Endo

Question 1

Normal TSH

Answer 1

0.5-5

Question 2

What is go to screening test for suspected thyroid issues?

Answer 2

TSH

If abnormal go to thyroid panel.

Question 3

Elevated TSH and low T3/T4

Answer 3

Hypothyroidism

Question 4

First line med for hypothyroidism?

Answer 4

Synthroid

Question 5

Biggest concern with synthroid?

Answer 5

Cardiac issues

Question 6

How often should we recheck TSH after starting synthroid?

Answer 6

4-6 weeks

Question 7

Decreased TSH and increased T3/T4

Answer 7

Hyperthyroidism

Question 8

Medication for hyperthyroidism during the first trimester?

Answer 8

PTU

Question 9

Medication for hyperthyroidism during the second trimester?

Answer 9

Tapazole

Question 10

What does the parathyroid do?

Answer 10

Releases parathyroid hormone which keeps calcium and phosphorus in check.

Question 11

Calcium and phosphorus have a ___ relationship?

Answer 11

Inverse

Question 12

High calcium and low phosphorus?

Answer 12

Hyperparathyroidism

Question 13

If a type 1 diabetic is ill do we continue insulin?

Answer 13

yes

Question 14

Somogyi and dawn effect both:

Answer 14

result in an elevated blood glucose level upon awakening

Question 15

With this there is a DIP in BG in the middle of the night before it rises in the AM?

Answer 15

Somogyi

Question 16

What do we do if the somogyi effect is occurring?

Answer 16

Cut back on nighttime insulin

Question 17

With this the BG steadily rises all night?

Answer 17

Dawn effect

Question 18

What causes the dawn effect?

Answer 18

Increase in growth hormone

Question 19

Type 2 diabetes is diagnosed with an HbA1c of?

Answer 19

6.5 or higher

Question 20

Max dose of Metformin?

Answer 20

2550mg/day

Question 21

What can long-term use of metformin lead to?

Answer 21

B12 deficiency

Question 22

What do we monitor with metformin?

Answer 22

Renal function

Question 23

When the GFR is less than 49 what do we do with the metformin?

Answer 23

Cut dose in half

Question 24

When the GFR is less than 30 what do we do with the metformin?

Answer 24

Stop

Question 25

Which oral type 2 diabetes medication are cardio-protective?

Answer 25

SGLT2 inhibitors (end in -flosin)

Question 26

At what HbA1c do we initiate insulin?

Answer 26

Greater than 9

Question 27

What PE finding may occur due to insulin resistance?

Answer 27

Acanthosis nigricans

Question 28

Do type 2 diabetes patients need to take ASA?

Answer 28

Yes, especially if they are at risk of heart disease

Question 29

What diabetic med causes hypoglycemia?

Answer 29

Sulfonylureas (glipizide)

Question 30

Long-acting insulin:

Answer 30

Lantus

Levemir

Question 31

What does metabolic syndrome entail?

Answer 31

Increased abdominal obesity
HTN
HLD

Question 32

What are patients at risk of with metabolic syndrome?

Answer 32

Heart disease, stroke, and diabetes

Question 33

What medications should we not give to those with metabolic syndrome?

Answer 33

CCB and thiazides

Question 34

With Cushing disease we have ___ ____ cortisol?

Answer 34

Too much

Question 35

Patients with Cushing’s will present:

Answer 35

With moon face, purple striae, and truck obesity

Question 36

With Addison’s disease the patient will have:

Answer 36

Too little cortisol

Question 37

With Addison’s disease the potassium level will be low or high?

Answer 37

High

Question 38

With Cushing’s disease the potassium level will be low or high?

Answer 38

Low