Endocrine Flashcards

(45 cards)

0
Q

Corticroph adenoma devt after surgical removal of adrenal glands

A

Nelson syndrome

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1
Q

Pituitary apoplexy triad

A

HA
Diplopia
Hypopituarism

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2
Q

Water deprivation test
CDI
NDI

A

UOsm inc >50% from baseline

<50% from baseline

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3
Q

MCC of SIADH

A

Small cell lung ca

Chlorpropramide

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4
Q

MCC pediatric hypopituitarism
Rathke’s pouch remnants
WNT

A

Craniopharyngoma

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5
Q

2 types of craniopharyngoma

A

Adamantinomatous children wet keratin lamellar

Papillary adult

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6
Q

Hypothyroidism
Children
Adult

A

Cretinism

Myxedema (Gull disease)

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7
Q

Somatotroph adenoma
Children
Adult

A

Gigantism

Acromegaly

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8
Q
CTL4 polymorphisms
MCC hypothyroidis
Anti thyroglobulin
Anti TPO
Atrophic thyroid follicles lined by Hurthle cells
A

Hasimoto thyroiditis

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9
Q

Coxsackievirus
MCC painful thyroid gland
Multinucleate giant cells

A

Subacute De quervain thyroiditis

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10
Q

Painless thyroiditis

Postpartum

A

Lymphocytic thyroiditis

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11
Q

Woody or fibrous thyroid

A

Reidel thyroiditis

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12
Q

Diffuse thyroid hypertrophy and hyperplasia

Infiltrative ophthalmopathy

A

Graves disease

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13
Q

Multi lobulated goiter grows behind sternum and clavicles

No capsule between hyperplastic nodules and residual compressed thyroid

A

Intrathoracic or plunging goiter
Vs follicular ca

MNTG

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14
Q

Autonomous nodule in long standing goiter producing hyperthyroidism

A

Plummer syndrome

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15
Q

Follicular adenoma with oxyphilia

A

Hurthle cell adenoma

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16
Q

MC primary thyroid ca in adults
Orphan Annie
Psamomma bodies
Lymphatic

A

Papillary thyroid cancer

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17
Q

Solitary cold nodule
Dietary iodine deficiency
Bone mets

A

Follicular thyroid ca

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18
Q

Past history of well differentiated tumor
Worst prognosis
Pleomorphic giant cells mixed with sarcomatous spindle cells
Cytokeratin marker

A

Anaplastic thyroid ca

19
Q
Parafollicular cell origin
Calcitonin
Neuroendocrine
Acellular amyloid deposits
C cell hyperplasia
A

Medullary thyroid ca

20
Q

MCC primary hyperPTH
Centrally placed nuclei
Endocrine atypia

A

Parathyroid adenoma

21
Q

Water clear cell hyperplasia

A

Primary hyperplasia

22
Q

MCC secondary hyperPTH

A

Renal failure

23
Q

MCC hypoPTH

A

Previous thyroid surgery

24
Autoantibodies of T1DM
Anti insulin Anti GAD Anti ICA512
25
MCC death in diabetics
MI
26
Capillary BM thickening Diffuse mesangial sclerosis Nodular glomerulosclerosis
Kimmelstein wilson nodules | DM
27
Renal papillary necrosis
Pyelonephritis
28
MC pancreatic endocrine neoplasm
Insulinoma
29
Whipple triad
Hypoglycemia sx Low plasma glucose Relief of sx upon glucose administration Insulinoma
30
Solitary tumors composed of giant islet cells and amyloid deposits Islet hyperplasia
Nesidioblastosis | Insulinoma
31
Mild DM Necrolytic migratory erythema Anemia
A cell tumors | Glucagonomas
32
MCC hypercortisolism (Cushing syndrome)
Exogenous glucocorticoids
33
Pale and homogenous pituitary gland
Crooke Hyaline change | Hypercortisolism
34
High dose dexamethasone Cortisol levels ACTH levels
Pituitary CS low high Adrenal CS normal low Ectopic CS normal high
35
MC sign of primary hyperaldosteronism
Hypertension
36
Renin levels Primary Hyperaldosteronism Secondary
Dec | Inc
37
Eosinophilic laminated cytoplasmic inclusions
Spironolactone bodies | Aldosterone producing adenomas
38
MC enzyme deficiency in CAH
21 hydroxylase deficiency
39
``` Lipid depleted cells Corticorroph hyperplasia in pituitary Inc 17 ketosteroids 17 hydroxyprogesterone Dec 27 hydroxycorticoids ```
CAH
40
Pheochromocytoma | 10
``` Extraadrenal (parangangliomas) B Malignant Not hpn Germline mutation ```
41
Zellballen Salt and pepper chromatin Chromogranin and synaptophysin neuroendocrine markers
Pheochromocytoma
42
Parathyroid adenoma or hyperplasia Pancreatic tumors Pituitary tumors esp prolactinoma
Men 1 wermer syndrome
43
Pheochromocytona Medullary ca Parathyroid hyperplasia
Men 2a sipple syndrome
44
Pheochromocytoma Medullary ca Neuromas or ganglioneuromas
Men 2B