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10 Cards in this Set

  • Front
  • Back
What test would you do to test for GH hyperplasia?
A glucose tolerance test
Primary adrenal insufficiency (Addison's disease) tests?
ACTH stimulation testing--will get a flat line because cortisol is not stimulated.
Adrenocortical hyperfunction tests?
salivary cortisol, 24 hour urine free cortisol, overnight dexamethasone suppression.
Primary hyperaldosteronism lab tests and results?
Aldosterone/renin ratio more than or equal to 20

Aldosterone cannot be suppressed with NaCl

No stimulation of renin by volume depletion or upright posture.
How can one find where a pheochromocytoma is?
Using iodine-131 meta-iodiobenzylguanidine imaging
The most sensitive test for myxedema is...

Slowing physical and mental activity
Reduced cardiac output, cold-insensitivity, etc.
serum TSH
What stimulation test is required to diagnose GH deficiency?
Failure to increase GH secretion when stimulated by insulin or glucagon.
What is diagnostic of growth hormone EXCESS?

What are possible treatments for GH excess?
The patient's GH levels are not suppressed when the person is given glucose.

Somatostatin ligands (lanreotide and ocretotide)
GH receptor antagonist--pegvisomant
Bromocriptine and cabergoline
What tests would one use to diagnose secondary adrenal insufficiency?
ACTH stimulation test--intermediate to normal results

Use the ITT test with caution
The CRH test is not sensitive enough
Between primary and secondary adrenal insufficiency, which has the lower serum cortisol level?
Primary