Day 3 - Endo1 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 3 - Endo1 Quiz > Flashcards

Flashcards in Day 3 - Endo1 Quiz Deck (15):
1

Exophthalmos, most likely cause

Graves' disease

2

Diabetic gastroparesis dx & tx

Gastric emptying study; Metoclopramide (most common), Cisapride, Erthyromycin, Domperidone

3

Hyperthyroid disease radioactive iodine most likely to result in hypothyroidism: (1) Graves' disease (2) Toxic multinodular goiter (3) Toxic adenoma

Graves' disease (taken up by functional thyroid tissue in entire gland, not just hyperfunctional adenomatous tissue)

4

Tx of most common cause of hyperthyroidism

Graves' disease - radioactive iodine preferred over surgery (if pregnancy, surgery), other indications for surgery - coexisting thyroid nodule, very large goiter

5

Causes of hypoglycemia in non-diabetic pt

Insulinoma, exogenous insulin or sulfonylureas, alcohol-induced fasting, adrenal insufficiency

6

DKA p/w

Kussmaul breathing, weight loss, vomiting w/o diarrhea, polydipsia, polyuria

7

Non-thyroid lab findings may cause suspicion for thyroid disease

Hyperlipidemia, Unexplained hyponatremia, Elevated serum CPK

8

Hyperthyroidism pt w/ elevated anti-TPO antibodies at increased risk of which cancer

Thyroid lymphoma; Hashimoto's thyroiditis

9

Cause of hyperthyroidism in pt p/w (1) extremely tender thyroid (2) pretibial myxedema (3) pride? and recent weight loss in athletic professional? (4) palpation of single thyroid nodule (5) multiple thyroid nodules (6) recent imaging study using contrast & Jod-Basedow phenomenon, eye changes including edema, proptosis (7) History of thyroid surgery

(1) de Quervain's thyroiditis (2) Graves' disease (3) exogenous thyroid abuse (4) Toxic adenoma (5) Toxic multinodular goiter (6) Graves' disease (7) Excess thyroid hormone replacement

10

Next step: new nodule in pt w/ hyperthyroidism

TSH, Free T4; If hyperthyroidism, radionuclide scan

11

3 newer diabetic drugs

Exenatide, sitagliptin, Prametide

12

w/u etiology of dka

R/o infx (blood/urine cultx, cxr, U/A), Toxicology (amphetamines), Amylase/Lipase (pancreatitis), EKG (if age > 30, q 8 hrs along with serial troponins)

13

Thyroid abnormalities expect during pregnancy

TBG elevated, Total T4 elevated, Free T4 normal

14

Most common complications of thyroid surgery

Damage to recurrent laryngeal nerve (hoarseness) & parathyroids (hypocalcemia)

15

Tx proliferative diabetic retinopathy; Tx peripheral neuropathy

Laser photo coagulation; Gabapentin, pregabalin, duloxetine; Also important for both, control glucose level

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