Endocrine Wk 1

Question 1

Tx of choice for Prolactinoma?

Answer 1

Cabergoline

Dopamine agonist

Question 2

Acromegaly is almost always caused by?

Answer 2

Pituitary tumors

Question 3

Which lab tests GH?

Answer 3

IGF-1

Question 4

Most common cause of cushings syndrome?

Answer 4

Exogenous steroid use

Question 5

Which steroids are deficient in addison’s?

Answer 5

Glucocorticoids and mineralocorticoids

Question 6

Pathohnomonic signs for addisons?

Answer 6

Salt craving and hyperpigmentation

Question 7

What should you administer in an addison crisis?

Answer 7

Hydrocortisone IV

Question 8

What is the main cause of secondary adrenal insufficiency?

Answer 8

Discontinuation of corticosteroids. Hypoactive pituitary.

Question 9

In regards to addisons and secondary adrenal insufficiency, how to cortisol, aldosterone and ACTH differ?

Answer 9

Addisons: Low cortisol and aldosterone, elevated ACTH
Secondary: Low cortisol, normal aldosterone, Low ACTH

Question 10

How do you treat hyperprolactinemia and acromegaly medically?

Answer 10

Cabergoline (preferred) or bromocriptine

Question 11

Tx for primary AND nephrogenic diabetes insipidus

Answer 11

DDAVP for primary. HCTZ for nephrogenic

Question 12

Where do you see trosseau’s sign?

Answer 12

Hypocalcemia

Question 13

What do you treat Diabetes insipudus with?

Answer 13

DDAVP, HCTZ

Question 14

Treatment for hyperthyroidism?

Answer 14

Methimazole, Propylthiouracil
Proplanolol
RAI
Surgery

Question 15

Tx for hypercalcemia?

Answer 15

Pam and Zel

Pamidronate, Zeledronate