5/24/13

Question 1

If a pt appears to have diabetes insipdus (i.e. water deprivation test showed no increase in urine osmolality) what is the test to determiine if central of nephrogenic?

Answer 1

intranasal or SQ desmopressin

Question 2

What is the effect of diabetes insipidus (not psychogenic polydipsia) on serum Na+?

Answer 2

increase

Question 3

What is the best Tx for sick sinus syndrome?

Answer 3

ventricular pacemaker

Question 4

What is the other name for IGF-1?

Answer 4

somatomedin-C

Question 5

What endocrine disorder might you consider in a pt w/ bilateral carpal tunnel syndrme?

Answer 5

acromegaly

Question 6

What is the FIRST step in the workup for acromegaly?

Answer 6

serum IGF-1

Question 7

If IGF-1 is hi in a pt suspected of acromegaly, what is step #2?

Answer 7

oral glucose tolerance test

Question 8

If oral glucose tolerance test ixs positive in pt w/ suspected acromegaly, what is step #3?

Answer 8

CT or MRI of head for macroadenoma

Question 9

What are the first 3 lines of tx for acromegaly (if amcroadenoma) in order?

Answer 9

1. surgical
2. medical
3. radiation

Question 10

What, in particluar, is elevated in the blood in Paget’s disease of the bone?

Answer 10

alk phos

Question 11

What, in partticular, is elevated in the urine in Paget’s disease of the bone?

Answer 11

hydroxyproline

Question 12

What is the best first test for paget’s disease of the bone?

Answer 12

radiologic bone scan

Question 13

What would be seen oin bone scan in Paget’s disease of te bone?

Answer 13

lytic lesions

Question 14

What is always the tx for symptmatic Paget’s disease of the bone?

Answer 14

bisphosphonates

Question 15

What the hell is amlodipine again?

Answer 15

artery-selective Ca++ channel blocker

Question 16

What is a rapidly growing keratotic lesion often described as “crateriform” or “volcano-like”?

Answer 16

keratoacanthoma

Question 17

An opening snap followed by a low-pitched diastolic rumble is characteristic of what valvulopathy?

Answer 17

mitral stenosis

Question 18

How does the length of time between A2 and the opening snap of mitral stenosis relate to the severity of the stenosis?

Answer 18

inversely

Question 19

Why does the opening snap of mitral stenosis occur earlier when the disease is more severe?

Answer 19

pressure biulds up in the LA

Question 20

What conditions could cause a widely split S2?

Answer 20

RV volume overload or pulm htn