Biochemistry Flashcards

1
Q

Do you always need to test free T4 along with TSH to look for secondary hyperthyroidism?

A

No, it is too rare

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2
Q

What is the most common cause of secondary hypothyroidism?

A

Pituitary surgery

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3
Q

Does high prolactin make it impossible for someone to conceive?

A

No just decreases the chances

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4
Q

How are prolactin levels and the efficacy of antipsychotic drugs related?

A

Higher prolactin, higher efficacy (direct correlation)

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5
Q

What is the most common gene to be mutated in familial hypercholesterolaemia?

A

LDL receptor gene

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6
Q

Why are patients usually dehydrated in hypercalcaemia?

A

It interferes with the proximal tubular reabsorption of sodium

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7
Q

Name the 3 most common causes of potassium increase from most to least common

A

Haemolysis
Renal failure
Antihypertensive drugs e.g. spironolactone

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8
Q

What should you suspect if a patient has high potassium reading when taken at GP but normal when they have it done in hospital?

A

Pseudohyperkalaemia

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