Buzzwords

Question 1

Catecholamines in the urine, headaches, hypertension and palpitations

Answer 1

Phaechromocytoma

Question 2

Tanned skin without being on holiday?

Answer 2

Addison’s

Question 3

Increased shoe size, spade hands, wedding ring too tight?

Answer 3

Acromegaly

Question 4

Signs of hyperthyroidism plus any eye changes, gritty eyes, smooth velvety skin?

Answer 4

Grave’s disease

Question 5

Moon face, proximal weakness, stretch marks, buffalo hump, abdominal fat?

Answer 5

Cushings

Question 6

Ketones on breath (sweet smelling/pear drops)?

Answer 6

DKA

Question 7

Deep, laboured breathing (Kussmaul breathing)?

Answer 7

Metabolic acidosis especially DKA

Question 8

‘Orphan Annie’ nuclei?

Answer 8

Papillary thyroid cancer

Question 9

Bone pain, stones, abdo pain, psychiatric problems (bones, stones, groans, moans)?

Answer 9

Hypercalcaemia (hyperparathyroidism)

Question 10

Psammoma bodies?

Answer 10

Are found in papillary thyroid carcinomas

Question 11

Butterfly rash?

Answer 11

SLE

Question 12

Heat intolerance/palpitations?

Answer 12

Hyperthyroidism

Question 13

Cold intolerance/weight gain?

Answer 13

Hypothyroidism

Question 14

Anosmia and isolated GnRH deficiency?

Answer 14

Kallmann’s syndrome

Question 15

Trousseau sign, Chvostek sign and QT prolongation on ECG?

Answer 15

Hypocalcaemia

Question 16

Acute management of HYPOCALCAEMIA?

Answer 16

IV calcium gluconate (10 ml of 10% calcium gluconate over 10 minutes in 50% dextrose or saline)

Question 17

Brachydactyly of the 4th metacarpal?

Answer 17

Pseudohypoparathyroidism

Question 18

Polyuria, polydipsia, pituitary tumour or trauma, lack of vasopressin (replace with desmopressin)?

Answer 18

Central Diabetes Insipidus

Question 19

Generalised weakness, hyporeflexia, ataxia, lethargy, confusion, hyponatraemia, high urine osm, hypoosmolality?

Answer 19

SIADH

Question 20

Isolated hypogonadotrophic hypogonadism, anosmia/hyposmia (cant recognise odour), colour blindness and cleft palate?

Answer 20

Kallmans syndrome

Question 21

Adrenal insufficiency, GI disturbance, weight loss, postural hypertension, high K, low Na?

Answer 21

Addison’s disease

Question 22

Aldosterone-producing adenoma, low K, high Na, high HCO3, high aldosterone, low renin, metabolic alkalosis?

Answer 22

Conn’s syndrome

Question 23

Parathyroid tumour
Pituitary adenoma
Pancreatic tumour (Zollinger-Ellison Syndrome)?

Answer 23

MEN1

Question 24

Phaeochromocytoma, amyloid-producing thyroid tumour and primary hyperparathyroidism

Answer 24

MEN2

Question 25

tROUSSEAU’S SIGN, weakness, cramps, Chvostek’s sign (face twitch)?

Answer 25

Hypoparathyroidism

Question 26

Low serum Ca and CKD?

Answer 26

Secondary hyperparathyroidism