Quiz #2 Flashcards Preview

Question 1

1

DDX for fatigue

Answer

Cancer
Anemia
Depression
Endocrine
Malabsorption/Nutritional Def.
HIV
Sleep Apnea

Question 2

2

3 Most common causes of fatigue

Answer

Depression
Thyroid
Anixety

Question 3

3

Anemia PE Findings

Answer

Conjunctiva pallor
Nail beds pallor
SOB; tachycardia
Delayed cap refill
Petechiae
Jaundice

Question 4

4

Labs to order for fatigue

Answer

CMP
CBC with iron panel
Thyroid panel
Lipid panel
UA
Glucose
Hemoccult

Question 5

5

Risk factors for DM

Answer

Age > 45 y/o
1st degree relative with DM
HTN
Dyslipidemia
Gestational DM
Obesity
Sedentary lifestyle

Question 6

6

Diagnosis Criteria for DM

Answer

1. two fasting glucose > 126
2. one glucose level > 200 w/ sx
3. A1c > 6.5%
4. positive 2 hr oral glucose tolerance test

Question 7

7

Signs/Symptoms of hypothyroidism

Answer

Constipation
Weight gain
Fatigue
Hair loss
Constipation
Menstrual irregularities
Cold intolerance

Question 8

8

PE Exam Findings for hypothyroidism

Answer

Weight gain
Hair loss
Decreased/slow relaxation phase on DTRs
Dryness in skin

Question 9

9

Labs for hypothyroidism

Answer

CBC
CMP
Thyroid panel
Iron study (after thyroid result)
Blood glucose
Lipid panel

Question 10

10

Signs/Symptoms of hyperthyroidism

Answer

Weight loss
heat intolerance
Anxiety
Palpitations
Tachycardia
Hyperdefecation
Menstrual irregularities

Question 11

11

PE Findings of hyperthyroidism

Answer

Exophthalmos
Pretibial myxedema
Tachycardia
Dry skin
Lid retraction
Thyroid may be diffuse, firm
Hyperactive bowel sounds
Tremor

Question 12

12

Tx for hyperthyroidism

Answer

Methimazole
PTU
Radioactive Iodine Ablation
Beta Blocker

Question 13

13

Risk Factors for Thyroid Cancer

Answer

Head/Neck Radiation
Family hx of thyroid CA
Rapid growth
Hoarseness, vocal cord paralysis
Dysphagia
Calcifications (salted appearance)
Cervical lymphadenopathy

Question 14

14

Types of Thyroid Cancer

Answer

1. Papillary
2. Follicular
3. Medullary
4. Anaplastic

Question 15

15

Thyroid Nodule Workup

Answer

1. Check TSH
If TSH high/normal, ultrasound
If TSH low, thyroid radioactive iodine uptake scan
2. If uptake cold, biopsy
3. If uptake warm, do not need biopsy unless characteristics of cancer
4. If ultrasound shows > 1-1.5 cm, biopsy
5. If > 0.5 with characteristics of cancer, biopsy

Question 16

16

Common causes of anemia

Answer

Menses
GI bleed
Pregnancy
PCOS
Drugs

Question 17

17

Signs/Symptoms of anemia

Answer

Dyspnea on exertion
Fatigue
palpitations
Chest pain/syncope if severe enough

Question 18

18

Iron deficiency lab results

Answer

Low serum iron, high TIBC, low ferritin, high platelet count

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Quiz #2 Flashcards Preview

Advanced Clinical Reasoning > Quiz #2 > Flashcards

DDX for fatigue

CancerAnemiaDepressionEndocrineMalabsorption/Nutritional Def. HIVSleep Apnea

3 Most common causes of fatigue

DepressionThyroid Anixety

Anemia PE Findings

Conjunctiva pallorNail beds pallorSOB; tachycardiaDelayed cap refillPetechiaeJaundice

Labs to order for fatigue

CMPCBC with iron panelThyroid panelLipid panelUAGlucoseHemoccult

Risk factors for DM

Age > 45 y/o1st degree relative with DMHTNDyslipidemiaGestational DMObesitySedentary lifestyle

Diagnosis Criteria for DM

1. two fasting glucose > 1262. one glucose level > 200 w/ sx3. A1c > 6.5%4. positive 2 hr oral glucose tolerance test

Signs/Symptoms of hypothyroidism

ConstipationWeight gainFatigueHair lossConstipationMenstrual irregularitiesCold intolerance

PE Exam Findings for hypothyroidism

Weight gainHair lossDecreased/slow relaxation phase on DTRsDryness in skin

Labs for hypothyroidism

CBCCMPThyroid panelIron study (after thyroid result)Blood glucoseLipid panel

Signs/Symptoms of hyperthyroidism

Weight lossheat intoleranceAnxietyPalpitationsTachycardiaHyperdefecationMenstrual irregularities

PE Findings of hyperthyroidism

ExophthalmosPretibial myxedemaTachycardiaDry skinLid retractionThyroid may be diffuse, firmHyperactive bowel soundsTremor

Tx for hyperthyroidism

MethimazolePTURadioactive Iodine AblationBeta Blocker