Endocrine 2

Question 1

Refractory dyslipidemia can be a cause of what other problem?

Answer 1

Hypothyroidism

Question 2

Management for a patient with hypertensive crisis from pheochromocytoma?

Answer 2

First an alpha blockade with either phenoxybenzamine, which is an alpha-1 and alpha- 2 blocker, or phentolamine, a nonspecific alpha-blocker, followed by a beta-blocker, such as labetalol or propranolol.

Question 3

Patients with PCOS should be screened for…

Answer 3

Diabetes

Question 4

First steps in dx Addison’s disease

Answer 4

Morning corisol, and serum ACTH.

Then ACTH test.

Question 5

Inhibits conversion of thyroxine to triiodothyronine.

Answer 5

PTU

Question 6

Management for Cushing’s

Answer 6

Hydrocortisone

Transsphenoidal resection if pituitary tumor.

Question 7

What dopamine agonists can be used to treat prolactinomas?

Answer 7

Cabergolin or Bromocriptine

Question 8

Hyperthyroidism/Thyroid storm treatment order.

Answer 8

BB, then PTU or Methimazole, then Dexamethasone.

Question 9

Patient will be complaining of increased head, glove, or shoe size
PE will show coarse facial features, oily skin, visual field deficits, diabetes
Labs will show increased IGF-1
Most commonly caused by a pituitary adenoma
Treatment is transsphenoidal resection

Answer 9

Acromegaly

Question 10

Patients with high calcium levels are likely to have low levels of

Answer 10

Phosphate

Question 11

Electrolyte lab findings on adrenal insufficiency?

Answer 11

Hyponatremia, Hypoglycemia, Hyperkalemia.

Question 12

Tx for DI

Answer 12

Desmopressin

Question 13

Delayed relaxation of deep tendon reflexes, hair thinning, periorbital edema, hypertension, weight gain, and shortness of breath are all physical findings commonly seen in patients with

Answer 13

Hypothyroidism

Question 14

Management for a patient with symptoms of hyperthyroid usually after a viral respiratory infection. Presents as a painful thyroid gland. ESR is elevated.

Answer 14

Supportive. NSAIDS or Aspirin

Question 15

What is another name for Subacute thyroiditis?

Answer 15

De Quervain thyroiditis
Caused by neutrophilic inflammation of the thyroid gland. It is typically viral in origin, and is preceded by an upper respiratory infection. Symptoms include an enlarged, painful thyroid gland. Early in the course of the disease, patients experience symptoms of hyperthyroidism due to destruction of thyroid follicles and subsequent release of thyroid hormone.