Endocrine

Question 1

Treatment for Graves Disease - First Line

Answer 1

Methimazole

Question 2

Ketosis Prone Diabetes

Answer 2

episodes of DKA but antibody negative

Usually can be transitioned to oral medications only

Question 3

Subclinical Hyperthyroidism Treatment

Answer 3

repeat in 4-6 months

treatment if <0.1 + symptoms, cardiac risk factors, heart disease or osteoporosis

Question 4

Methimazole adverse effects

Answer 4

agranulocytosis

hepatotoxicity

Question 5

PTU - when to use in hyperthyroidism

Answer 5

first trimester of pregnancy

thyroid storm

Question 6

Subacute thyroiditis treatment

Answer 6

NSAIDS

Question 7

What interferes with absorption of levothyroxine

Answer 7

Fe, Ca, PPI

Question 8

Euthyroid Sick Syndrome

Answer 8

low/normal T4 with suppressed TSH that then becomes elevated

Question 9

pituitary apoplexy

Answer 9

sudden hemorrhage or infarction of pituitary adenoma

compression of optic chiasm

Question 10

Microadenoma

Answer 10

<10mm

only need to check prolactin if normal menstruation

Question 11

MEN 1 Syndrome

Answer 11

Pituitary Adenoma
Parathyroid Hyperplasia
Pancreatic Tumors

Question 12

MEN 2 Syndromes

Answer 12

2A: MTC, Pheo, Parathyroid Hyperplasia

2B MTC, Pheo, Marfanoid, Mucosal Neuromas