Endo

Question 1

insulinoma findings for

Answer 1

insulin level HIGH
c-peptide level HIGH

Question 2

subclinical hyperthyroidism is associated with

Answer 2

atrial fibrillation
osteoporosis
dementi

Question 3

hypoglycaemia with impaired GCS?

Answer 3

IV glucose
100mL of 20% glucose IV stat

Question 4

what test diagnoses addisons?

Answer 4

short synacthen test

Question 5

Mx of myxoedema coma?

Answer 5

IV hydrocortisone and thryoxine

Question 6

when can liraglutide be given?

Answer 6

Mx of obesity

2nd line medical

Question 7

Mx of obesity?

Answer 7

conservative
medical
> orlistat
> liraglutide

surgical

Question 8

orlistat MOA?
indication?

Answer 8

pancreatic lipase inhibitor

BMI 28kg/m and RF
BMI 30 or more

Question 9

Liraglutide?

Answer 9

glucagon like peptide mimetic

subcut daily injection

BMI 35
prediabetic hyperglyacaemia 42-47

Question 10

calcium mimetic

Answer 10

cinacalcet

Question 11

most common complication thyroid eye disease?

Answer 11

exposure keratopathy

Question 12

Diabetes, hypoglycaemia and Driving

Answer 12

2 hypoglycaemic episodes > surrender driving licence

Question 13

DKA resolution?

Answer 13

pH >7.3
blood ketone <0.6
bicarb >15

Question 14

when would metformin be contraindicated?

Answer 14

poor renal function
<30 EGFR

Question 15

t1dm targets?

Answer 15

5-7 mmol/l

4-7 mmol/l

Question 16

moa of sitagliptin?

Answer 16

dpp-4 inhibitor

reduces peripheral breakdown of incretins such as GLP-1

Question 17

diabetic neuropathy
Mx

Answer 17

1st line :
duloxetine
gabapentin
amitryptyline
pregabalin