Endocrine Flashcards
Modifiable risk factor for Grave’s?
Smoking
Management of an asymptomatic patient with raised HbA1c?
Repeat test to confirm diagnosis
Management of fluids in SIADH?
Fluid restriction
What 3 endocrine parameters decrease in stress response?
Insulin
Testosterone
Oestrogen
ABG in Cushing’s?
Hypokalaemia metabolic alkalosis
Which diabetic drug has increased risk of bladder cancer?
Pioglitazone (thiazolidinediones)
Management of Grave’s disease in pregnancy?
Propylthiouracil
Biochemistry in primary hyperparathyroidism?
Raised ALP, PTH
Low PO4
Cause of tertiary hyperparathyroidism?
Ongoing hyperplasia of parathyroid glands following correction of underlying cause
Differentiation between primary and secondary hyperaldosteronism?
Primary = normal renin
Secondary = raised renin
Thyroxine in osteoporosis ?
Increase replacement dose
Uptake of iodine-131 on thyroid scintigraphy in De Quervian’s (subacute) thyroiditis?
Decreased
TFTs in sick euthyroid syndrome?
TSH: normal
T3&4: low
SIADH urine osmolality and urinary sodium?
Raised urinary osmolality
Raised urinary sodium
(management with fluid restriction)
TFTs in nephrotic syndrome?
May be isolated low total thyroxine level
Type of diabetes that Lithium causes?
Nephrotic Diabetes Insipidus
In DM with CVD, high risk of CVD or CHF, what 2 drugs should be prescribed initially?
Metformin and SGLT-2 inhibitors (empagliflozin)
SGLT2 inhibitors example?
Gliflozins
SE of SGLT2 inhibitors?
Thrush
Noroglycaemic ketoacidosis
Fournier’s gangreen