endocrine

Question 1

blood sugar target level

Answer 1

4 -7 mmol/l

‘lower than 4, on the floor. higher than 7, go to heaven’

Question 2

first line hypertension for black patient T2DM

Answer 2

Angiotensin II receptor blocker

Question 3

corticosteroid side effect

Answer 3

psychosis (rare)

Question 4

secondary hyperparathyroidism

Answer 4

PTH: high, Calcium low or normal, Phosphate: high, vitamin D: low

Question 5

addison’s

Answer 5

hyponatremia, hyperkalaemia, thirst, tiredness and hypoglycaemia

Question 6

Addisonian crisis

Answer 6

hyponatraemia
hyperkalaemia
hypoglycaemia

Question 7

DKA management

Answer 7

resuscitating fluids

insulin fixed rate - continue regular long acting insulin, discontinue short acting insulin

Question 8

potentially fatal complication of hypothyroidism

Answer 8

myxoedema coma

Question 9

hashimoto’s antibody

Answer 9

anti-TPO

Question 10

Grave’s disease antibody

Answer 10

TSH receptor antibody

Question 11

Results of high-dose dexamethasone suppression test: pituitary adenoma

Answer 11

Cortisol: suppressed, ACTH: suppressed