Pance endocrine round 2 8/15 Flashcards Preview

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Flashcards in Pance endocrine round 2 8/15 Deck (82)
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1

where is CRH produced and what effect does it have

- hypothalamus
- produce more ACTH

2

what is the location of a primary disorder

at the gland level

3

what effect does an adrenal adeonoma have on cortisol

increase

4

anti thyrogloblin antobody what pathology

hashimotos

5

thyroid stimulating antibodies what pathology

graves

6

what are the three meds you give for a thyroid storm

- PTU
- Beta blocker
- Glucocorticoids

7

thyroid brui think what

graves

8

what is the MC type of thyroid nodules

follicular adenoma

9

how often do you monitor a thyroid nodule with US

every 6- 12 months

10

what is the MC type of thyroid cancer

papillary

11

what is another name for Vit D

Calcitrol

12

what is the MC cause of hyperparathyroidism

patrathyrois adnenoma

13

what are the DTR with hypercalcemia

decreased

14

what are the DTR with hypothroid

decreased

15

what are the 2 MCC of hypoparathyroidism

- surgery
- autoimmune

16

what are the 3 big physical exam signs of hyperparathyrod hormone

- trousseau's
- chvosteks
- Increased DTR

17

how do you tx hypoparathyroidism

- Ca gluconate
- Vit D

18

what part of the EKG is effected by calcium

QT interval

19

hypocalcemia what effect of QT

long

20

3 tx for hypercalcemia

- saline
- fursemide
- bisphosphenates

21

inc PTH and hypocalcemia what pathology

renal osteodystrophy

22

-brown tumors
- salt pepper on X ray skull

renal osteodystrophy

23

how do you tx riskets

- vit D (ergocalciferol)

24

what kidney disease has too much phosphate

- renal osteodystrophy

25

how do you tx renal osteodystrophy 2

- phosephate binders
- sevelamer

26

what gland produces ACTH

pituitary

27

what is the main cause of chronic adrenocortico insufficiency (primary: addisons, Secondary: pituitary)

Secondary: pituitary

28

what is the 2 main primary adrenocortico insufficiency (addiosns caused)

- autoimune
- infection

29

what is the main secondary adrenocortico insufficiency

- exogenous steroid use

30

what are the 4 metabolic disorders associated with addidosns

hyponatremia
hypoglycemia
hyperkalemia
metabolic acidosis