Endocrine

Question 1

Which insulin do you give once a day?

Answer 1

Basal - lantus or levemir

Question 2

Which class of diabetic drug is weight neutral?

Answer 2

DPP4 inhibitors (sitagliptin)

Question 3

What does strawberry milkshake coloured blood suggest?

Answer 3

hyperlipidaemia

Question 4

MEN 1 tumours?

Answer 4

Three P’s - pituitary, parathyroid and pancreatic

Question 5

Men 2a tumours?

Answer 5

Two P’s and M - medullary thyroid, parathyroid and phaeochromocytoma

Question 6

Men 2b tumours?

Answer 6

Three M and a P - mucosal, marfanoid, medullary thyroid and phaeochromocytoma

Question 7

Biochemistry of Conns

Answer 7

excess aldosterone so hypernatraemic and hypokalaemix

Question 8

Cushing’s investigatoins

Answer 8

Excess cortisol so try and suppress with low dose dexomethasone supression test

Question 9

What does it mean in cushing’s if ACTH is not supressed by a low dose test but supressed by a high dose test

Answer 9

cushings DISEASE - pit tumour

Question 10

What does it mean in cushing’s if ACTH is not supressed by a low dose test but supressed by a high dose test

Answer 10

cushings DISEASE - pit tumour

Question 11

Addison’s biochemistry

Answer 11

decreased aldosterone so hyponatraemia and hyperkalaemic

Question 12

phaeochromoctyome inx

Answer 12

24 hour urinary metanephrine

Question 13

phaeochromoctyome inx

Answer 13

24 hour urinary metanephrine

Question 14

what tuning fork is used for diabetic foot

Answer 14

128

Question 15

PCOS

Answer 15

obese female lol, hirtuism and acne

Question 16

pagets biochem

Answer 16

normal apart from raised alp

Question 17

osteomalacia biochem

Answer 17

increased ALP and PTH

Question 18

what hormone do you test for pregnancy?

Answer 18

HCG

Question 19

What hormone do you test for fertility?

Answer 19

Progesterone

Question 20

What hormone peaks before ovulation?

Answer 20

LH