Endocrine

Question 1

Which hormones are released from the anterior pituitary?

Answer 1

“FLAT PiG”
Follicle-stimulating hormone
Luteinizing hormone
Adrenocorticotropin
Thyroid-stimulating hormone
Prolactin
Ignore 🤣
Growth hormone

Question 2

T3 or T4?
Higher potency
Shorter half-life
Less protein bound
Smaller concentration in the blood (bound and unbound fractions)

Answer 2

T3

Question 3

Answer 3

Esmolol

Question 4

What drugs do you want to avoid in hyperthyroid patient?

Answer 4

Sympathomimetics, anticholinergics, ketamine, and pancuronium

Question 5

How do you best treat hypotension in hypothyroidism?

Answer 5

Hemodynamic support with sympathomimetics that improve myocardial performance (not phenylephrine)

Unresponsive to catecholemines-> tx with corticosteroids (decreased adrenal fxn)

Question 6

Answer 6

Question 7

Osmolarity (and sodium concentration) is regulated by aldosterone/ADH?

Answer 7

ADH

Question 9

Answer 9

Question 10

Released by delta cells
Inhibits insulin and glucagon
Inhibits splanchnic blood flow, gastric motility, & gall bladder contraction

Answer 10

Somatostatin

Question 11

Answer 11

Question 12

____ & ____ stimulation increase insulin secretion. ____ stimulation inhibits insulin secretion.

Answer 12

B1 & PNS;
A2

Question 13

Concurrent cardiac dz with carcinoid syndrome manifests as?

Answer 13

Pulmonic stenosis and TR

Question 14

What drugs do you give for carcinoid tumor?

Answer 14

Somatostatin
Antihistamines (H1 & H2)
5-Hat3 antagonists
Steroids
Neo or vaso for hypotension

Question 15

Which type of pancreatic cells release glucagon?

Answer 15

Alpha

Question 16

Which beta blocker inhibits the conversion of T4 to T3?

Answer 16

Propranolol

Question 17

What is the most common cause of primary hyperparathyroidism?

Answer 17

Parathyroid adenoma

Question 18

Long term consumption of which food is a/w a syndrome that resembles hyperaldosteronism?

Answer 18

Licorice

Question 19

_____ are high in purines which can lead to worsening symptoms in a pt w/ gout

Answer 19

Organ meats

Question 20

Pts on MAOIs may need to refrain from foods high in tyramine, such as ____

Answer 20

Aged cheeses

Question 21

____ is a must-know enzyme inhibitor

Answer 21

Grapefruit juice

Question 22

Drugs that antagonize the hypoglycemic effect of insulin include:

Answer 22

Epi & glucagon

Question 23

Drugs that extend/enhance the hypoglycemic effect of insulin include:

Answer 23

MAOIs (phenzine)
Salicylates
Tetracycline

Question 24

Which hormone is produced in the supraoptic nuclei

Answer 24

ADH

Question 25

Which hormone is produced primarily in the paraventricular nuclei

Answer 25

Oxytocin

Question 26

Which airway technique should be avoided in the pt with acromegaly?

Answer 26

Nasal intubation

Question 27

Answer 27