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41 Cards in this Set
- Front
- Back
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What is the screening and confirmatory test for acromegaly?
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What disease can be screened for by checking levels of IGF-1, and confirmed by an oral glucose suppression test?
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What is the treatment for prolactinoma?
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Which pituitary tumor is treated medically with bromocriptine (DA agonist) or cabergoline before opting for surgery?
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What is Sheehan's Syndrome?
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Post-partum pituitary necrosis is known by what name?
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Pregnancy or OCP use can have what effect on throid hormones?
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An increase in thyroid binding globulin because of what conditions causes and increase in T4?
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TSH NL
Free T4 LOW Cortisol LOW LH/FSH NL/LOW |
What labratory values would you expect in a patient with hypopituitarism?
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How do you treat hypopituitarism?
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Replace cortisol first, then thyroid hormone to avoid an addisonian crisis in patients with what disease?
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RAI uptake is diffusely increased- what type of hyperthyroidism do you expect to find?
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Grave's disease has what finding on RAI?
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A focal increase in RAI uptake is found in what type of thyroid disorder?
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Toxic Adenoma has what finding on RAI?
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Decreased uptake on RAI is found in what type of thyroid disorder?
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Thyroiditis has what finding on RAI?
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How should a pregnant woman with Grave's disease be monitored?
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A TSH receptor antibody level should be taken early in the 3rd trimester. A level > 5 fold is associated with neonatal thyrotoxicosis.
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What is the treatment for Grave's disease?
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Propylthiouracil (PTU), Methimazole, RAI, surgery can be used to treat what disorder?
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What is the treatment for Peripheral Neuropathy?
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Amitryptiline or Gabapentin are used to treat what complication of diabetes?
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What is the treatment for Autonomic neuropathy?
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Fludrocortizone and elastic stockings are used to treat what complication of diabetes?
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What is the treatment for Autonomic Gastric Neuropathy?
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Metoclopramide before meals, erythromycin can be used to treat what complication of diabetes?
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Sildenafil is contraindicated in patients taking what other medication?
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Patients taking nitrates should not take what other medication?
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What are the laboratory abnormalities in Addison's disease?
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Low BP
Hyponatremia Hyperkalemia Low Aldosterone Low ACTH What's your diagnosis? |
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What test results confirm a diagnosis of Addison's disease?
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Cosyntropin (ACTH) Stimulation test with a morning cortisol level < 3 confirm what diagnosis?
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What is the screening test for Cushing's disease?
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A 24 hour urine cortisol level should be checked in patients with suspected what?
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What is the confirmatory test for Cushing's disease?
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A dexamethazone suppression test confirms a diagnosis of what disease?
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Ectopic ACTH production can cause Cushing's syndrome in patients secondary to what condition?
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Small cell lung carcinoma can secrete what hormone ectopically?
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How do you distinguish a pituitary adenoma from an adrenal mass in a patient with Cushing's syndrome?
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Adrenal mass has high cortisol, low ACTH.
Pituitary adenoma has increased ACTH and Cortisol. |
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What is the role of PTH?
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What hormone increases Ca resorption from bone and increases phosphate excretion from kidney to raise serum Ca and lower serum Phos?
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High Ca with low PTH is commonly associated with what type of malignancy?
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Squamous cell carcinoma of the lung can have what effect on Ca and PTH?
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Primary Hyperparathyroidism has what lab findings?
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High Ca with High PTH is seen in patients with what type of condition?
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What is the treatment for hypercalcemia?
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IVF plus a loop diuretic (furosemide) are indicated to treat ____. Thiazide diuretics would exacerbate this condition.
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What is the treatment for hypercalcemia secondary to malignancy?
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IVF plus Calcitonin and a Bisphosphanate (Zoledronic Acid, Palmidronate)
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What is the treatment for hypercalcemia secondary to sarcoidosis?
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Glucocorticoids can be used to treat what in patients with sarcoidosis?
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What labs would you expect to see in a patient with Hypoparathyroidism?
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Low Ca
High Phosphates Low PTH What is your diagnosis? |
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Chvostek's sign is seen in patients with hypoparathyroidism. What is it?
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A facial muscle contraction resulting from tapping on the facial nerve is known as what? What condition is it associated with?
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What are the lab abnormalities seen in Pseudohypoparathyroidism?
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Low Calcium
High Phosphates High PTH What is your diagnosis? |
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Dexa Scan T-score...
<-2.5 -1 to -2.5 -5 to -2.0 -1.0 to -1.5 |
When would you recommend...
Diagnose Osteoporosis Diagnose Osteopenia DEXA q 3-5 years DEXA q 5 years |
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What is the best diagnostic test for Paget's disease?
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Bone scan is the best diagnostic test for patients suffering from hearing loss with NL Ca, NL phos, and increased Alkaline Phosphatase?
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What is the treatment for Paget's disease?
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Bisphosphanates can be used to treat ____.
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What lab value is diagnostic of Congenital Adrenal Hyperplasia?
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Increased 17-Hydroxyprogesterone should be ordered when you are suspicious of what disorder?
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What should you suspect in a patient with increased DHEA and testosterone and normal 17-hydroxyprogesterone?
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You should order a CT abdomen looking for an adrenal tumor in a patient with what type of finding in DHEA/17Hydroxyprogesterone?
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What should you suspect in a patient with increased testosterone and normal DHEA and 17-hydroxyprogesterone?
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Ovarian tumors can often present with what type of lab results for DHEA, testosterone, and 17-hydroxyprogesterone?
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What is a good drug for long term treatment of obesity?
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Sibutramine is approved for long term treatment of what condition?
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When prescribing statins, what follow-up measures do you have to take?
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Order LFTs on patients at 6 weeks, 12 weeks, then every 3 months for a year on patients you have recently prescribed what class of medication?
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Make sure you check what lab value in patients who have recently started taking PTU?
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Prothrombin time needs to be checked shortly after prescribing what type of thyroid medicine? Also worry about agranulocytosis.
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Patients with suspected pheochromocytoma should be screened with what test?
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24HR urine chatecholamine metabolites testing should be done in patients with suspected what?
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Panhypopituitarism in Sheehan's syndrome has what effect on LH/FSH levels?
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LH/FSH will both be decreased in a post-partum woman suffering from what?
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