7/28/17

Question 1

Medullary thyroid cancer w/ RET oncogene mutation

Answer 1

MEN2A

Question 2

Components of MEN2A

Answer 2

Medullary thyroid ca, hyperparathyroidism, and pheo (2 P’s, the square)

Question 3

Components of MEN1

Answer 3

pituitary tumors, parathyroid tumors, and pancreatic endocrine tumors (3 P’s, diamond)

Question 4

Components of MEN2B65

Answer 4

medullary thyroid ca, pheo, and oral/GI tumors (1 P, the triangle)

Question 5

Tx for TCA overdose

Answer 5

sodium bicarb

Question 6

What medication should be added to the initial low-dose glucocorticoid regimen for PMR?

Answer 6

MTX (to minimize glucocorticoid exposure)

Question 7

What does CURB-65 stand for?

Answer 7

confusion, BUN>19.6, RR>30, SBP<90, age>65

Question 8

What CURB-65 score indicates hospital admission?

Answer 8

2

Question 9

What CURB-65 score merits consideration for ICU?

Answer 9

3

Question 10

Dx suggested by hi PTH, low C++, and low Phos

Answer 10

secondary hypoparathyroidism

Question 11

Check _______ in older pts w/ secondary hyperparathyroidism.

Answer 11

25-hydroxy Vit D

Question 12

Why shold 25-hydroxy Vit D, not 25-dihydroxy be checked in secondary hyperparathyroidism?

Answer 12

PTH stimulates hydroxylation

Question 13

Dx test for fungal arthritis

Answer 13

synovial biopsy

Question 14

Tx of choice for spasmodic torticollis and other dystonias

Answer 14

Botox