random

Question 1

Causes of hyperandrogenism in women

Answer 1

PCOS
CAH
Ovarian/adrenal tumors
Hyperprolactinemia
Cushing Syndrome
Acromegaly

Question 2

*** Added to pt with Metformin failure, SE of weight gain and hypoglycemia

Answer 2

Sulfonylureas

Question 3

*** DM med with SE of weight gain, edema, CHF, bone fracture, bladder cancer

Answer 3

Pioglitazones

Question 4

*** DM med that is weight neutral

Answer 4

DPP-IV inhibitors (sitagliptin)

Question 5

DM med for someone who desire weight LOSS

Answer 5

GLP1receptor agonist

Question 6

DPP-IV inhibitors (sitagliptin) is weight _____

Answer 6

neutral

Question 7

Pt has inadequate mgmt of DM on Metformin and desires rx that will help him lose weight

Answer 7

GLP1 receptor agonist

Question 8

These two non-insulin DM rx achieve the greatest A1C control

Answer 8

Metformin and Sulfonylurea

Question 9

Two SE of insulin

Answer 9

Risk of hypoglycemia and weight gain

Question 10

*** How can chronic GI disease affect Ca, Ph, Vit D and Parathyroid hormone

Answer 10

Chronic GI disease can lead to Vit D deficiency, which is needed for Ca and Ph absorption. With low Vit D, Ca and Ph become low and PTH increases.

Question 11

Stimulation of TSH receptors by thyrotropin-receptor antibodies

Answer 11

Graves disease

Question 12

Can estrogen in OCP, HRT, and pregnancy increase the level of T4-binding globulin resulting in ELEVATED total thyroid hormone levels but normal TSH?

Answer 12

Yes

Question 13

*** Other name for a beta cell tumor

Answer 13

Insulinoma - pt with hypoglycemia and high c-peptide

Question 14

F and ST in pt taking antithyroid medication

Answer 14

STOP rx - agranulocytosis

Question 15

Infertility, decreased libido, impotence, gynecomastia in men

Answer 15

Prolactinoma

Question 16

Autonomous production of thyroid hormones

Answer 16

Toxic adenoma

Question 17

High titers of _____ antibodies are present in Hashimotos and confer increased risk of miscarriage

Answer 17

anti-TPO

Question 18

*** ______ is an important cause of hypocalcemia, particularly in alcoholics

Answer 18

Hypomagnesemia

Question 19

Pt comes in with recent virilization and you suspect a tumor. What labs?

Answer 19

Testosterone and DHEAS level
elevated T and normal DHEAS = ovarian
opposite = adrenal source

Question 20

Pt has a pheochromocytoma. What to give them before beta blockade?

Answer 20

alpha adrenergic block like phenoxybenzamine

Question 21

Flushing, lethargy, N/V, muscle weakness/cramps, watery diarrhea, low potassium, pancreatic tail tumor

Answer 21

VIPoma

Question 22

VIPoma + hyperparathyroidism

Answer 22

MEN syndromes

Question 23

Flushing, diarrhea, bronchospasm, tumor in small intestine

Answer 23

carcinoid tumor

Question 24

Causes of osteomalacia

Answer 24

VITAMIN D DEFICIENCY: 
malabsorption
bypass
celiac sprue
chronic liver or kidney disease

Question 25

Decreased bone density with thinning of cortex, pseudofractures, impaired osteoid matrix mineralization, vitamin D deficiency

Answer 25

Osteomalacia

Question 26

Old pt with T2DM found altered with BG > 1000.

Answer 26

Hyperosmolar hyperglycemic state - FIRST HYDRATE with NS, then IV INSULIN, supplement with POTASSIUM as needed

Question 27

2nd step after Metformin, SE of weight gain and hypoglycemia

Answer 27

Sulfonylureas

Question 28

DM rx with SE of weight gain, edema, CHF, bone fracture, bladder cancer

Answer 28

Pioglitazones

Question 29

These two non-insulin DM medications acheive the greatest A1C control

Answer 29

Metformin and Sulfonylurea

Question 30

Two SE of insulin

Answer 30

risk of hypoglycemia and weight gain

Question 31

how can chronic GI disease affect Ca, Ph, Vit D and Parathyroid hormone

Answer 31

Chronic GI losses can lead to vitamin D deficiency, which is needed for Ca and Ph absorption. With low Vit D, Ca and Ph becomes low and as a result PTH increases.

Question 32

stimulation of TSH receptors by thyrotropin-receptor antibodies

Answer 32

Graves disease

Question 33

Can estrogen in OCP, HRT, and pregnancy increase the level of T4-binding globulin resulting in ELEVATED total thyroid hormone levels but normal TSH?

Answer 33

Yes

Question 34

Tther name for a beta cell tumor

Answer 34

insulinoma - someone with hypoglycemia and high c-peptide

Question 35

High titers of _____ antibodies are present in Hashimotos and have increased risk of miscarriage

Answer 35

anti-TPO

Question 36

______ is an important cause of hypocalcemia, particularly in alcoholics

Answer 36

hypomagnesemia

Question 37

Arthritis, reduced chest expansion and spinal mobility, tenderness at tendon sites, dactylitis, uveitis

Answer 37

AS

Question 38

< 40 years old, back pain relieved with exercise, elevated ESR and CRP, HLA-B27

Answer 38

AS

Question 39

What labs and imaging for AS?

Answer 39

XR of SI joint, labs with ESR, CRP, BLA-B27

Question 40

AS complications

Answer 40

osteoporosis and vertebral fracture Aortic regurgitation Cauda equina

Question 41

Young, oral apthous ulcers, genital ulcers, uveitis, erythema nodosus, thrombosis

Answer 41

Behcet disease

Question 42

Will biopsy of vessels in Behcet disease show nonspecific vasculitis?

Answer 42

yes

Question 43

Pathergy in Behcet disease

Answer 43

exaggerated skin response

Question 44

Reactive arthritis (uveitis, arthritis, oral ulcerations) typically follows these two types of infections

Answer 44

GI or GU illness

Question 45

Heberden nodes

Answer 45

OA - distal interphalangeal

Question 46

Bouchard nodes

Answer 46

OA - proximal interphalangeal

Question 47

*** > 50 yo with stiffnes in the neck, shoulder, and hip muscles

Answer 47

Polymylagia rheumatica