Endo 1 Flashcards

(60 cards)

1
Q

how will TBG T3 T4 look like in a woman who is taking post menopausal hormone replacement

A

Estrogen increases TBG
increases TOTAL T3 T4
normal free T3 T4
euthyroid hyperthyroxinemia

total is high cause most of t3 t4 is bound to ybg

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2
Q

undergo nuclear translocation to act on zinc finger proteins and ultimately alter targeted-gene expression.

A

vitamin D3
steroids
estro
progestro

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3
Q

increase peripheral sensitivity to insulin by binding to and stimulating the activity of nuclear transcription factors called peroxisome proliferator–activated receptors.

A

thiazolinadones
glitazones

SE edema weight gain hepatotoxic and CI in heart failure as increase risk of MI

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4
Q

what drug do u give prior to pheochromocytoma ressection

A

irreversible alpha antag

SE can be miosis or pupillary constriciton

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5
Q

antidiabetic meds that decrease glucagon release

A

eexanetide pramlintide
GLP1 analogues
pancreatitis and hyhpoglycemoa

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6
Q

FSH works on?

A

granulosa cells to make estrogen

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7
Q

what would be the immediated effects of OCP that cause low FSH

A

low esttogen in follicular phase

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8
Q

essential amino acid to make thyroid hormones

A

tyrosine

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9
Q

arginine is a precursor of

A

NO
creatinien
urea

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10
Q

tryptophan precursor for

A

niacin (b6) and serotonin (bh4 and b6)

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11
Q

Glucagon and epinephrine act via the Gs pathway, leading to an increase in protein kinase A levels which in turn increases

A

fructose 2,6 bisphosphate

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12
Q

dysfunctional signal recognition particle (SRP).

Where is this signal sequence most likely located?

A

The signal peptide that sends a protein into the (endoplasmic reticulum) ER during translation is composed of a series of hydrophobic amino acids found at the N-terminus of the protein, and is recognized by the signal-recognition particle (SRP).

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13
Q

tumors of the adrenal medulla in adults and are derived from chromaffin cells, which arise from

A

neural crest

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14
Q

Pheochromocytomas may be associated with germline mutations such as those responsible for

A

MEN2A, MEN2B, von Hippel–Lindau disease, and neurofibromatosis type 1.

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15
Q

responsible for ADH production.

A

The supraoptic nucleus of the hypothalamus

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16
Q

he lateral nucleus of the hypothalamus is thought to be

A

hunger center” of the brain. Damage to this area leads to anorexia and starvation,

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17
Q

in hypoglycemia wat happens to glucose uptake into b celll

A

still takes place

glut 2 is insulin inependnt

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18
Q

what is neurophysin 1 used for

A

transport of oxytocin from paraventricular nucleus

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19
Q

ADH is transported by

A

neurophysin II

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20
Q

post pituitary hormones are made in

A

supraoptic nucleus … paraventricular nucleus

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21
Q

what is the treatment in primary hyperaldosteronism

A

spirinolactone

inhibits aldosterone

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22
Q

hypokalemai is mostly assoc with which type of acid base imbalacnce

A

metabolic alkalosis due to increased H+ secretion

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23
Q

how does spironolactone cause gynecomastia

A

en because it decreases testosterone production, increases peripheral conversion of testosterone to estradiol, and displaces estradiol from sex hormone-binding globulin

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24
Q

Hyperuricemia has been associated with use of

A

thiazide diuretics

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25
ototoxicity (diuretic)
loop
26
Examples of hormones that act through the GPCR and cAMP-mediated signal transduction
FSH/LH, TSH, ACTH, ADH, PTH, and glucagon, calcitonin
27
Atrophy of pancreatic tissue with dystrophic calcification
chronic pancreatitis
28
Periportal inflammation and necrosis with ballooning degeneration of hepatocytes
hepatitis A
29
The classic triad of ascending cholangitis
right upper quadrant pain fever jaundice
30
recurrent yeast infections, hyperglycemia, low insulin and C-peptide levels, as well as a family history of gestational diabetes
maturity onset diabetes of ypung due to glucokinase gene modification glucokinase turns glucose into glucose 6 phosphate and promotes glycolysis ----- more ATP made ---- closees the K+ channels and insulin is secreted
31
17 alpha hydroxylase def
the only CAH to have a sex hormone def | so no testosterone .... female charactersitsics
32
first trimester pregnant girl hyperthyroidism txt?
PTU | methimazole is CI in first trimestwr
33
ethanol intoxication .... NAD NADH ratio
in ethanol metabolism NAD is used to make NADH | so NADH;NAD ratio is high .... stops gluconeogenesis tooooo
34
insulin and growth hormonesacts through which kind of cell surface receptor
tyrosine kinase
35
at risk for non hodgkin lymphoma
hypothyroid patients
36
complications of graves if not treated
fractures --- high level of thyroxin increases osteoclast activity life threatening thyroid storm fetal hyperthyroidism
37
glycoprotein hormone that is secreted from the interstitial cells of the kidney to increase RBC production. Upon erythropoietin binding to its receptor (EpoR), intracellular nonreceptor tyrosine kinases transduce signals via the JAK-STAT pathway.
erythropoetin
38
DKA triggers
infection steroid use no insulin
39
right adrenal vein vs left
The right adrenal vein drains directly into the IVC | Left drains into renal vein first
40
The adrenal medulla secretes catecholamines (epinephrine, norepinephrine, and dopamine) in response to
direct stimulation by preganglionic sympathetic neurons. These neurons use the neurotransmitter acetylcholine
41
deficiency of debranching enzyme
cori disease milder form of von gierke disease hypoglycemia and normal lactate levels
42
serine/threonine kinase receptor
transforming growth factor-beta is an example of a molecule that has its action mediated by a receptor serine/threonine kinase.
43
graves disease nodular or diffusely enlarged thyroid | also what type of antibodies
diffusely enlarged | anti TSH
44
21 vs 11 hydroxylase def
syncopal episodes can be distinguishing factor | wont occur in 11 .... coz of 11 deoxycortisone
45
bblocker overdose treatment
glucagon Beta blocker overdose can present with symptoms of cardiogenic shock, including pale and cool extremities, bradycardia, and hypotension.
46
what is the mechanism of red palms in liver cirrhosis
hyperesterinism | like testicular atrophy, gynecomastia, spider angiomas loss of hair
47
disulfiram-like reaction secondary to ethanol consumption at a cocktail party. diabetic patient
first degree sulfonylurea chlopropamide tolbutamide
48
ic SBLA cancer syndrome: Sarcoma, Breast, Leukemia, and Adrenal gland cancers.
li fraumeni p53 normally a tumor suppressor
49
vongierke
glucose 6 phosphatase def severe hypoglycemia increaed triglycerides increased lactic acid
50
cori disease
debranching enzyme | NO LACTIC ACID buildup
51
manifest at birth with symptoms of vomiting, hypotonia, and hypotension. catecholamine synthesis problem
dopamine B hydroxylase def
52
Increased levels of calcitonin are expected in patients with which type of cancer
medullary thyrooid cancer
53
Tall, crowded follicular epithelial cells with scalloped colloids
graves disease
54
Lymphocytic infiltrate with occasional germinal center formation
postpartum thyroiditis
55
Thyroid tissue replaced with inflammatory infiltrate
reidel thyroiditis | fibrosis may etend to nearby tissues
56
w inflammatory infiltrate with multinucleated giant cells
subacute thyroiditis viral self limiting increased ESR CRP
57
HLADR5 increases risk of
HASHIMOTOOOOO
58
76-year-old patient is found to have a large thyroid mass with pleomorphic spindle cells on biopsy. An x-ray also reveals metastasis to the lungs. This patient’s large mass is consistent histologically and clinically with a very aggressive tumor. The posterior spread and subsequent metastatic spread, along with his presenting symptoms, point to a diagnosis o
ANAPLASTIC CARCINOMA | poorly differentiated, pleomorphic cells on histology.
59
follicular thyroid carcinoma i
DISTANT hematogenous metastasis
60
polygonal to spindle-shaped cells with granular cytoplasm in an amyloid-filled stroma.
medullary thyroid carcinoma