Endocrine

Question 1

NPH, intermediate insulin, onset?

Answer 1

6-14hrs

Question 2

Basal insulin onset?

Answer 2

None, but duration is 24 hrs

Question 3

High dose omega fatty acids do what for lipid profile?

Answer 3

Decrease triglycerides

Question 4

Finding of myedema

Everything is sluggish

Hashimotos

High TSH. Low T4

Synthroid!

Answer 4

Hypothyroid

Question 4

Graves disease, thyroid storm, Eye disorders with overactive thyroid, bug eyes

The hyper patient

Low TSH. High T3

Propranolol
Thiourea drugs - methimazole, propylthiouracil
Radioactive iodine
Surgery

Answer 4

Hyper thyroid

Question 5

This test will check balance problems, and the part of thebrain that is responsible for this is the cerebellum

Answer 5

Romberg test

Question 6

This is the Tanner stage where puberty starts

Answer 6

Tanner stage II

Question 7

Chronic us of glucosteriods
Steroids cause vasoconstriction

Hypertension, central obesity, moon face, purple striae, acne, hirsutism

HypERglycemia
HypERnatremia
HyPOkalemia

Answer 7

Cushing’s

Question 8

Deficit of cortisol, aldosterone and androgens, mineral corticosteroid deficient

Hyperpigmentation is weird areas with diffuse freckles and tanning, hypOtension, scant Axillary hair and pubic

HypOglycemia
HypOnatremia
HypERkalemia

Glucocorticoid and mineral corticoid replacement = hydrocortisone and fludrocortisone (florinef)

Answer 8

Addisons