Endocrine🍬

Question 1

Diagnostic test for Addisons disease

Answer 1

Short synacthen test

Question 2

Type of parathyroidism caused in CKD?

Answer 2

Secondary

Question 3

Treatment for Grave’s in first trimester

Answer 3

Propylthiouracil

Question 4

Long term management of Addison’s

Answer 4

Cortisol and aldosterone replacement: hydrocortisone and fludrocortisone

Question 5

Hypocalcaemia ECG change

Answer 5

Prolonged QT interval

Question 6

Management of secondary hyperparathyroidism in CKD

Answer 6

Vitamin D analogues and phosphate binders

Question 7

HLA associated to T1DM

Answer 7

HLA-DR3

Question 8

First line anti thyroid medication

Answer 8

Carbimazole

Question 9

Serious complication of rapid correction of hyponatraemia

Answer 9

myelinolysis

Question 10

Why should hypernatraemia be corrected slowly?

Answer 10

Avoid cerebral oedema

Question 11

HbA1c level for diagnosis of diabetes

Answer 11

> 48

Question 12

Fasting plasma glucose for diabetes diagnosis

Answer 12

> 7

Question 13

Long term treatment for T1DM

Answer 13

Insulin

Question 14

Diabetes drug with cardiovascular and renal benefits

Answer 14

Empagliflozin (SGLT 2 inhibitor)

Question 15

HLA genotype associated to T1DM

Answer 15

HLA DR3

Question 16

2nd line diabetes medication after metformin in patients with CV risk or CKD

Answer 16

SGLT 2 inhibitor e.g. empagliflozin

Question 17

2nd line T2DM medication in patients with no contraindications

Answer 17

DPP4 inhibitor - Sitagliptin

OR sulfonylurea - Gliclazide

Question 18

Initial fixed-rate insulin infusion dose in DKA

Answer 18

0.1 units/kg/hour

Question 19

Key indicator test result for T1DM

Answer 19

Low serum C peptide

Question 20

First line treatment for De Quervain’s thyroiditis

Answer 20

NSAIDs