Adult Endo 3

Question 1

What are the signs and sx of Hyperthyroidism

1) Cardio Issues?
2) Fat?
3) GI?
4) Other?

Answer 1

1) Tachycardia and Bruits
2) Weight loss and Gynecomastia
3) Diarhhea
4) Tremor

Question 2

TSH, Free T4 Levels

1) Primary Hypothyroid
2) Primary Hyperparathyroidism
3) TSH Producing Tumor
4) Central Hypothyroidism

Answer 2

1) Increased TSH, Decreased FT4
2) Decreased TSH, Increased FT4
3) Increased TSH, Increased FT4
4) Decreased TSH, Decreased FT4

Question 3

What should be done if thyroid labs are abnormal in critically ill patients?

Answer 3

Be cautious diagnosing thyroid conditions in critically ill patients as protein shifts, metabolism and maladaptive processes can be contributing to the abnormal results

Question 4

Thyroid Surgery

1) What nerve can be damaged?
2) What other endocrine structure can. be damaged?

Answer 4

1) Recurrent Laryngeal Nerve

2) Parathyroids

Question 5

How does PTH increase intestinal absorption of calcium?

Answer 5

Stimulates Renal 1,25(OH)2D

Question 6

1) If Ca and PO4 are moving in opposite directions, what is the issue?
2) If Ca and Po4 are moving in the same direction, what is the issue?

Answer 6

1) PTH Imbalance

2) Vitamin D issue

Question 7

What are five causes of hypercalcemia?

Answer 7

Parathyroid
Malignancy
Vitamin D
High Bone Turnover
Renal Failure

Question 8

What is the treatment for hypercalcemia of malignancy if patient has altered mental status or EKG changes (qt shortening)

Answer 8

Aggressive Volume expansion with isotonic Saline