Endocrine

Question 1

Give 3 symptoms of Cushings?

Answer 1

Buffalo hump, moon face, increase weight and proximal weakness, bruises, purple abdominal striae, hypertension, osteoporosis, mood changes, recurrent infections

Question 2

Give 3 symptoms of Acromegaly?

Answer 2

Acral enlargement, arthlargias and back ache, enlarged jaw, fatigue, decreased libido, headache, excessive sweating

Question 3

Give 3 symptoms of Addisons?

Answer 3

Hyperpigmentation, pain, muscle weakness and weight loss

Question 4

What investigation would you perform to investigate Cushing’s Disease?

Answer 4

Dexamethasone suppression test

Question 5

How do you diagnose Acromegaly?

Answer 5

Look at plasma GH (growth hormone)

Question 6

Give 2 causes of hypothyroidism?

Answer 6

Hashimotos thyroiditis, iodine deficiency,atrophic thyroidis

Question 7

Give 2 causes of hyperthyroidism?

Answer 7

Grave’s disease, toxic multi nodular goitre, drugs (amiodarone)

Question 8

Give 5 symptoms of Hyperthyroidism?

Answer 8

Palpitations, sweating/heat intolerance, weight loss, anxiety/hyper-active, increase appetite, oligiomenorrhea,

Question 9

Give 5 symptoms of Hypothyroidism?

Answer 9

Fatigue, increased weight, hoarse voice, menorrhagia, decreased mood, bradycardia

Question 10

What medication would you give a patient with hyperthyroidism?

Answer 10

Carbimazole and Beta Blockers

Question 11

What medication would you give a patient with hypothyroidism?

Answer 11

Levothyroxine

Question 12

Give 3 presenting features of type 1 diabetes?

Answer 12

Thirst, polyuria, hunger, weight loss, fatigue, thrush, blurred vision

Question 13

Give 2 complications of insulin treatment?

Answer 13

Hypoglycaemia, weight gain, injection site lipohypertophy

Question 14

Give 3 symptoms of DKA?

Answer 14

Nausea and committing, drowsiness/ confusion and abdominal pain

Question 15

How would you diagnose DKA?

Answer 15

Hyperglycaemia, High Ketones and metabolic Acidosis

Question 16

Give 3 risk factors for type 2 diabetes?

Answer 16

Overweight, >45, family history, high BP

Question 17

Give 4 complications of poorly controlled diabetes?

Answer 17

Diabetic Retinoapthy (Blindness) 
Diabetic Nephropathy 
Stroke/ MI 
Diabetic Neuropathy symmetrical sensory neuropathy 
Peripheral vascular disease

Question 18

Give 3 symptoms of hypoglycaemia?

Answer 18

Sweating, pallor, convulsions, dizziness, loss of concentration