Endocrinology

Question 1

catecholamines in urine, headaches, hypertension and palpitations

Answer 1

phaeochromocytoma

Question 2

tanned skin without being on holiday

Answer 2

primary addison’s

Question 3

increased shoe size, spade hands, wedding ring too tight

Answer 3

acromegaly

Question 4

signs of hyperthyroidism + eye disease

Answer 4

Grave’s

Question 5

moon face, proximal weakness, stretch marks, buffalo hump, abdo fat

Answer 5

Cushing’s

Question 6

ketones on breath

Answer 6

DKA

Question 7

deep laboured breathing (Kussmaul breathing)

Answer 7

metabolic acidosis DKA

Question 8

orphan annie nuclei

Answer 8

papillary thyroid cancer

Question 9

bone pain, stones, abdo pains and psychiatric problems

Answer 9

hypercalcaemia

Question 10

psammoma bodies

Answer 10

papillary thyroid cancers

Question 11

butterfly rash

Answer 11

SLE

Question 12

heat intolerance/palpiations

Answer 12

hyperthyroidism

Question 13

cold intolreance/weight gain

Answer 13

hypothyroidisim

Question 14

anosmia and isolated GnRH deficiency

Answer 14

kallmann’s syndrome

Question 15

trousseau sign, chvostek sign and QT prolongation on ECG

Answer 15

hypocalcaemia

Question 16

acute management of hypocalcaemia

Answer 16

IV calcium gluconate (10ml of 10% over 10 mins)

Question 17

brachydactyly of the 4th metacarpal

Answer 17

pseudohypoparathyroidism