endocrine

Question 1

What is the symogi effect?

Answer 1

when a pt has early morning (7am) hyperglycemia due to low blood sugar at night (usually by 3 am).

Question 2

What is the Dawn Phenomenon?

Answer 2

when a pt has high blood sugar in the morning (7 am) and rising sugar levels through the night.

Question 3

how do you differential between symogi effect and dawn phenomenon?

Answer 3

you check the blood sugar by 3 am it should be low for symogi and elevated for dawn phenomeon.

Question 4

human leukocyte antigens, acute onset, destruction of pancreatic islet cells, ketones in blood/urine.

Type 1 or 2 diabetes?

Answer 4

Type 1

Question 5

for a pt with diabetes would you expect serum BUN and Creatinine to be decreased or elevated?

Answer 5

elevated

Question 6

not linked to human leukocyte antigen system, no islet cell antibodies, insidious onset. Type 1 or 2?

Answer 6

Type 2

Question 7

normal a1c?

Answer 7

4-6%

Question 8

generalized pruritis, recurrent vaginitis, chronic skin infections. What might you suspect?

Answer 8

type 2 diabetes

Question 9

your HR and metabolism are affected my what gland?

Answer 9

thyroid

Question 10

graves disease is also known as?

Answer 10

hyperthyroid

Question 11

short stature is a height falling ____ standard deviations?

Answer 11

two

Question 12

if a pt has high T3/T4 and low TSH you suspect?

Answer 12

hyperthyroid (important to look at T3 on this)

Question 13

if a pt has low T3/T4 and high TSH you suspect?

Answer 13

hypothyroid (T4 is important for this)

Question 14

how many CMs or inches do we expect kids to grow per year?

Answer 14

4 cm or 1-2 inches