Endo Flashcards

(25 cards)

1
Q

Thiamine deficiency

A

Vit B1 def - Beri-Beri
Wernicke/Korsakoff’s
Polyneuropathy
HF

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2
Q

Niacin deficiency

A

Vit b3 def - Pellagra
Dermatitis
Diarrhoea
Dementia (confusion)

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3
Q

Pyridoxine deficiency

A

B6 def
Anaemia
Irritability
Seizures

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4
Q

Biotin deficiency

A

B7 def
Dermatitis
Seborrhoea

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5
Q

Folic acid deficiency

A

Vit B9
Megaloblastic anaemia
NTD in preg

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6
Q

Tocopherol deficiency

A

Vit E
Ataxia
Peripheral neuropathy
Mild haemolytic anaemia in newborns

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7
Q

Naphthoquinone deficiency

A

Vit K
Haemorrhagic disease of newborn
Bleeding

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8
Q

Cerebral salt wasting fluid status

A

hypovolemic hypoNa

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9
Q

How long to stop statin before preg

A

3mths

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10
Q

FH genetics

A

AD
1 in 500
Mutations in LDL receptor gene

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11
Q

FH dx

A

Simon-Broome criteria
Total cholesterol >7.5 + LDL>4.9 +
Definite if - tendon xanthomata, 1st/2nd deg relative, DNA evidence
Possible if - MI <60yrs in 1st degree, <50yrs in 2nd degree, familial raised cholesterol

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12
Q

SCLC endo association

A

SIADH

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13
Q

Squamous cell lung carcinoma endo association

A

PTHrp

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14
Q

When to continue GLP-1

A

Reduction of HBA1c of 11
Weight loss of 3% in 1st 6mths

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15
Q

DPP-4 inhibitors mechanism

A

Inhibit incretin (e.g. GLP-1) breakdown

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16
Q

GLP-1 action

A

Inhibits glucagon secretion and increases insulin

17
Q

Drugs interfering with levothyroxine absorption

A

Calcium/Iron supplements, 4hrs apart from levothyroxine

18
Q

What is Kallman’s

A

Hypogonadotropic hypogonadism
X-linked recessive

19
Q

Kallman’s features

A

Anosmia + delayed puberty
Hypogonadism

20
Q

Kallman’s mx

A

Testosterone
Gonadotropins may help fertility

21
Q

Prolactinomas mx

A

1st line dopamine agonists - bromocriptine/cabergoline
2nd line trans-sphenoidal surgery

22
Q

Graves mx

A

Propranolol for initial sx
Carbimazole 1st line - either titrate or block and replace
Radioiodine therapy 2nd line

23
Q

Most-common cause of hypothyroid

A

Hashimoto’s

24
Q

Hashimoto’s associations

A

T1DM
Coeliac
Vitiligo
MALT lymphoma

25
Hashimoto's features
Firm non-tender goitre Anti-TPO + anti-thyroglobulin Abs