Endo

Question 1

What should be done to steroid treatment in an unwell person with Addison’s?

Answer 1

Double the glucocorticoids. Keep the fludrocorticoids the same

Question 2

If a woman is pregnant with hypothyroidism, what should be done with her levothyroxine

Answer 2

Increase the dose

Question 3

What is the first line investigation in acromegaly?

Answer 3

Serium IGF-1

Question 4

When should you consider adding a second drug in T2DM when the patient is on metformin?

Answer 4

HBA1C over 58

Question 5

Describe the stepwise drug pathway in treating T2DM

Answer 5

1. metformin
2. metformin + Sulfonylurea (or another control drug)
3. Triple therapy OR metformin + insulin

Question 6

What can give a falsely low HBA1C level?

Answer 6

Sickle Cell anaemia

Question 7

What is the first line treatment of Thyroid storm?

Answer 7

• IV Propanolol (or any beta blocker)
• Propylthiouracil
• Hydrocortisone

Question 8

What can be used to differentiate between T1 and T2 DM?

Answer 8

C-Peptide - it will be low in T1DM

Question 9

What are the sick day rules in T1DM Insulin control?

Answer 9

Continue normal insulin regime and check blood sugars frequently

Question 10

What is 1st line antihypertensive therapy in ANY T2DM patient?

Answer 10

ACEi/ARB

Question 11

What rate of insulin should be given after fluids in DKA?

Answer 11

0.1units/kg/hr

Question 12

What blood results are seen in Kallman’s syndrome?

Answer 12

Low/normal FSH/LH and Low testosterone