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1. AKT > Endocrine > Flashcards

Endocrine Flashcards

1
Q

addisons

A

low cortisol and aldosterone

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2
Q

low Na and high K

A

addisons

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3
Q

test for addisons

A

synacthin test
does not rise in addisons

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4
Q

other causes of adrenal insufficiency

A

primary addisons
secondary - pit disease, tumour, radiotherapy

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5
Q

cushings disease
syndrome
ectopic

A

pit
adrenal
SCLC

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6
Q

ix for cushings

A

dex suppression test
24 hour free cortisol
insulin stress test

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7
Q

CAH

A

21 hydroxylas lack of

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8
Q

conns is what
Na K

A

high aldosterone
high Na low K

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9
Q

treatment for conns

A

spironolactone
surgery

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10
Q

phaechromocytoma is what
ix

A

adrenal medullary tumour
24 hour urinary metanephrines

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11
Q

phaechromocytoma treatment

A

alpha blockers - phenoxybemamine
beta blocker
surgery

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12
Q

acromegaly investigation

A

IGFI
growth hormone

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13
Q

treatment for acromegaly

A

transphenoidal surgery
bromacriptine, octeotride

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14
Q

prolactinoma symptoms in M
W

A

visual field
amenorrhea, irreg periods, glactorrhoea

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15
Q

treatment of prolactinoma

A

cabergoline
brcomicriptine

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16
Q

hypopituitarism causes

A

tumours, mets, AI, infectionshy

17
Q

hypopituiritism treatment

A

replace hormones

18
Q

Type 1 DM fasting
random

A

over 7
over 11

19
Q

if over 50 and high BMI diagnosed with DM

A

c peptide, DM antibodies

20
Q

HBA1C target and check how frequently
target BMs waking
before meals

A

48
3-6m
5-7
4-7

21
Q

if T1DM and BMI over 25

A

add metformin

22
Q

MODY genetics
treatment

A

ADOM
low dose SU

23
Q

latent AI of DM genetics
treatment

A

auto AB positive
oral agents

24
Q

Metformin side effects

A

gastro
lactic acidosis

25
Q

SU side effects

A

hypoglycaemia
increased appetite
SIADH
liver dysfunction

26
Q

glitazones

A

increased weight
fractures
fluid
liver

27
Q

DPPU gliptins

A

pancreatitis

28
Q

target hba1c if lifestyle and metformin
on another agent

A

48
53

29
Q

when to give GLP1

A

BMI over 35 and not for insulin

30
Q

hypothyroid follow up

A

2m then annually

31
Q

anti TPO
anti thyroglobulin ABs

A

hashimotos

32
Q

moves with tongue

A

thyroglossal cyst

33
Q

midline
soft non fluctuant

A

dermoid cyst

34
Q

half filled water bottle
ant triangle

A

branchial cyst

35
Q

bubbles large, lymph filled, transluminates
post triangle

A

cystic hygroma

36
Q

normal dexa
osteopenia
osteoporosis

A

> -1.0
-1 to -2.5
<-2.5

37
Q

if over 75 and fragility fracture

A

start steroids

1. AKT (27 decks)

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