Endocrinology Flashcards

1
Q

The most common cause of hypothyroidism.

A

Hashimoto’s thyroiditis.

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2
Q

Lab findings in Hashimoto’s thyroiditis.

A

High TSH, low T4, anti-TPO antibodies.

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3
Q

Exophthalmos, pretibial myxedema, and decreased TSH.

A

Grave’s disease.

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4
Q

The most common cause of Cushing’s syndrome.

A

Iatrogenic corticosteroid administration. The second most common cause is Cushing’s disease.

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5
Q

A patient presents with signs of hypocalcemia, high phosphorus, and low PTH.

A

Hypoparathyroidism.

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6
Q

“Stones, bones, groans, psychiatric overtones.”

A

Signs and symptoms of hypercalcemia.

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7
Q

A patient complain of headache, weakness, and polyuria; examination reveals hypertension and tetany. Labs show hypernatremia, hypokalemia, and metabolic alkalosis.

A

Primary hyperaldosteronism (due to Conn’s syndrome or bilateral adrenal hyperplasia).

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8
Q

A patient presents with tachycardia, wild swings in BP, headache, diaphoresis, altered mental status, and a sense of panic.

A

Pheochromocytoma.

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9
Q

Which should be used first in treating pheochromocytoma, alpha or beta antagonist?

A

alpha-antagonist (phentolamine or phenoxybenzamine).

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10
Q

A patient with a history of lithium use presents with copious amounts of dilute urine.

A

Nephrogenic diabetes insipidus (DI).

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11
Q

Treatment of central DI

A

Administration of DDAVP and free-water restriction.

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12
Q

A postoperative patient with significant pain present with hyponatremia and normal volume status.

A

SIADH due to stress.

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13
Q

An antidiabetic agents associated with lactic acidosis.

A

Metformin.

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14
Q

A patient presents with weakness, nauseas, vomiting, weight loss, and new skin pigmentation. Labs show hyponatremia and hyperkalemia. Treatment?

A

Primary adrenal insufficiency (Addison’s disease). Treat with glucocorticoids, mineralocoritcoids, and IV fluids.

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15
Q

Goal HbA1C for patient with diabetes mellitus (DM)

A

< 7.0

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16
Q

Treatment of DKA.

A

Fluids, insulin, and electrolyte repletion (eg K+).

17
Q

Why are B-blockers contraindicated in diabetics?

A

They can mask the symptoms of hypoglycemia.