Endocrine

Question 1

Thyroglobulin level

Answer 1

Tells you how much thyroid tissue you have, not helpful

Question 2

PTH works how (3)

Answer 2

1) absorption in gut via VitD
2) kidneys resorb Ca
3) Osteoclasts release Ca

Question 3

Hydrocortisone dosing for standard dose and stress

Answer 3

10 mg/m2 TID, then 100mg/m2

Question 4

thyroid nodule over 1cm, next step?

Answer 4

Biopsy! FNA

If < 1cm, US first then prob biopsy

Question 5

Metabolic syndrome includes how many of which 5 things?

Answer 5

3 of the following:

• obesity
• HTN
• Hypertriglyceriemia
• low HDL
• glucose intolerance

Question 6

Growth velocity between 3yo- puberty

Answer 6

4-6 cm / year

Question 7

Addison’s disease - 3 symptoms and how to test

Answer 7

Tan skin, hypoglycemia, and fatigue

Test with AM cortisol, get ACTH at same time

Question 8

Higher risk of cerebral edema in DKA

Answer 8

More severe and prolonged course,
More acidosis
Younger age

Question 9

6 causes of polyuria

Answer 9

DM
Renal disease
DI
Hyperthyroidism 
Hypercalcemia
Hypomagnesemia

Question 10

Treatment for adrenal crisis

Answer 10

Fluids, hydrocortisone, and dextrose

Hydrocortisone at 100mg/m2