endo incorrects Flashcards

1
Q

what is the prefered treatment for lithium induced DI?

A

amiloride

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2
Q

low ACTH, high cortisol, what to do?

A

CT scan of adrenals, see whats wrong, ACTH independent cushing syndrome

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3
Q

somatatoma symptom?

A
diabetes
diarrhea
gallstones
hypochlorydia
weightloss
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4
Q

hypothyroidism causes___prolactin

A

hyperprolactin, via high TSH

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5
Q

familial hypercholestoremia symptoms?

A

high LDL
xanthomas
xanthalesmas

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6
Q

labs in familial hypercholestoremia?

A

high ldl
normal hdl
normal lipids

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7
Q

first test for patients with thyroid nodule bigger than 1cm?

A

tsh

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8
Q

if tsh low, what to do?

A

radioactive iodine scan of thyroid

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9
Q

what to do with suspected thyroid malignancy?

A

fine needle aspiration

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10
Q

if tsh normal or high, what to do?

A

thyroid ultrasound

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11
Q

papillary thyroid tumors are associated with

A

familial adematous polyposis
cowden syndrome
gardner syndrome

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12
Q

mass in pancreas, watery diarrhea, hypokalemia, hypochloridia?

A

vipoma

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13
Q

what if a patient has high blood sugars in the morning, why is that and what do you do?

A

because of hormones such as GH

keep insulin normal, check it at 3am before adjusting

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14
Q

what do vaptan drugs do?

A

block vasopressin without affecting electrolyte concentration

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15
Q

whats the treatment for postpartum throiditis?

A

b blocker dummy

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16
Q

what happens in conn syndrome?

A

too much aldosterone

high NA low K, high pH, HTN, fatigue

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17
Q

immigran with adrenal insufficiency, what to expect?

A

tuberculosis

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18
Q

what cancer in women releases pthrp?

A

breast cancer

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19
Q

prevent complications from men 2b in infants? upon seeing what gene?

A

thyroidectomy to prevnt medully thyroid carcinoma

RET gene

20
Q

how to test for conns syndrome

A

aldosterone suppresion test,

low aldosterone in urine if salt given

21
Q

what form of diavetes is caused by gck mutation on cchromosome 7

22
Q

what form of diavetes is caused by HNF4amutation on cchromosome 20

23
Q

test to check for high pth?

A

serum calcium

24
Q

best test to check for microdamage due to diabetes, yearly?

A

urine spot albumin-creatinine ratio

25
how to treat dawn phenomenon?
more basal insulin closer to bed
26
most important measurement in pregnancy with graves disease? why?
cord TSI newborn can develop graves disease
27
what test confirms thyroiditis?
radioactive uptake iodine scan
28
congenital adrenal hyperplasia is caused by
21 hydrocylase deficiency
29
symptoms of CAH?
hyponatremia hyperkalemia females with clitomegaly
30
how do you treat secondary or tertiary adrenal insufficiency?
glucocorticoid
31
how do you treat primary adrenal insufficiency?
glucocorticoud and fludrocortisone
32
combination therapy for htn patient with diabetes?
more than 20/10 away from target BP CCB (amlodipine) + ACEI( lisinopril)
33
euthyroid sick syndrome symptoms?
normal t4, low t3 sick patient with variable symptoms
34
treatment for bilateral adrenal hyperplasia?
spironolactone
35
treatment for unilateral adrenal hyperplasia?
unilateral adrenelectomy
36
which hiv drug causes lipdystrophy?
zidovudine
37
vitamin d deficiency presents as
low calcium and phosphorus with high pth low calcium causes high pth, which lowers phosphorus further
38
what does psudohypoparathyroid look like?
short stature shortened hand and feet bones dental hypoplasia
39
TPO is found in
hashimotos
40
graves has antibodies to
thyrotropin receptors
41
capacity is
evaluated by doctor | individuals ability to make informed decisions
42
strict liability of tort
requires a hazardous act
43
most likelt cause of ciral encephalitis in us? treatment?
HSV acyclovir
44
empiric treatment for bacterial meningitis?
ceftriaxone
45
what part of hepatitis b virus is responsible for infections?
hbx gene