Endo quick associations

Question 1

DM drug that decreases the absorption of starch and disaccharides

Answer 1

Acarbose

Question 2

DM drug that stimulates insulin release by inhibiting potassium ATP channel

Answer 2

sulfonylurease

meglitinides

Question 3

DM drug that decreases hepatic gluconeogenesis

Answer 3

metformin

TZDs

Question 4

DM drug mimics the action of GLP-1: lower glucagon, increased insulin, delays gastric emptying

Answer 4

GLP1 receptor agonists

Question 5

DM drug that inhibits DPP-4 -> lower glucagon, increased insulin, delays gastric emptying

Answer 5

DPP4 inhibitors

Question 6

DM drug that increases urinary elimination of sugar

Answer 6

SGLT2 inhibitors

Question 7

Lactic acidosis is a rare But worrisome side effect

Answer 7

Metformin

Question 8

Most common side effect is hypoglycemia

Answer 8

sulfonylurease

meglitinides

Question 9

Oldest and cheapest to the oral non-insulin agents

Answer 9

sulfonylureas

metformin

Question 10

First line for type II diabetes

Answer 10

metformin

Question 11

Non-insulin drug not safe in setting of severe CHF

Answer 11

pioglitazone
TZDs
SGLT2

Question 12

Non-insulin agent that should not be used in patients with renal dysfunction

Answer 12

SGLT2 inhibitors

caution - metformin

Question 13

Non-insulin agents that are acceptable choices in patients with mild to moderate renal disease

Answer 13

TZDs
DPP4-inhibitors
Metformin

Question 14

Non-insulin agents that increases risk for UTI and yeast infections

Answer 14

SGLT2-inhibitor

Question 15

Patient presents with hypoglycemia labs reveal:
Elevated insulin level
Low C-peptide
Low pro-insulin
Sulfonylurea screen - negative

Answer 15

Excess Exogenous insulin

Question 16

Patient presents with hypoglycemia labs reveal:
Elevated insulin level
Elevated C-peptide
Elevated pro insulin
Sulfonylurea screen: positive

Answer 16

Adverse effect of sulfonylurea use

Question 17

Patient presents with hypoglycemia with fasting, labs reveal:
Elevated insulin level
Elevated C-peptide
Elevated pro insulin
Sulfonylurea screen - negative

Answer 17

Insulinoma - usually in pancreas

CT/MRI to localize
Tx: diazoxide and octreotide

Question 18

Painless goiter + hypothyroid

Increased risk of B cell lymphoma of thyroid

Answer 18

Hashimoto thyroiditis

Question 19

Painful goiter + fever

Hyper or hypothyroidism

Answer 19

subacute thyroiditis

Question 20

Fixed, hard, rock-like, painless thyroid in young patient

euthyroid or hypothyroid

Answer 20

Riedel’s thyroiditis

Question 21

RET oncogene

Answer 21

MENII syndromes