Endocrine

Question 1

Symptoms of fatigue, depression, darkening of skin and mucosa, what test do you get?

Answer 1

ADRENOCORTIOTROPIC HORMONE (ACTH) STIMULATION TEST

Question 2

73 y/o M w/ onset of fatigue, weight gain, constipation, cold intolerance, depressed mood. Which organic cause needs to be ruled out?

Answer 2

THYROID

Question 3

Physical exam finding associated with hypothyroidism:

Answer 3

SLOW RELAXATION OF DEEP TENDON REFLEXES

Question 4

32 y/o s/p thyroidectomy presents c/o frequent panic attack, progressive cognitive inefficiency, perceptual disturbances, severe muscle cramps, and carpopedal spasm. PE: alopecia and absent DTR. Dx?

Answer 4

HYPOPARATHYROIDISM

Question 5

55yo p/w depression, fatigue, wt gain, & somnolence x1mo. Hx MI 3mo ago (VTach), on amiodarone, HCTZ, & metformin. Next step in management?

Answer 5

TSH & T4 LEVEL

Question 6

Irregular asymmetric small (1-2mm) pupils which reacts to accommodation but not to light.

Answer 6

DIABETIC AUTONOMIC NEUROPATHY

Question 7

35 y/o pt presents with severe depression with episodes of anxiety for 9 months that have become so bad he can no longer leave the house, has severe weight loss, hyperpigmentation of exposed skin, and cold tolerance. Dx?

Answer 7

ADDISON’S DISEASE

Question 8

The most common psychiatric symptom associated with pheochromocytoma?

Answer 8

PANIC ATTACKS