Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

med interna > endocrino > Flashcards

endocrino Flashcards

1
Q
A

sx metabolico

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

sx metabolico

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

criterios ATP3 de sindrme metabolico

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

FP del

sx metablico

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

estudio de lab que hay que hacer en sx metabolico

A

HBA1c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

primer paso en el tx del sx metabolico

A

restriccion calorica y act fisica

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

obesidad

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
A

tienen sop y sx metabolico en las opciones te debe de venir una de estas dos de respuesta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

estudios de lab para sop

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

tx del sop

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

farmaco util en el sop

A

metformina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ante trigiceridos mayor o igual de 204 y hdl menor a 35

A

pravastatina (fibrato)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

labs para la evaluacion de un paciente en el sx metabolico

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

sobre el orlistat

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

si te ponen para bajar los lípidos un estatina pravastatina pero si te ponen para bajar los triglicéridos un fibrato en este caso fenofibrato

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

contexto de pie diabetico infectado

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

contexto de pie diabetico infectado

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
A

sx de sheehan dx rm tx hormonas(reemplazo hormonal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q
A

fentermina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

antihipertensivo que das en el sx metabolico

A

Ieca (captopril enalapril)bloq de receptor de angiotensina 2(terminan en sartan)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

farmacos que mejoran la sensibilidad periferica de la insulina

A

biguanidas o tiazolidinedionas(pioglotazona)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

contexto de sindrome metabolico

A

dieta hipocalorica

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

circunferencia abdominal recomendad en hombres y mujeres

A

H menos de 90cm
M menos de 80cm
indice cintura cadera tiene wue ser menos de .94 en H y menoa de .85 en M

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

persona con obesidad de tipo central androide o de manzana mayor riesgo cardiovascular

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q
A

dislipidemia

las dislipidemias mas frecuentes son niveles bajos de hdl y hipertrigliceridemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

valores de colesterol hdl ldl y trigli

A

colesterol T menos de 200
trigliceridoa menos de 150
hdl mayor a 40
Ldl con riesgo cardiovascular muy alto tienen que estar en menos de 70, riesgo alto menos de 100, riesgo mod a bajo menos de 115.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

dislipidemia aterogenica

A

hipertrigliceridemia, hdl bajo y particulas de ldl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

a quien le hacemos la prueba a tolerancia oral de glucosa

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

si comfirmas dm2 farmaco de primera eleccion

A

metformina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

tx en dm2

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

metas de control en la dm

A

Las guías de práctica clínica dice que glucemia en ayuno de 70-130 y glucemia después de las comidas menos de 140

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

MA de la

metformina

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

efecto adverso de la

metofrmina

A

gastrointestinales

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

cuando suspender o no dar metformina

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

metas en dm

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

metas de HB1ac

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q
A

70-130

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

otro efecto adverso de la metofrmina es

A

def vit b12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

efecto adverso de la acarbosa

A

flatulencias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

e

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

metas en contexto de dm

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

seguimiento de una paciente con dm

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

dx de pre diabetes o int a la glucosa

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q
A

o prediabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q
A

inicias atorvastatina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q
A

acidosis lactica por metformina aqui ka clave es ver los niveles se lactato de 176 (intoxicacion por metformina) tx inicial es liquidos iv y tx definitivo hemodialisis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

fármaco de segunda eleccion en dm2 si no puedes dar metfor

A

inh de ddp4 osea sitagliptina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

estado hiperglucemico hiperoamolar

A

alt electrolitica mas frecuente ea hiponatremia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

dx estado hiperglucemico hiperosmolar

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

tx en el estado hiperglucemico hiperosmolar

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

contexto estado hiperglucemico hiperosmolar

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

dx de cetoacidosis diabetica

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

como confirma dx de cetoacidosis diabetica

A

medicion serica de beta hidroxibutirato

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

alt electrolitica de Cetoacidosis diabetica

A

hipokalemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

respecto al K y cet diabetica

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

tx inicial en cet diabetica

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

contexto cet diabetica

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

K y estado hiperglucemico hiperosmolar

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

K y cet diabetica

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

contexto de cet diabetica

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
86
Q

contexto de paciente con riesgo cardiovasvular alto

A

estatina inicias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
87
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
88
Q

tasas de filtrado y grados

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
89
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
90
Q

los iecas reducen el desarrollo de enf renal cronica en los pacientes com diabetes

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
91
Q

croterios dx de enf renal cronica

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
92
Q

tamizaje para enf renal cronica

A

relacion albumina creatinina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
93
Q

checa los valores relacion albumina creatinina

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
94
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
95
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
96
Q

contexto de etapa G4 en insf renal cronica

A

o predialisis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
97
Q
A

g4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
98
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
99
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
100
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
101
Q

hipoglicemia

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
102
Q

contexto de hipoglucemia

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
103
Q
A

feocromocitoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
104
Q

edo de imagen para el feocromocitoma

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
105
Q

tx de eleccion del feocromocitoma

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
106
Q

contexto de feocromocitoma

A

alfa bloqueadores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
107
Q

contexto de feocromocitoma

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
108
Q

dx confirmatorio de feocromocitoma

A

RM contrastada

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
109
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
110
Q

contexto de feocromocitoma

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
111
Q

contexto de feocromocitoma

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
112
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
113
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
114
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
115
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
116
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
117
Q

estudio diagnostico de primera eleccion en acromegalia

A

niveles de IGF1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
118
Q

edio dx confirmatorio de acromegalia

A

prueba de supresion de glucosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
119
Q

edio de imagem em acromegalia

A

RM craneal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
120
Q

tx de eleccion en acromegalia

A

cirigia transesfenoidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
121
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
122
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
123
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
124
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
125
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
126
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
127
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
128
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
129
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
130
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
131
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
132
Q

causa mas frecuente de prolactinemia

A

prolactinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
133
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
134
Q

o transesfenoidal

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
135
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
136
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
137
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
138
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
139
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
140
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
141
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
142
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
143
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
144
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
145
Q

estudo dx de elecciom de la diabetes insipida central

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
146
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
147
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
148
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
149
Q
A

estudio de imagen RM con gadolino

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
150
Q

tx en el sx de nelson

A

cx mas radioterapia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
151
Q

antes de inicar tx en el sx de nelson

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
152
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
153
Q

estudio dx de sx de cushing

A

cortisol urinario libre y la confirmas con prueba de supresion com dexametasona

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
154
Q

contexto sx de cushing

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
155
Q

contexto de sx de cushing

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
156
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
157
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
158
Q
A
159
Q
A
160
Q
A
161
Q
A
162
Q
A
163
Q

contexto tumor ectopico de acth

A
164
Q

tumor ectopico de acth

A
165
Q
A
166
Q
A
167
Q

insf suprarrenal aguda

A
168
Q

enf de adisson

A
169
Q

confirmas dx de addison

A
170
Q

enf de adisson o insf suprarenal

A
171
Q
A
172
Q

dx de insf suprarenal

A
173
Q
A
174
Q
A
175
Q
A
176
Q
A

enf de adisson

177
Q

etio de la enf de adisson

A

ant anti adrenales

178
Q

primera causa de enf de adisson

A

tuberculosis adrenal

179
Q
A

enf de addison

180
Q

contexto ee causa tuberculosa de enf de addison

A
181
Q
A
182
Q
A
183
Q
A
184
Q
A
185
Q
A
186
Q
A
187
Q
A
188
Q
A
189
Q
A
190
Q
A
191
Q
A
192
Q
A
193
Q

contexto carcinoma medular de tiroides

A
194
Q

tx para los sintomas en carcinoma medular de tiroides

A
195
Q

ante carcinoma medular de tiroides

A
196
Q
A

carcinoma folicular

197
Q

tx de eleccion en ca folicular

A
198
Q
A
199
Q
A
200
Q
A
201
Q
A

hiperparatiroidismo

primario

202
Q
A
203
Q
A
204
Q
A
205
Q
A
206
Q
A
207
Q
A
208
Q
A
209
Q
A
210
Q
A
211
Q

repetir HA1C

A
212
Q

contexto paciente recien dx con dm2

A
213
Q
A
214
Q

contexto prediabetes

A
215
Q

tx para la prediabetes

A

metformina

216
Q
A
217
Q
A
218
Q
A

acarbosa o metformina

219
Q
A
220
Q
A
221
Q
A

fentermina

222
Q
A
223
Q
A
224
Q
A
225
Q
A
226
Q
A
227
Q
A
228
Q
A
229
Q
A
230
Q
A
231
Q
A
232
Q
A
233
Q
A
234
Q
A

metformina

235
Q

contexto adulto mayor con hta demencia

A
236
Q

citerios de resplucion de la cet diabetica

A
237
Q
A
238
Q
A
239
Q
A
240
Q
A

pantofotocoagulacion

241
Q
A
242
Q
A
243
Q
A
244
Q
A

monofilamento y diapason

245
Q

contexto de neuropatia diabetica

A
246
Q
A
247
Q
A
248
Q
A

mody2

249
Q

fp del mody 2

A
250
Q

tx de eleccion en el mody 2

A
251
Q
A

mody3

252
Q

fp del mody 3

A
253
Q

mody3

A
254
Q
A
255
Q

mody 5

A
256
Q

mody1

A
257
Q
A
258
Q

claf de pedis

A
259
Q

clasf de wagner

A
260
Q

contexto de ulcera por pie diabetico

A
261
Q
A
262
Q
A
263
Q
A
264
Q

ed de oro no invasivo de osteomelitis

A

RM

265
Q
A
266
Q
A
267
Q
A
268
Q
A
269
Q
A
270
Q
A
271
Q
A
272
Q
A
273
Q
A
274
Q
A
275
Q
A
276
Q
A
277
Q

dm1

A
278
Q

dm1

A
279
Q
A
280
Q
A
281
Q
A
282
Q
A
283
Q
A
284
Q
A
285
Q
A
286
Q
A
287
Q
A
288
Q
A
289
Q
A
290
Q
A
291
Q
A
292
Q
A
293
Q

contexto sindrome de climaterio

A
294
Q
A
295
Q
A
296
Q
A
297
Q

es un hipotiroidismo

A
298
Q

sobre hipotiroidismo

A
299
Q
A
300
Q

solo la tsh esta elevada

A
301
Q

ante un hipotiroidismo subclinico

A
302
Q
A
303
Q

enf de graves

A

o hipertoroidismo

304
Q

hipertoroidismo

A
305
Q
A
306
Q
A
307
Q
A
308
Q

tirotoxicosis o tormenta tiroidea

A
309
Q

criterios dx de tirotoxicosis

A
310
Q

tx de la

tirotoxicosis

A
311
Q

alternativas en la tirotoxicosis

A
312
Q
A
313
Q

con asma o epoc no das beta bloqs

A
314
Q

tx sintomatico en la

tirotoxicosis

A
315
Q

controlaar los sintomaaas

A
316
Q
A
317
Q
A
318
Q
A
319
Q
A
320
Q
A
321
Q
A
322
Q
A
323
Q

datos de malignidad en este caso

A

adenomegalia

324
Q
A
325
Q
A
326
Q

aborsaje dx del nodulo tiroideo

A
327
Q
A
328
Q
A
329
Q
A
330
Q
A
331
Q
A
332
Q
A
333
Q
A
334
Q
A
335
Q

tx del nodulo

tiroideo

A
336
Q

tx qx del nodulo

A
337
Q
A
338
Q
A
339
Q
A
340
Q
A
341
Q
A
342
Q
A
343
Q
A
344
Q
A
345
Q
A
346
Q
A
347
Q
A
348
Q
A
349
Q
A
350
Q
A
351
Q
A
352
Q
A
353
Q
A
354
Q
A
355
Q
A
356
Q
A
357
Q
A
358
Q
A
359
Q
A
360
Q
A
361
Q
A
362
Q
A
363
Q
A
364
Q

macroadenoma

A
365
Q
A
366
Q
A
367
Q
A
368
Q
A
369
Q
A
370
Q
A
371
Q
A
372
Q
A
373
Q
A
374
Q
A
375
Q
A
376
Q
A
377
Q
A
378
Q
A
379
Q
A
380
Q
A
381
Q
A
382
Q
A
383
Q
A
384
Q
A
385
Q
A
386
Q
A
387
Q
A
388
Q
A
389
Q
A
390
Q
A
391
Q
A
392
Q
A
393
Q
A
394
Q

metas en dm1

A

preprandial- 72-126
post menos de 180
hem gluco menos de 7.5

med interna (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions