Endocrine Flashcards
Which hormones are released from the anterior pituitary?
“FLAT PiG”
Follicle-stimulating hormone
Luteinizing hormone
Adrenocorticotropin
Thyroid-stimulating hormone
Prolactin
Ignore 🤣
Growth hormone
T3 or T4?
Higher potency
Shorter half-life
Less protein bound
Smaller concentration in the blood (bound and unbound fractions)
T3
Esmolol
What drugs do you want to avoid in hyperthyroid patient?
Sympathomimetics, anticholinergics, ketamine, and pancuronium
How do you best treat hypotension in hypothyroidism?
Hemodynamic support with sympathomimetics that improve myocardial performance (not phenylephrine)
Unresponsive to catecholemines-> tx with corticosteroids (decreased adrenal fxn)
Osmolarity (and sodium concentration) is regulated by aldosterone/ADH?
ADH
Released by delta cells
Inhibits insulin and glucagon
Inhibits splanchnic blood flow, gastric motility, & gall bladder contraction
Somatostatin
____ & ____ stimulation increase insulin secretion. ____ stimulation inhibits insulin secretion.
B1 & PNS;
A2
Concurrent cardiac dz with carcinoid syndrome manifests as?
Pulmonic stenosis and TR
What drugs do you give for carcinoid tumor?
Somatostatin
Antihistamines (H1 & H2)
5-Hat3 antagonists
Steroids
Neo or vaso for hypotension
Which type of pancreatic cells release glucagon?
Alpha
Which beta blocker inhibits the conversion of T4 to T3?
Propranolol
What is the most common cause of primary hyperparathyroidism?
Parathyroid adenoma
Long term consumption of which food is a/w a syndrome that resembles hyperaldosteronism?
Licorice
_____ are high in purines which can lead to worsening symptoms in a pt w/ gout
Organ meats
Pts on MAOIs may need to refrain from foods high in tyramine, such as ____
Aged cheeses
____ is a must-know enzyme inhibitor
Grapefruit juice
Drugs that antagonize the hypoglycemic effect of insulin include:
Epi & glucagon
Drugs that extend/enhance the hypoglycemic effect of insulin include:
MAOIs (phenzine)
Salicylates
Tetracycline
Which hormone is produced in the supraoptic nuclei
ADH
Which hormone is produced primarily in the paraventricular nuclei
Oxytocin
Which airway technique should be avoided in the pt with acromegaly?
Nasal intubation
