Endo :D Flashcards

1
Q

name some regular insulins

A

regular
toronto

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2
Q

how long does it take to see the maximal effect of levothyroxine

A

4-6 weeks

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3
Q

what are some symptoms of hyperthyroidism

A

tachycardia
angina
tremor
nervousness
insomnia
hyperthermia
inc intestinal motility and sweating

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4
Q

what accounts for 90% of glucose reabsorption in the kidney

A

SGLT-2 inhibitor

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5
Q

name a biguanides

A

metformin

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6
Q

what kind of drug is sitagliptin

A

DPP-4 inhibitor

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7
Q

what does metformin do

A

dec gluconeogenesis
inc uptake of glucose

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8
Q

what type of drug is ezetimibe

A

cholesterol absorption inhibitor

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9
Q

name an adverse effect of PCSK9 inhibitors

A

injection site reactions

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10
Q

should you use HMG-CoA reductase inibiotrs when pregnatn

A

no, but idk why

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11
Q

what do DPP-4 inhibitors do

A

inc incretin levels by inhibiting DPP

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12
Q

name some adverse effects of insulin

A

hypoglycemia
lipohypertrophy

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13
Q

how do methimazole and propylthiouracil work

A

inhibits iodination and coupling of tyrosine precursors bound to thyroglobulin

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14
Q

name 4 drugs used to lower lipid levels

A

HMG-CoA reductase inhibitors
PCSK9 inhibitors
Chloesterol absorption inhibitor
Bile acid sequestrants

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15
Q

what do PCSK9 inhibitors do

A

inhibit PCSK9 and decrease LDL levels

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16
Q

Name the rapid insulins

A

lispro
aspart
glulisine

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17
Q

name some DPP-4 inhibitors

A

sitagliptin, saxagliptin, linagliptin

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18
Q

name a bile acid sequestrant

A

cholestyramine

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19
Q

how do bile acid sequesterants lower cholesterol

A

they promote excretion of bile acids and the body uses cholesterol to replace the lost acids

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20
Q

name some AE of propylthiouracil

A

liver injury
rash
arthralgia
hypothyroidism
agranulocytosis

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21
Q

what do incretins do

A

increase release of insulin

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22
Q

name a cholesterol absorption inhibitor

A

ezetimibe

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23
Q

methimazole and propylthiouracil are what types of drugs

A

drugs for hyperthyroidism

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24
Q

what is myositis

A

muscle inflammation
(pain plus elevated CK (less than 10x normal)

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25
Q

name the long insulins

A

detemir
glargine

26
Q

name 2 GLP-1 receptor agonists

A

liraglutide
semaglutide

27
Q

name some HMG-CoA reductase inhibitors

A

statins :)
atorvastatin
rosuvastatin

28
Q

name 6 types of anti-hyperglycemic drugs

A

sulfonylureas
biguanides
glitazones
GLP-1 receptor agonists
dipeptidyl peptidase 4 inhibitors
SGLT-2 inhibitors

29
Q

name an adverse effect of bile acid sequesterants

A

constipation

30
Q

name two drugs for hyperthyroidism

A

methimazole
propylthiouracil

31
Q

name some adverse effects of HMG-CoA reductase inhibitors

A

GI disturbances
elevation of liver enzyme tests
myopathies (myalgia, myosistis, rhabdomyolysis)

32
Q

name a glitazone

A

rosiglitazone

33
Q

what are the three principal actions of thyroid hormones

A

stimulation of energy use
stimulation of the heart
promotion of growth and development

34
Q

what does PCSK9 do

A

it binds to LDL receptors and destroys them, preventing LDL from being taken up from the blood

35
Q

name some AE of methimazole

A

rash
arthralgia
hypothyroidism
agranulocytosis

36
Q

gliclazide
glyburide are what kind of drugs

A

sulfonylureas

37
Q

liraglutide and semaglutide are what kinds of drugs

38
Q

name the intermediate insulin

39
Q

what do glitazones do

A

dec insulin resistance

40
Q

name some adverse effects of SGLT2 inhibitors

A

fungal infections
polyuria
hypotension
euglyemic diabetic ketoacidosis

41
Q

what is mylagia

A

muscle pain with normal CK plasma levels

42
Q

what drug has an enterogastrone effect

A

GLP1 agonists

43
Q

what do drugs for hyperthyroidism do

A

reduce syntehsis or release of thyroid hormones

44
Q

name a drug for hypothyroidism

A

levothyroxine

45
Q

what do GLP-1 agonists do

A

inc effect of GLP-1 and inc glucose-dependant release of insulin

46
Q

name some PCSK9 inhibitors

A

evolocumab
alirocumab

47
Q

what kind of drug is cholestyramine

A

bile acid sequestrant

48
Q

rhabdomyolysis

A

muscle pain and CK over 10times normal
elevated myoglobin

49
Q

what are bile acid sequestrants

A

nonabsorable resin that binds to bile acids

50
Q

what kind of drug is metformin

A

biguanides

51
Q

what do cholesterol absorption inhibitors do

A

blocks absorption of cholesterol from intestine

52
Q

whats an adverse effect of rosiglitazone

A

retention of fluid
HF

53
Q

what is the half life of levothyroxine

54
Q

what do dipeptidyl peptidase inhibitors do

A

inactivates incretin hormones

55
Q

how do sulfonylureas work

A

promote inuslin secretion by the pancreas

56
Q

name 2 sulfonylureas

A

gliclazide
glyburide

57
Q

what does propylthiouracil do

A

inhibits peripheral activation of T4 to T3

58
Q

what kind of drug is rosiglitazone

59
Q

name some adverse effects of GLP-1 agonists

A

decreased appetite
thyroid cancer risk

60
Q

name some SGLT-2 inhibitors

A

canagliflozin
empagliflozin
dapaglifozin

61
Q

evolocumab and alirocumab are what kinds of drugs

A

PCSK9 inhibitors