Blueprints Flashcards
What is the Tx for abdominal aortic aneurysms smaller than 4 cm?
Antihypertensives, preferably β-blockers
What is the Tx for abdominal aortic aneurysms 4-5 cm?
Early operation or close follow-up.
What is the Tx for ruptured or leaking abdominal aortic aneurysm?
Immediate surgery
Which branchial pouch are the sup. parathyroid glands derived from? The inferior?
4th; 3rd
What is the cause of secondary hyperparathyroidism?
Renal disease (impaired phosphate excretion –> phosphate binds Ca++ in blood)
What is the cause of tertiary hyperparathyroidism?
Longstanding renal disease causes independently hyperplastic gland function.
Hypercalcemia + elevated alk phos =
Bony disease
What 2 hormones are released by the neurohypophysis?
Oxytocin and ADH
What is the first line Tx for prolactinoma?
Cabergoline or bromocriptine
What is the second line Tx for symptomatic prolactinoma?
Transsphenoidal resection
What is the third line Tx for symptomatic prolactinoma?
Radiation
What is the risk of pituitary radiation?
Pan-hypopituitarism
What are the three Tx options for acromegaly?
Surgery, radiation, or bromocriptine
What kind of drugs are cabergoline and bromocriptine? What receptors do they affect most strongly?
Dopamine receptor agonists, ergots; D2