Endocrine Flashcards Preview

PANCE > Endocrine > Flashcards

Flashcards in Endocrine Deck (37)
Loading flashcards...
1
Q

AM hyperglycemica triggered by insulin related hypoglycemia

A

somogyi effect

2
Q

AM hyperglycemia triggered by physiological release of cortisol growth hormone and catecholamines

A

dawn phenomenom

3
Q

what are increased levels of beta-hydroxybutyrate diagnostic of?

A

DKA

4
Q

what is sipple syndrome

A

MEN2a hyperparathyroid, medullarly thyroid chancer, pheo

5
Q

2 hormones released by the posterior pituitary

A

oxytocin and ADH

6
Q

stimulates testosterone production in men and ovary estrogen and progesterone production in women

A

LH

7
Q

spermatogenesis in men and develops ovarisn follicle in women

A

FSH

8
Q

tx for prolactinoma

A

dopamine agonists (cabergoline, bromocriptine) (caber is better tolerated)

9
Q

deficiency of vasopressin that causes increased thirst and large quantities of urine with low specific gravity

A

Diabetes insipidus

10
Q

common med that causes diabetes insipidus

A

lithium

11
Q

Tx for diabetes insipidus

A

Desmopressin

12
Q

Ectopic production of vasopressin that causes excessive vasopressin/ADH. Hyponatremia.

A

SIADH

13
Q

Tx of SIADH

A

d/c hypotonic fluids, restric free water. if bad hypertonic NaCl

14
Q

autoimmune disorder with autoantibodies to TSH associated with pernicious anemia, myasthenia gravis, DM, addison’s, celiac disease

A

Graves’ disease

15
Q

Type of thyroid cancer associated with MEN type 2

A

medullary carcinoma

16
Q

tumor marker in medullary carcinoma of the thyroid

A

calcitonin

17
Q

what does parathyroid hormone do?

A

increases serum calcium, decreases serum phosphorus

18
Q

What does PTH do in the kidney

A

increaes Vit D, increases calcium reabosprtion. Decreas reabsorption of phosphate and bicarb

19
Q

bones, stones, abdominal groans, psychic moans and fatigue overtones

A

hyperparathyroidism

20
Q

presents with tetany, muscle cramps, paresthesias around mouth and hands.

A

hypoparathyroidism

21
Q

what will DTRs be like with hypoparathyroidism

A

hyperactive DTRs

22
Q

labs with hypoparathyroidism

A

low serum calcium, high serum phosphate

23
Q

Tv for hypoparathyroidism

A

IV calcium gluconate, oral calcium

24
Q

2 drugs that reduce serum vitamin D levels

A

phenytoin, phenobarbital

25
Q

what lab is increased in osteomalacia

A

ALP (alk phos)

26
Q

tx for paget’s disease of the bone

A

bisphosphonates, calcitonin

27
Q

hypertension, hypokalemia and weakness.

A

primary aldosteronism

28
Q

tx for primary aldosteronism

A

spironolactone, eplerenone, or adrenalectomy

29
Q

glucocorticoid excess from excess ACTH secretion from a pituitary tumor

A

Cushing’s disease

30
Q

nonpituitary neoplasm that can cause cushign syndrome

A

small cell carcinoma

31
Q

only cause of cushing syndrome that has low ACTH due to negative feedback

A

adrenal tumor (adenoma)

32
Q

test for addison’s disease

A

cosyntropin stimulation test

33
Q

has hyponatremia, hyperkalemia, low cortisol levels and increased ACTH

A

addison’s disease

34
Q

noctural hypoglycemia which causes reactive morning hyperglycemia

A

somogyi effect

35
Q

tx for somogyi effect

A

decrease amount of bedtime insulin

36
Q

on awakening cortisol rise causes hyperglycemia

A

dawn phenomenon

37
Q

tx for dawn phenomenon

A

increase in bedtime insulin