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26 Cards in this Set
- Front
- Back
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Which grade of murmur may be heard when the stethoscope is partly off the chest?
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Grade 5
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Which grades of murmurs are considered hemodynamically significant?
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Grade 3 or more
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What drugs are given to control the hyperadrenergic symptoms of Graves' disease?
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Beta blockers
Propanolol or atenolol |
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What drugs are given for short-term control of the euthyroid state in Graves' disease?
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Thionamides
Methimazole or propylthiouracil |
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What is the MOA of propylthiouracil?
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Blocks thyroid hormone synthesis
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What 4 factors is selection of long-term therapy for Graves' disease based on?
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Age
Severity Size of thyroid Potential for future pregnancy |
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Which form of long-term therapy for Graves' disease is indicated for patients who want to get pregnant relatively soon?
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Subtotal thyroidectomy
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What hormone is released through breastfeeding?
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Prolactin
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What hormones are inhibited during breastfeeding that inhibit menses?
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Prolactin is produced during breastfeeding, which inhibits GRH, which inhibits LH & FSH, which inhibits ovulation & menses
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What substance inhibits prolactin release?
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Dopamine
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What is the most common type of pituitary adenoma?
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Prolactinoma
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What are the 3 hallmarks of prolactinoma?
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Amenorrhea
Galactorrhea Infertility |
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What hormone is decreased in functional hypothalamic amenorrhea?
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GnRH
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What are the typical causes of functional hypothalamic amenorrhea?
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Anorexia
Exercise Stress Weight loss |
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What is Asherman's syndrome?
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Endometrial scarring
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What are the typical causes of Asherman's syndrome?
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Secondary to postpartum hemorrhage or infection from D&C
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What part of the CBC diff is elevated in Hashimoto's thyroiditis?
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Lymphocytes
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From where is prolactin released?
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Anterior pituitary
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Which hormones are elevated and decreased in PCOS?
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High LH, GnRH, testosterone
Low FSH |
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A tumor of the adrenal cortex can produce what?
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Excess steroid hormones
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A tumor of the adrenal medulla can produce what?
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Excess catecholamines
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What thyroid illness is thought to be due to a viral infection?
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Subacute (De Quervain's) Thyroiditis
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During what stage of sleep is growth hormone released?
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Stage 4
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What are symptoms of estrogen deficiency?
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Hot flashes
Vaginal dryness Poor sleep Decreased libido |
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Acanthosis nigricans can be associated with what endocrine issue?
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Insulin resistance
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In what condition will FSH be high?
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Primary ovarian failure
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