Endocrine

Question 1

Catecholamines in the urine, headaches, hypertensin and palpitations

Answer 1

Phaeochromocytoma

Question 2

Tanned ski without being on holiday

Answer 2

Addison’s

Question 3

Increased shoe size, spade hands, wedding ring too tight

Answer 3

Acromegaly

Question 4

signs of hyperthyroidism plus any eye changes gritty eyes smooth velvety skin

Answer 4

Grave’s disease

Question 5

Mon face, proximal weakness, stretch marks, buffalo hump, abdo fat

Answer 5

Cushing’s

Question 6

Ketones on breath (sweet smelling / pear drop breath)

Answer 6

DKA

Question 7

Deep, laboured breaking Kussmaul breathing)

Answer 7

Metabolic acidosis (DKA

Question 8

Orphan Annie Nuclei

Answer 8

Papillary thyroid cancer

Question 9

Bone pain, stones ado pain, psychiatric problems

Answer 9

Hypercalcaemia (hyperparathyroidism

Question 10

Psammoma bodies

Answer 10

Are found in papillary thyroid carcinomas

Question 11

Butterfly rash

Answer 11

SLE

Question 12

Heat intolerance / palpitations

Answer 12

Hyperthyroidism

Question 13

Cold intolerance / weight gain

Answer 13

Hypothyroidism

Question 14

Anosmia and isolated GnRH deficiency

Answer 14

Kallmann’s syndrome

Question 15

Trousseau sign, Chvostek sign and QT prolongation on ECG

Answer 15

Hypocalcaemia

Question 16

Acute management of hypocalcaemia

Answer 16

IV calcium gluconate (10ml of 10% over 10 mins in 50% dextrose or saline)

Question 17

Brachydactyly of the 4th metacarpal

Answer 17

Pseudohypoparathyroidism