Random Review

Question 1

Hypothyroidism musculoskeletal symptoms [4]

Answer 1

• Proximal muscle weakness
• myalgia
• stiffness
• prolonged DTR’s

Question 2

Pain (and other symptoms) in uterine prolapse

Answer 2

• Low Back Pain and perineal discomfort with prolonged standing
• Sensation of heaviness or pulling on the pelvis
• Pain relief (often) with lying down
• Constipation and painful bowel movement
• Also:
  
  • Perineal sensation NOT decreased

Question 3

Rebound effect with abrupt cessation of Beta Blockers

Answer 3

• Increased contractility of the heart
• Increased blood pressure
• Increased HR

Question 4

Criteria for diagnosis of metabolic syndrome

Answer 4

• Abdominal Obesity
  
  • Men greater than 40 inches
  • Women greater than 35 inches
• Elevated Triglycerides
  
  • 150 mg/dL or higher
• Low HDL levels
  
  • less than 40 mg/dL in men
  • less than 50 mg/dL in women
• Elevated Fasting PLasma Glucose
  
  • greater than 110 mg/dL