ENDOCRINE

Question 1

Mx of Gastroparesis in T1DM

Answer 1

METACLOPRAMIDE

Question 2

Thyroid Storm mx

Answer 2

BB’s
Dexamethasone
Anti thyroids (propylthiouracil)
Lugols Ioine

Question 3

If plasma/aldosterone ratio is raised, what ix are performed after?

Answer 3

Adrenal Venous Sampling

increased in only one vein indicates adenoma
in both indicates hyperplasia

Question 4

What malignancy is assoc with hashimotos

Answer 4

MALT lymphoma

Question 5

TREATMENT FOR MODY

Answer 5

GLICLAZIDE

Question 6

Do thiazides cause hyper or hypocalcaemia?

Answer 6

HYPERCALCAEMIA

Question 7

Mx of Subclinical Hyperthyroidism

Answer 7

TSH 4-10

Asymptomatic: Observe and Repeat TFT in 6 months
<65: trial of levothyrox, stop if no improvement
Older: Watch and Wait

TSH >10
<70: Levothyroxine
>80: Watch and wait

Question 8

Mx of acromegaly

Answer 8

Surgery

If not: Octreotide (Somatostatin analogue)

Question 9

TMN mx

Answer 9

Iodine

Question 10

What renal condition is a contraindication for amitryptiline

Answer 10

BPPH

Question 11

Symptomatic Mx of Graves

Answer 11

Propanolol

Carbimazole

Question 12

Secondary Hypothyroidism Aetiology

Answer 12

Pituitary Lesion

Question 13

Is the urine osmolality is high after fluid deprivation AND desmopressin?

Answer 13

PRIMARY POLYDIPSIA

Question 14

Addisons patients with a vomitting illness?

Answer 14

IM hydrocortisone

Question 15

Mx of NEPHROGENIC DI

Answer 15

Chlorothiazide