Deck 73: Endocrine Flashcards Preview

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Flashcards in Deck 73: Endocrine Deck (44)
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1

3 treatment options for Graves

Anti-thyroid drugs
radioactive iodine therapy
thyroidectomy

2

Patient with sore throat and fever taking Methimazole?

agranulocytosis
stop drug

3

name 2 antithyroid drugs

propylthiouracil
Methimazole

4

black box warning for propylthiouracil

severe liver injury

5

what do you give first trimester pregnancy when patient is hyperthyroid

Propylthiouracil

6

insulin is made from what cells

beta-cells

7

hypothyroidism can cause what metabolic abnormalities? what some metabolic conditions these patients have

-hyperlipidemia
- hyponatremia
- asymptomatic Cr and serum transaminases increase

- hypercholestrolemia
- hypertriglyceridemia

8

initial screening test for primary hyperaldosteronism? confirmatory test

plasma aldosterone/ plasma rennin

Adrenal suppression

9

most sensitive test for adrenal adenoma vs. bilateral adrenal hyperplasia in patients without discrete unilateral adrenal mass on imaging

adrenal venous sampling

10

first line treatment for central Diabetes insipidus

Desmopressin (intranasal)

11

what distinguishes central and nephrogenic diabetes

water deprivation and then give desmopressin

central: increase urine osmolality

12

Treatment for polycystic ovary syndrome

weight loss
oral contraceptive ( estrogen and progestin)

13

Best markers for indicating resolution of DKA are

- serum anion gap
- beta-hydroxybutyrate levels

14

who should always receive a statin regardless

diabetic age 40-75

15

what is A1c level with adequately controlled diabetes

less than 7.0

16

fever, neck pain, and a tender goiter following an upper respiratory illness

subacute ( de Quervain ) thyroiditis

17

treatment for subacute (de Quervain) thyroiditis

symptomatic with beta blockers and NSAIDS

18

weight gain, psychiatric symptoms, hirsutism, hypertension and hyperglyciemia

cushing

19

what causes milk-alkali syndrome

excessive intake of calcium and absorbable alkali

20

in hyperthyroidism increased radioactive iodine uptake suggests

de novo thyroid hormone synthesis

21

in hyperthyroidism, decreased radioactive iodine uptake suggests

release of preformed hormone or exogenous hormone intake

22

thyrotoxicosis due to exogenous thyroid hormone is characterized by

low serum thyroglobulin levels

23

most common cause of neuropathic ulcers

diabetes

24

treatment for primary hyperparathyroidism who present with symptoms or have increased risk of complication

parathyroidectomy

25

Anorexia, nausea, vomiting, early satiety, postprandial fullness, and impaired glycemic control

diabetic gastroparesis

26

treatment for diabetic gastroparesis

Prokinetic agents
metoclopramide, erythromycin, cisapride

27

how does carcinoid tumor cause of vitamin deficiency

- increases production of serotonin from tryptophan ( required for niacin)

28

what drug is used to prevent diabetic nephropathy

ACE inhibitors

29

what is used to predict the risk of future ulcers in diabeteics

monofilament testing

30

fine-needle aspiration biopsy of thyroid shows
large cells with ground glass cytoplasm, pale nuclei contaning inclusion bodies and central grooving consistent with papillary thyroid cancer

papillary thyroid cancer