Mixed

Question 1

Insulin-induced hypoglycemia testing is contraindicated in what conditions?

Answer 1

“DICEE”

DM
IHD
CVD
Epilepsy
Elderly

Question 2

What are the screening tests for functional pituitary adenoma?

Answer 2

Acromegaly
-IGF-1
-GH

Prolactinoma
-Serum PRL

Cushings
-24 urine cortisol

Question 3

Level of Serum PRL that will make you maintain dopamine agonist

Answer 3

< 20 ug/L

Question 4

What is the intial treatment of GH secreting adenomas?

Answer 4

Surgical resection

Question 5

If there is discordant urine osm and urine volume, what lab test can be taken to assess adequacy?

Answer 5

Total urine creatinine

20-30 mg/kg/day

Question 6

Maintenance TSH level for hypothyroid for those wanting to be pregnant?

Answer 6

TSH < 2.5

Question 7

During pregnancy, Levothyroxine should be increased by how many %?

Answer 7

45% to nine doses weekly

*Measure monthly until 20 weeks
*Post 20 weeks, q6-8 weeks

Question 8

Serum TG usually increased in all types of thyrotoxicosis except?

Answer 8

Thyrotoxicosis factitia

Question 9

Indications for starting levothyroxine for subclinal hypothyroidism?

Answer 9

Wishing to be pregnant
TSH >10 miU/mL

Question 10

Increased levothyroxine requirement for the ff condition

Answer 10

OCP
SERM
Malabsorption
Drugs (PPI, Sevelamer, CA supplementation, Ferrous, Amiodarone, ALOH, Carbmazepine, Phenytoin)

Question 11

Most common pattern in SES

Answer 11

Low unbound or total FT3; normal TSH and FT4

Question 12

Adrenal Size and CT density suggestive of adrenal malignancy

Answer 12

Size: > 4 cm
CT density > 20 HU

Question 13

At what DHEAS level will you consider adrenal tumor?

Answer 13

> 18 umol/> or > 7000 ug/L

Question 14

Whats the most common cause of female infertility?

Answer 14

Tubal defect

Question 15

Whats the most common cause of ovulatory dysfunction?

Answer 15

Hypothalamic/Pituitary

2. PCOS
3. POF
4. Uterine/outflow tract disorders

Question 16

When to start pharmacotherapy and bariatric surgery with and without comorbids?

Answer 16

27 - w/ comorbids
30 - without

35 - w/ comorbids
40 - without

Question 17

CBG when you should delay exercise

Answer 17

> 250 + ketones present
< 100

Question 18

2 FDA approved drugs for painful DM neuropathy?

Answer 18

Pregabalin
Duloxetin

Question 19

Medication for hypertrig > 500 despite lifestyle management?

Answer 19

Fenofibrates

Question 20

Which of the following is the most important concept in the approach to his weight loss?

Answer 20

Caloric restriction

Physical activity for maintenance of weight loss

Question 21

Biochemical profile of diffuse nontoxic goiter

Answer 21

Low FT4, normal FT3 and TSH