone
SGL 2 inhibitor

Question 18

Hashimotos tender or non tender goitre?

Answer 18

Non tender

Question 19

De quervains thyroiditis tender non tender?

Answer 19

Tender

Question 20

What to do with hydrocortisone and fludrocort doses when Ill

Answer 20

Double hydrocort

Keep fludrocort same

Question 21

Iron tablets reduce the effect of levothyroxine?

Answer 21

Yes

Question 22

Cushings disease caused by

Answer 22

Increased ACTH from ant pituitary

Ectopic ACTH lung cancer

Question 23

Drug cause of galactorrhoea

Answer 23

Metocloperamide
Domperidone
Phenothiazine (carbamazepine)

Question 24

Treatment of high prolactin

Answer 24

Bromocriptin

Question 25

Secondary hypothyroid is

Answer 25

Low TSH low T4

Question 26

Commonest cause of primary hypothyroidism

Answer 26

Hashimotos

Question 27

Hba1c > 48 and what = diabetes

Answer 27

Symptomatic patient

Question 28

Tsh/t4 in sick euthyroid

Answer 28

Low/normal

Low t4

Question 29

When is piaglitozone contraindicated

Answer 29

Heart failure as can cause fluid retention

Question 30

Parathyroid hormone raised/normal/low in primary hyperparathyroidism

Answer 30

Can be raised or normal

Question 31

First line aldosterone antagonist for primary hypoaldosteronism?

Answer 31

Spironolactone

Question 32

Causes of primary hypoaldosteronism

Answer 32

Conn’s (adrenal tumour)

Idiopathic

Question 33

First line investigation for primary hypoaldosteronism

Answer 33

Aldosterone/renin ratio

CT abdo

Question 34

What to do if not tolerating metformin side effects

Answer 34

Switch to modified release preparation in the evening

Question 35

Steroids cause which wbc to rise

Answer 35

Neutrophils