endocrine

Question 1

catecholamines in urine, headaches, hypertension and palpitations

Answer 1

Phaeochromocytoma

Question 2

tanned skin no holiday

Answer 2

Addison’s

Question 3

increased shoe size, ‘spade hands’, wedding ring too tight

Answer 3

Acromegaly

Question 4

signs of hyperthyroidism plus eye changes, gritty eyes, smooth velvety skin

Answer 4

Grave’s disease

Question 5

moon face, proximal weakness, stretch marks, buffalo hump, abdominal fat

Answer 5

Cushing’s

Question 6

ketones on breath (sweet smelling)

Answer 6

Diabetic Ketoacidosis

Question 7

Deep laboured breathing (kussmaul breathing)

Answer 7

metabolic acidosis

Question 8

“Orphan Annie” nuclei

Answer 8

Papillary thyroid cancer

Question 9

Bone pain, stones, abdominal pain, psychiatric problems (bones, stones, groans, moans)

Answer 9

Hypercalcaemia (hyperparathyroidism)

Question 10

Psammoma bodies

Answer 10

found in papillary thyroid carcinomas

Question 11

butterfly rash

Answer 11

Systemic Lupus Erythematosus

Question 12

heat intolerance and palpitations

Answer 12

hyperthyroidism

Question 13

cold intolerance and weight gain

Answer 13

hypothyroidism

Question 14

anosmia and isolated GnRH deficiency

Answer 14

Kallmann’s syndrome

Question 15

Trousseau sign, Chovstek sign and QT prolongation

Answer 15

hypocalcaemia

Question 16

acute hypoglycaemic management

Answer 16

IV calcium gluconate (10ml of 10% calcium gluconate over 10 mins in 50% dextrose or saline)

Question 17

Brachydactyly of the 4th metacarpal

Answer 17

Pseudohyperparathyroidism