Drugs and Diseases: Hormones Flashcards

1
Q

what is one treatment for breast cancer and how does it work?

A

FASLODEX/fulvestrant - ER antagonist

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2
Q

what is one treatment for prostate cancer and how does it work?

A

flutamide - blocks testosterone

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3
Q

what type of drug is isoproterenol?

A

agonist

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4
Q

3 human insulin analogs

A
  1. Lispro - short acting, rapid absorbed (humalog)
  2. Aspart - short acting, rapid absorbed (novolog)
  3. Glargine HOE901 - long acting, peakless, low rates of hypoglycemia (lantus)
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5
Q

what causes congenital adrenal hyperplasia?

A

steroid 21-hydroxylase deficiency (CYP21A2)

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6
Q

symptoms of congenital adrenal hyperplasia?

A
  • infertility
  • vomiting
  • dehydration
  • reduced aldosterone and cortisol production
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7
Q

how do you diagnose congenital adrenal hyperplasia?

A

increased 17-hydroxyprogesterone

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8
Q

symptoms w/ aldosterone synthase deficiency? (CYP11B2)

A

needed for Na+ re-uptake -> electrolyte imbalance, vomiting, dehydration

-infants!

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9
Q

why is it important to monitor glucose levels in critical care patients?

A

they tend to have high glucocorticoid levels, which causes higher blood glucose due to more gluconeogenesis

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10
Q

two causes of Cushing syndrome

A

90% exogenous: too many glucocorticoids (prednisone, dexamethasone)

10% endogenous: ACTH-secreting pituitary adenoma

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11
Q

symptoms of Cushing syndrome

A
  • moon face
  • truncal obesity
  • buffalo hump
  • increased appetite b/c cortisol increases lipolysis
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12
Q

what is hypothyroidism caused by?

A
  • iodine deficiency

- autoimmune (Hashimoto thyroiditis)

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13
Q

how is hypothyroidism treated?

A

thyroid hormone replacement therapy

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14
Q

how can you determine if hypothyroidism is autoimmune or not? (what test)

A

test for TPO (thyroid peroxidase)

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15
Q

symptoms of hypothyroidism

A
  • fatigue
  • some weight gain
  • high cholesterol
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16
Q

symptoms of hyperthyroidism

A
  • worse glycemic control
  • increased insulin requirements
  • weight loss
  • anxiety