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61 Cards in this Set
- Front
- Back
Hyperthyroidism affects what precentage of women at what age range?
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2% ages 30-40
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Hyperthyroidism affects what percentage of men
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.2%
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How many causes of Hyperthyroidism are there?
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11
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In Hyperthyroidism 80-90% of all cases result in which autoimmune disease?
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Graves Disease
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What is another term for Graves Disease?
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Thyrotoxicosis
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In TX of graves Disease what is the SIG for Propanolol?
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10mg po increase until threaputic effect is achieved typical dose is 80mg
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What is the max dose for Propanolol?
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120mg QD
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What is required to DX Hyperthyroidism?
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Lab confirmation
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What is TX for thyroid storm?
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Control fluid and electrolytes
Propanolol 30mg po QID Tylenol 325mg x 2 po Q4 *COOL PT.* O2 Medevac ASAP |
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Thyroid storm has a mortality rate of what?
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20%
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Hypothyroidism risk does what with age?
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Increases
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Hypothyroidism affects what percentage of women?
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1.5-2.0%
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Hypothyroidism affects what percentage of men?
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.2%
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In hypothyroidism prevalence increases at age 60 to what in both sexes?
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6% in women
2.5% in men |
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How many types of Hypothyroidism?
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3
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What are the 3 types of Hypothyroidism?
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Primary
Secondary Tertiary |
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What is an autoimmune gland dysfunction causing decreased levels of thyroid hormone
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Hashimoto's Thyroiditis
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Which Hypothyroidism accounts for greater than 90%?
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Primary
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What are significant general findings in Hypothyroidism?
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Loss of outer 1/3 of eyebrow
Cold intolerance |
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What is another name for Hyperaldosterone?
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Conn's syndrome
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What is another name for Hypercortisolism?
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Cushing syndrome
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What is Adrenogenital syndrome?
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A hypersecretion of sex steroid
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Where is aldosterone secreted from in the Adrenal gland?
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Outside
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Where is glucocorticoid secreted from in the Adrenal gland?
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Middle
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Where is the sex steroid secreted from in the adrenal gland?
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Inside
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What is the cause of 90% of all Hyperadrenalism?
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Pituitary Adenomas (Cushing syndrome)
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What is the RX for Hyperadrenalism?
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Ketoconozole 200mg po Q6 while monitoring liver enzymes.
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What is the number one cause of Hypoadrenalism in USN/USMC personnel?
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The abrupt cessation of glucocorticoid therapy.
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Chronic hypoadrenalism is the leading cause of destruction of what?
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The adrenal gland
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Chronic hypoadrenalism accounts for what percent of all cases?
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80%
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In chronic hypoadrenalism it usually appears by age what?
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15
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In chronic hypoadrenalism it can cause what type of hemorrhage?
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Bilateral adrenal hemorrhage.
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When doing a CBC for hypoadrenalism what would be expected findings in acute?
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Eosinophila
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What are the two causes of Diabetes Insipidus?
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Neurogenic and Nephrogenic
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Neurogenic Diabetes Insipidus is the body falling to produce what?
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ADH
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Nephrogenic Diabetes Insipidus is caused by what?
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Renal tube failing
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What is a clinical TX for Diabetes Insipidus?
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Daily weight checks.
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What is a chronic disorder of carb metabolism, hyperglycemia and glycosuria, from inadequate production or use of insulin?
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Diabetes Mellitus (DM)
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What is the cause of Type 1 DM?
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No production of insulin
Destruction of Pancreas B cells |
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What is the cause of Type 2 DM?
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No reaction to insulin.
tissue insensitive to insulin as a result of obesity. |
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What percentage of Pt.s have idiopathic Type 1 DM?
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10%
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90% of all DM cases are a result from which type?
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Type 2
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Diabetes accounts for what percent of legal blindness?
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8%
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What is the leading cause of end stage renal disease?
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Diabetes Mellitus
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Pt.s with which disease process are twice as likely to develop cardiovascular disease?
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Diabetes Mellitus
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DM insulin therapy is to maintain blood glucose levels at or above what?
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250
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In operational TX of DM Type 1 what is the standard dose of insulin?
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.3-.5un/kg/qd sc divided dose
NPO |
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In operational TX of DM Type 2 what is the standard dose of insulin?
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1-1.5un/kg/qd sc divided dose
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What must be done prior to initiating insulin therapy?
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MO consult
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What is a life threatening condition resulting from DM from severe insulin deficiency?
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Diabetic Ketoacidosis
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What is the predominant demographic for DKA
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1-25y/o
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In hyperthyroidism you would expect a decrease in (what), but an increase in (what)?
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Decrease in TSH, an increase T4 and free T3.
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In hypothyroidism you would expect an increase in (what), but a decrease in (what)?
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Increased TSH, an a decrease free T4.
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In the clinical tx of hypothyroidism what is the indicated medication?
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Synthroid 25-100 mcg/day
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What is Synthroid?
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Synthetic T4
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Central obesity, Plethoric (moon face), muscle wasting extremities, hypertension, skin fragility, buffalo hump, and menstrual irregularities are physical findings of what disease?
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Cushing Syndrom (Hypercortisolism)
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Inadequate secretion of corticosteroids due to partial or complete destruction of the adrenal glands is defined as what?
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Hypoadrenalism
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Which type of DM has excessive polyuria, PROFOUND weakness and fatigue, polyphagia w/ weight loss, blurred vision, and usually under 30 years old?
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Type I
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Which type of DM has weakness and fatigue, recurrent excessive blurred vision, excessive vulvovaginitis and pruritus, and excessive peripheral neuropathy?
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Type II
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What are the expected lab findings in DM?
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Fasting blood glucose >126, random blood glucose >200.
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In cases of hypoglycemia, what is the indicated operational tx?
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Diet, get blood glucose over 80 mg/dl.
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