D and E

Question 1

What is Addisons

Answer 1

Low ACTH

Question 2

Addisons bloods

Answer 2

Hyponatraemia, hyperkalaemia

Question 3

Addisons investigation

Answer 3

Short Synacthen and 9am plasma cortisol

Question 4

Addisons management

Answer 4

IV hydrocortisone and oral fludrocortisone

Question 5

Fever, painful thyroid

Answer 5

De Quervains thyroiditis

Question 6

Mx of De Quervains

Answer 6

NSAIDs and BB

Question 7

Graves antibodies

Answer 7

anti-TSH, antimicrosomial

Question 8

Management of throid storm

Answer 8

IVI, BB, carbimazole

Question 9

Hashimotos thyroiditis

Answer 9

Anti-TPO and anti-thyroglobulinM

Question 10

Myxoedema coma mx

Answer 10

IV T3, glucose and warm up

Question 11

Define delayed puberty

Answer 11

No pubertal signs in girls <13
No pubertal signs in boys <14

Question 12

Primary hypogonadism hormones

Answer 12

raised FSH and LH

Question 13

Amlodipine overdose management

Answer 13

IV saline + IV calcium chloride

Question 14

What channel does amlodipine work on

Answer 14

L-type

Question 15

Hypothyroidism is associated with what

Answer 15

Carpel tunnel

Question 16

If treating for a myxoedema coma, what else should you treat

Answer 16

Need to also treat for Addisons therefore also give IV hydrocortisone

Question 17

Hyperthyroid in pregnancy

Answer 17

Carbimazole in final trimester
Propylthiouricil when breast feeding

Question 18

Graves antibody

Answer 18

TSH receptor stimulating antibody