Endocrine

Question 1

Ptn with head trauma and polyuria, what’s the cause

Answer 1

Diabetes insipidus

Question 2

Ptn with DKA, glucose is 34mml what the management

Answer 2

Decrease glucose by 3 ml / hour خود الرقم الاول وطبقه

Question 3

How to treat DKA with IV

Answer 3

IV insulin infusion ( IV regular insulin)

Question 4

Ptn diagnosed with acromegaly, what to do in the future

Answer 4

Colonoscopy

Question 5

Hyperthyroidism ( not pregnant) what the management

Answer 5

Methimazole

Question 6

Drug need to be adjusted in kidney disease

Answer 6

Linagliptine

Question 7

What the drug that reduce stone formation in hyperurecemia

Answer 7

Thiazide

Question 8

When to say that this is cortisol resistance nephrotic syndrome

Answer 8

After 4 week of cortisol ttt with no improvement

Question 9

Treatment of lower UTI is

Answer 9

Nitrofurantoin or TMP. SMX

Question 10

Treatment of upper UTI

Answer 10

3rd gen. Cephalosporin, ceftriaxone

Question 11

Old ptn presents with swollen ankle and eyelids , high BP,and hematuria after taken penicillin to treat her sore throat, what’s the management

Answer 11

Furosemide

Question 12

Ptn present with jaundice, spleenomegaly, spherocytosis, what’s the cause

Answer 12

Hemolytic anemia

Question 13

In ptn with sickle cell what can you give to increase fetal hemoglobin

Answer 13

Hydroxyurea

Question 14

Ptn with ⬆️ in all ( ca, phosphatase, PTH) diagnosis

Answer 14

3ry Hyperparathyroidism

Question 15

……. Is ass with sever eye symptoms in thyrotoxicosis

Answer 15

Smoking

Question 16

Ptn with FH of DM has Ha1C 6.3 and fasting glucose 7.3 what’s next

Answer 16

2=hours Glucose

Question 17

Hypoglycemia after insulin is called

Answer 17

Honeymoon

Question 18

Diabetic on glargine and aspart is suffering from fasting and postprandial hypoglycemia, management?

Answer 18

Decrease both drugs

Question 19

Old female with osteoporosis, treatment

Answer 19

Aldronate ( bisphosphonate )

Question 20

70 year old woman, smoker with low vitamin D and osteoporosis, wich one is the most significant risk factor for her osteoporosis?

Answer 20

Age

Question 21

Ptn with Cushing symptoms not on any medications, with low ACTH , what’s next

Answer 21

CT adrenal

Question 22

Hypothyroidism + hyperprolactenemia , what’s next

Answer 22

Thyroxine ??????

Question 23

Asymptotic ptn , no goiter with high TSH, normal T4, what next

Answer 23

If TSH > 10 give thyroxine / if less repeat test in 6 weeks

Question 24

Alzahimer depression ttt

Answer 24

SSRI

Question 25

High BP, high cathecolamies ( pheochromocytoma ) how to treat

Answer 25

Alpha blockers

Question 26

Ptn with HTN with FH of HTN his BP 160/100 otherwise normal, BMI 27 what to give

Answer 26

ACEI ( in cases 55 year and below or diabetic) if > 55 give CCB?

Question 27

Ptn with typical Cushing features, lab shows high free urine cortisol, low dose dexamethasone high cortisol, low ACTH , how to diagnose

Answer 27

Adrenal MRI

Question 28

Ptn with non secreting ACTH adenoma, CT is done what’s next

Answer 28

Low dexamethasone suppression test , urine , metanephren

Question 29

Stop metformin if GFR less than …..

Answer 29

Less than 30

Question 30

Ptn with hypothyroidism was given thyroxine, she came back after 2 weeks still complaining of high TSH and symptoms what to do

Answer 30

Increase dose after 6 weeks

Question 31

Young female with bilateral breast discharge ( maybe milK ) you should do imaging on…..

Answer 31

Sella turcica

Question 32

Diabetic ptn on metformin just had a surgery, what shall you do continue metformin or change to …..

Answer 32

Basal Boules insulin

Question 33

Ptn with FH of DM type 2 , came with polyuria,Ha1C =7.1 ,fBS = 7 is he pre-diabetic or diabetic

Answer 33

Diabetic

Question 34

Young female present with hyperprolactenemia she’s on cabergoline, when do we need to do MRI for her

Answer 34

In case she’s having blurred vision

Question 35

Ptn presented with abdominal pain, constripation, behavioral irritability, lab shows increase calcium, PTH , how to manage

Answer 35

Hydration + diuretics + pamidronate

Question 36

Safe drug to use in DM with kidney disease

Answer 36

Linagliptin

Question 37

Diabetic Ptn, smoker with peripheral artery disease, what he should do

Answer 37

Stop smoking

Question 38

30 years old ptn came with high PTH, high calcium, low phosphate, diagnosis

Answer 38

Parathyroid adenoma

Question 39

Ptn presents with hyperpigmentation, hyponatremia, hyperkalemia, diagnosis

Answer 39

Addison disease

Question 40

Ptn with FH of DM, his Ha1C is 6.3, fasting glucose 7 what do do next

Answer 40

2 hours glucose test

Question 41

SLE ptn on hydroxychloroquine present with seizure what to give.

Answer 41

Cyclophosphamide

Question 42

Type of visual disturbance that come with pituitary adenoma

Answer 42

Bitemporal heminopia

Question 43

Ptn with hyperthyroidism has palpation, what to give her

Answer 43

Propranolol

Question 44

Young ptn with hyperthyroidism, with irregular menses, diarrhea, milky discharge, she’s not pregnant. TSH,T4=both are high, how to diagnose

Answer 44

MRI pituitary

Question 45

The most common complication of DM is

Answer 45

Kidney disease

Question 46

Most common cause leads to discovering incidental adrenal adenoma is

Answer 46

Non functioning adenoma

Question 47

Ptn with high prolactin, TSH, T4 . Diagnosis

Answer 47

MRI to sella turcica

Question 48

Ptn with hypothyroidism is taking 125mg but TSH still high , T4=normal , you increase the dose to 200 then test to find TSH is still high, what’s the explanation?

Answer 48

Non compliance

Question 49

Hypothyroidism ptn asymptotic, with TSH >10 , what to do

Answer 49

Give thyroxin

Question 50

Male with vague abdominal pain, CT shows 5cm adrenal mass hypoecoic, with fat content , adrenal hormones are normal , what’s next

Answer 50

Adrenalectomy

Question 51

Ptn has painful neck swelling that moves with swallowing, diagnosis

Answer 51

Subacute granulomatous thyroiditis

Question 52

44-year-old male married for three years complaining of decreased libido painful tender breasts by lottery bilaterally breastmilk can be expressed manually he came in for an evaluation of his complaints physical examination is otherwise normal prolactin level is very high what investigation what to do

Answer 52

MRI ( pituitary tumor)