endocrinology

Question 1

catecholamines in the urine, headaches, hypertension and palpitation

Answer 1

phaeochromocytoma

Question 2

tanned skin without reason

Answer 2

addisons

Question 3

increased shoe size, spade hands, wedding ring too tight

Answer 3

acromegaly

Question 4

moon face, roximal weakness, stretch marks buffalo hump, abdo fat

Answer 4

cushings

Question 5

ketons on breath

Answer 5

DKA

Question 6

signs of hyperthyroidism plus eye changes, smooth velvety skin

Answer 6

graves

Question 7

deep labored breathing / kussmaul breathing

Answer 7

metabolic acidosis (DKA)

Question 8

orphan annie nuclei

Answer 8

papillary thyroid cancer

Question 9

bone pain, stones, abdo pain, psychiatric problems

Answer 9

hypercalcaemia (hyperparathyroidism)

Question 10

psammoma bodies

Answer 10

found in papillary thyroid carcinomas

Question 11

butterfly rash

Answer 11

SLE

Question 12

heat intolerance, palpitations

Answer 12

hyperthyroidsim

Question 13

cold intolerance, weight gain

Answer 13

hypothyroidism

Question 14

anosmia and isolated GnRH deficiency

Answer 14

kallmann’s syndrome

Question 15

trousseau sign, chvostek sign and QT prolongation

Answer 15

hypocalcaemia

Question 16

acute management of hypocalcaemia

Answer 16

IV calciujm gluconate

Question 17

brachydactyly of the 4th metacarpal

Answer 17

pseudohypoparathyroidism