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

A

MODY2

22
Q

what form of diavetes is caused by HNF4amutation on cchromosome 20

A

MODY1

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
Q

how to treat dawn phenomenon?

A

more basal insulin closer to bed

26
Q

most important measurement in pregnancy with graves disease? why?

A

cord TSI

newborn can develop graves disease

27
Q

what test confirms thyroiditis?

A

radioactive uptake iodine scan

28
Q

congenital adrenal hyperplasia is caused by

A

21 hydrocylase deficiency

29
Q

symptoms of CAH?

A

hyponatremia
hyperkalemia
females with clitomegaly

30
Q

how do you treat secondary or tertiary adrenal insufficiency?

A

glucocorticoid

31
Q

how do you treat primary adrenal insufficiency?

A

glucocorticoud and fludrocortisone

32
Q

combination therapy for htn patient with diabetes?

A

more than 20/10 away from target BP

CCB (amlodipine) +
ACEI( lisinopril)

33
Q

euthyroid sick syndrome symptoms?

A

normal t4, low t3

sick patient with variable symptoms

34
Q

treatment for bilateral adrenal hyperplasia?

A

spironolactone

35
Q

treatment for unilateral adrenal hyperplasia?

A

unilateral adrenelectomy

36
Q

which hiv drug causes lipdystrophy?

A

zidovudine

37
Q

vitamin d deficiency presents as

A

low calcium and phosphorus with high pth

low calcium causes high pth, which lowers phosphorus further

38
Q

what does psudohypoparathyroid look like?

A

short stature
shortened hand and feet bones
dental hypoplasia

39
Q

TPO is found in

A

hashimotos

40
Q

graves has antibodies to

A

thyrotropin receptors

41
Q

capacity is

A

evaluated by doctor

individuals ability to make informed decisions

42
Q

strict liability of tort

A

requires a hazardous act

43
Q

most likelt cause of ciral encephalitis in us? treatment?

A

HSV

acyclovir

44
Q

empiric treatment for bacterial meningitis?

A

ceftriaxone

45
Q

what part of hepatitis b virus is responsible for infections?

A

hbx gene