Endocrine Flashcards

(50 cards)

1
Q

Overall affect of Insulin (7)

A
  1. Increase glucose transport into muscle and adipose tissue
  2. Increase glycogen sythesis and storage
  3. Increase TG synthesis
  4. Increase Na retention by kidneys
  5. Increase protein syntheis
  6. Increase cellular uptake of K and AA
  7. Decrease glucagon release
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2
Q

Function of Prolactin

A

Stimulates Milk production

Inhibts ovulation

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3
Q

Cortisol funciton is a BIG FIB

A
  • Blood Pressure increased
  • Insulin resistance increased
  • Gluconeogenesis, lipolysis and proteolysis increased
  • Fibroblast activity decreased (causes striae**)
  • Inflammatory and Immune responses decreased
  • Bone function decreases
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4
Q

What are common causes of Decreased Mg causing an Increase in PTH

A
  1. Diarrhea
  2. AG
  3. Diuretics
  4. Alcohol abuse
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5
Q

Hormones that use cAMP

FLAT ChAMP

A
  • FSH
  • LH
  • ACTH
  • TSH
  • CRH
  • hCG
  • ADH (V2)
  • MSH
  • PTH
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6
Q

Hormones that use IP3

GOAT HAG

A
  • GnRH
  • Oxytocin
  • ADH (V1)
  • TRH
  • Histamine (H1)
  • ATN 2
  • Gastrin
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7
Q

Hormones that use Steroid receptors

VETTT CAP

A
  • Vit D
  • Estrogen
  • Testosterone
  • T3/T4
  • Cortisol
  • Aldosterone
  • Progesterone
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8
Q

T3 function

4 B’s

A

Brain maturation

Bone growth

β-adrenergic

BMR increased

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9
Q

Wolff-Chiakoff effect

A

Excess iodine temporarily inhibits thyroid peroxidase causing a decrease in T3/T4

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10
Q

T4 converted to T3 via

A

5’-deiodinase in peripheral tissues

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11
Q

What inhibites both Peroxidase and 5’-deiodinase

A

PTU

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12
Q

Methimazole inhibits

A

Peroxidase

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13
Q

Cushing syndrome is an

A

Increase in Cortisol

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14
Q

Cushing syndrome findings (10)

A
  1. HT
  2. Weight game
  3. moon face
  4. Truncal obesity
  5. Buffalo hump
  6. Hyperglycemia
  7. Skin thinning and striae
  8. Osteoporosis
  9. Amenorrhea
  10. Immune suppression
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15
Q

Conn syndrome is

A

Primary Hyperaldosteronism

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16
Q

Addison disease is

A

Chronic primary adrenal insufficiency due to adrenal atrophy or destruction

Involves all 3 cortical divisions sparing medulla

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17
Q

Most common tumor of adrenal medulla in children is

A

Neuroblastoma

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18
Q

Most common tumor of the adrenal medulla in adults is

A

Pheochromocytoma

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19
Q

Pheochromocytoma derived from

A

Chromaffin cells

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20
Q

Pheochromocytoma associated with

A

VHL

RCC

MEN 2A and 2B

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21
Q

Signs/Symptoms of Hypothyroidism (8)

A
  1. Cold intolerance (decrease heat production)
  2. Weight gain with decreased appetite
  3. Hypoactivity, lethargy, fatigue, weakness
  4. Constipation
  5. Decrease reflexes
  6. Myxedema (facial/preorbital)
  7. Dry, cool skin with coarse brittle hair
  8. Bradycardia
22
Q

Signs/Symptoms of Hyperthyroidism (8)

A
  1. Heat intolerance (increase heat production)
  2. Weight loss with increased appetite
  3. Hyperactivity
  4. Diarrhea
  5. Increased reflexes
  6. Pretibial myxedema (GRAVES)
  7. Warm, moist skin with fine hair
  8. Chest pain, palpatations, arrhythmia
23
Q

Hürthle cells seen in

24
Q

Hashimoto HLA

25
**6 P**'s of Cretinism (**Congenital hypothyroidism**)
1. **P**ot-bellied 2. **P**ale 3. **P**uffy-faced child 4. **P**rotruding umbilicus 5. **P**rotuberant tonge 6. **P**oor brain
26
Treat Thyroid storm in Graves with **3 P's**
1. **P**ropranolol 2. **P**TU 3. **P**rednisolone
27
What is seen in Papillary Carcionoma of Thyroid
Orphan Annie eyed nucleus Psammoma bodies Nuclear
28
Amyloid stroma seen in what thype of Thyroid cancer
Medullary
29
Treatment ofr Acromegaly
Octreotide (**somatostatin**) Pegvisomant (**GH receptor antagonist**)
30
What reflects average blood glucose over prior 3 months
HbA1c
31
Rapid acting Insulin do not **LAG**
**L**ispro **A**spart **G**lulisine
32
Long acting insulin are
Glargine Detemir
33
Metformin is oral, first-line thearpy in
Type 2 DM
34
Metformin contraindicated
in renal failure b/c Causes lactic acidosis
35
Sulfonylureas MOA
* Close K channel in β-cell membrane causes cell to depolarize * Depolarization tirggers insulin release via increase Ca influx
36
First generation Sulfonylureas
Tobutamide Chlorpropamide
37
Second generation Sulfonylureas
Glyburide Glimepiride Glipizide
38
First generation Sulfonylureas toxicity
Disulfiram
39
Second generation sulfonylureas toxicity
Hypoglycemia
40
-glitazone MOA
Increase insulin sensitivity in peripheral tissue by bingin to PPAR-γ nuclear transcription regulator
41
-glitazone toxicity
Weight gain Edema Hepatotoxicity HF
42
Acarbose is
α-glucosidase inhibitor delaying sugar hydrolysis and glucose absorption
43
Pramlintide is
Amylin analog causing decreased glastic emptying and decrease glucagon
44
GLP-1 analogs are
Exenatide Liraglutide
45
Action of GLP-1 analogs
Increase insulin and decrease glucagon release
46
GLP-1 analogs toxicity
Pancreatitis
47
-Gliptins are
DPP-4 inhibitor Increases Insulin and decreases glucagon release
48
Octreotide is
Somatostatin analog
49
DDAVP is
ADH analog
50
Demeclocyline is
ADH antagonist