Buzzwords

Question 1

Catecholamines in the urine, headaches, hypertension and palpitations

Answer 1

Pheochromocytoma

Question 2

Tanned skin without being on holiday

Answer 2

Primary Addisons (no tanning if secondary to hypopituitarism - due to ACTH)

Question 3

Increased shoe size, spade hands, wedding ring too tight

Answer 3

Acromegaly

Question 4

Sweating, weight loss, gritty eyes, eye changes

Answer 4

Graves disease

Question 5

Moon face, proximal weakness, stretch marks (abdominal striae), buffalo hump, abdominal fat pad

Answer 5

Cushings

Question 6

Ketones on breath

Answer 6

DKA

Question 7

Deep laboured breathing (Kussmaul)

Answer 7

Metabolic acidosis (esp DKA)

Question 8

‘Orphan Annie” nuclei

Answer 8

Papillary thyroid cancer

Question 9

Bone pain, stones, abdominal pain, psychiatric problems (bones, stones, groans, moans)

Answer 9

Hypercalcaemia (hyperparathyroidism)

Question 10

Psammoma bodies

Answer 10

Found in papillary through 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

Lack of smell and isolated GnRH deficiency (hypogonadism)

Answer 14

Kallmann’s syndrome

Question 15

QT prolongation

Answer 15

Hypocalcaemia

Question 16

Acute management of hypocalcaemia

Answer 16

IV calcium gluconate (10ml 10% over 10mins) with 50% dextrose or saline

Question 17

Brachydactyly (short bones) of 4th metacarpal

Answer 17

Pseudohypoparathyroidism