Path: Endocrine, GI Flashcards

1
Q

T/F: 90% of Type 1 diabetics have an HLA association.

A

True

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2
Q

What is the HbA1C level (levels over 3 months) that means you have diabetes mellitus?

A

6.5%

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3
Q

T/F: Beta cells are impaired in type 2 diabetes mellitis.

A

False

Type 1

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4
Q

T/F: Diabetic ketoacidosis is most common in Type 1 diabetes.

A

True

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5
Q

T/F: Type 1 diabetics will gain weight.

A

False

Lose weight

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6
Q

T/F: Type 1 diabetes mellitis has a strong genetic predisposition.

A

False

Type 2

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7
Q

What should a fasting glucose level be?

A

Less than 126

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8
Q

T/F: Patients with diabetes insipidus have normal glucose levels.

A

True

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9
Q

What is impaired in patients with diabetes insipidus?

A

ADH production

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10
Q

What are the hallmark endocrine levels of patients with hypothyroidism?

A

High TSH

Low T4

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11
Q

TSH is made in the _______.

A

anterior pituitary

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12
Q

What are the symptoms of hypothyroidism?

A

Weight gain, cold intolerance, puffiness

Middle age females

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13
Q

What diseases can be associated with hypothyroidism?

A

Cretinism (kids), Myxedema (adults), Hashimoto’s thyroiditis

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14
Q

What are the symptoms of hyperthyroidism?

A

Weight loss, heat intolerance, increased energy

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15
Q

What dental effect can hyperthyroidism have on kids?

A

Premature eruption and loss of deciduous dentition

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16
Q

What will be the hallmark endocrine levels for hyperthyroidism?

A

Decreased TSH

Increased T4

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17
Q

What disease causes the majority of hyperthyroidism?

A

Graves disease - causes goiter

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18
Q

When could you have hyperthyroidism with elevated TSH and T4 levels?

A

TSH-secreting Pituitary tumor

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19
Q

What is the role of parathyroid hormone?

A

Increase blood calcium

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20
Q

What are some symptoms of a patient with hyperparathyroidism?

A
  1. Weak bones

2. Kidney stones

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21
Q

What are some symptoms of a patient with hypoparathyroidism?

A
  1. Tetany
  2. Muscle cramps
  3. Convulsions
  4. Mental changes
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22
Q

Which disease results in atrophy of the adrenal gland and low cortisol levels?

A

Addison’s disease

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23
Q

T/F: Patients with secondary Addison’s disease will have increased skin and oral pigmentation.

A

False

Secondary is due to less ACTH from pituitary

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24
Q

What is the treatment for Addison’s disease?

A

Exogenous cortisol

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25
What is the difference between Cushing's syndrome and Cushing's disease?
Cushing's disease is due to too much ACTH from pituitary - will cause hyperpigmentation
26
What are some symptoms of Cushing's syndrome?
Fat deposits, moon face, poor wound healing
27
What are the labs often seen with acute renal failure?
Low GFR, high BUN (urea, nitrogen), high creatinine ALL BAD
28
What are the two biggest causes of chronic renal failure?
Diabetes and hypertension
29
T/F: Nephritic syndrome results in elevated protein (>3.5) in the urine.
False Nephrotic! NephrO = excess prO
30
What disease is most often caused by E. coli from a UTI?
Pyelonephritis
31
What is the most common bacterial STD in the U.S.?
Chlamydia
32
What is the most common viral STD in the U.S.?
HPV
33
What is the treatment for Chlamydia? What must be added for ghonerhea?
Chlamydia: azithromycin or doxycyclin Ghonerhea: add cephtrioxone
34
What type of bacteria causes Syphilis?
Spirchete: Treponema Pallidum
35
What are the three areas of syphilis?
1. Sore at initial infection 2. Flu like 3. CNS involvment
36
T/F: BPH is a premalignant enlargement of the prostate.
False
37
T/F: BPH results in hyperplasia at the periphery of the gland.
False BPH: center of gland Adenocarcinom: periphery of gland
38
T/F: Alpha-blockers can help treat BPH.
True
39
What are two lab indications of prostate cancer?
1. Elevated PSA | 2. Elevated serum acid phosphatase
40
Where is the most common metastasis from prostate adenocarcinoma?
Bone
41
Defects in which genes can lead to breast cancer?
BRCA 1 or 2
42
What is the common cause of spina bifida?
Folic acid deficiency
43
What is a common cause of toxoplasmosis?
Cat poop
44
What are the two major causes of peptic ulcers?
1. H. pylori | 2. Chronic NSAID use
45
What happens during Barret's esophagus?
Change from squamous cell -> columnar Metaplasia
46
Which type of cancer can be caused by Barrett's esophogus?
Adenocarcinoma
47
Which inflammatory bowel disease has SKIP lesions?
Crohn's
48
_______ is only in the colon/rectum and has continuous lesions.
Ulcerative colitis
49
T/F: Crohn's involves cobblestone lesions.
True
50
What is the leading cause of cancer in men?
Prostate 2nd leading for deaths
51
What is the leading cause of cancer in women?
Breast 2nd leading for deaths
52
T/F: Colon cancer is the third most common in both men and women.
True Also third in deaths
53
Which cancer causes the most deaths?
Lung cancer
54
Which diseases increase the risk for colon cancer?
Familial polyptosis/Gardner's
55
What disease does not allow Cu to get into circulation and will result in accumulation of of Cu in the liver, brain, and cornea?
Wilson's disease
56
What enzymes are increased with hepatitis?
transaminases (AST/ALT)
57
Which viruses is the most common cause of liver transplant in the U.S.?
Hep C
58
Which enzyme will be higher in viral hepatitis?
Viral: ALT>AST Alcoholic: AST>ALT
59
Which Hepatitis viruses have vaccines?
A, B, and D C and E = no vaccine
60
Which hepatitis viruses are blood-born?
B, C, D A and E = fecal-oral
61
T/F: All hep viruses are ssRNA.
False Hep B is dsDNA
62
Which hepatitis virus causes increased risk for chronic disease, cirrhosis, and HCC?
Hep B and C Mostly Hep C!
63
T/F: In order for Hep D to infect the patient must have Hep B.
True
64
What is the third most common cause of death in middle aged people?
Liver cirrhosis
65
T/F: Cirrhosis will cause a build up of urea.
True
66
What is often the first sign of cirrhosis and portal hypertension?
Hematomesis and bleeding for esophageal varices
67
What causes jaundice?
Build up of bilirubin in blood
68
What is cholelithiases?
Gall stones
69
How can gall stones be diagnoses?
Murphy's sign
70
Which enzymes will be elevated in pancreatitis?
Lipase and amylase