Endocrine Part 2

Question 1

What can SGLT-2i do to blood levels and what should be done because of it

Answer 1

causes HYPOvolaemia
—> leads to hypotension
(before starting SGLT-2i, always collect hypovalaemia)

Question 2

Too much Antidiuretic more causes what electrolyte imbalance

Answer 2

Hyponatraemia

Question 3

What can pregnancy do to insulin needs

Answer 3

increase

Question 4

What are the main symptoms of Diabetes insipidus

Answer 4

• extreme thirst
• extreme urination

Question 5

What can steroids do to your immune system

Answer 5

supression

Question 6

What are the side effects of Acarbose

Answer 6

• GI effects
• liver disorders

Question 7

How to treat trigeminal neuralgia

Answer 7

carmamazepine

Question 8

Monitoring timing for Levothyroxine thyroid levels

Answer 8

every 3 months
—> then yearly

Question 9

What is the treatment for nephrogenic diabetes insipidus

Answer 9

Thiazide Like

Question 10

Which antidiabetic can cause taste disturbances

Answer 10

Metformin

Question 11

How to treat adrenal insufficiency

Answer 11

Glucocorticoids

Question 12

What electrolyte imbalance can desmopressin cause

Answer 12

hyponatraemia

Question 13

Which thyroid medication cause acute pancreatitis

Answer 13

Carbimazole

Question 14

Which thyroid medication can cause liver disorders

Answer 14

Propylthiouracil

Question 15

Why is the HBA1C target for Gliclazide higher than metformin

Answer 15

Because gliclazide can cause hypoglycaemia, so the target should be higher

Question 16

What is the treatment for gestational diabetes where blood glucose levels exceed 7mmol/L after diet and lifestyle

Answer 16

Insulin (usually isophane)

Question 17

How to treat hyponatraemia

Answer 17

Tolvaptan

Question 18

Why should you avoid rapid infusion of tolvaptan

Answer 18

because rapid correction of hyponatraemia can cause osmotic demyelination
(can lead to neurological effects)

Question 19

Is weight loss or weight gain common in DKA

Answer 19

weight loss

Question 20

What should non fasting Blood glucose levels read

Answer 20

5-9

Question 21

What should fasting blood glucose levels read

Answer 21

5-7

Question 22

When should DKA treatment stop in hospital

Answer 22

after 1 of patient eating

Question 23

1st and 2nd Line for Hypoglycaemia in hospital

Answer 23

1st:
Glucagon

2nd:
IV Glucose

Question 24

How long after trialing glucagon for hypoglycaemia in hospital should you wait to see if it worked

Answer 24

10mins

Question 25

if forgetting to take residronate in the morning 30 mins before food, what is the other time of the day can you take it.

Answer 25

2 hours before or after food

Question 26

What supplement interacts with Ibandronic acid

Answer 26

Iron

Question 27

When to Ibandronic acid around ferrous supplements

Answer 27

1 hour before or 6 hours after

Question 28

Which organ can Sulfonylureas affect

Answer 28

kidney

Question 29

What does acarbose do to absorption of substances

Answer 29

delays digestion and absorption of starch and sucrose

Question 30

Which tuberculosis medication causes ocular effects

Answer 30

• Rifampicin
• Ethambutol