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endocrino Flashcards

1
Q
A

sx metabolico

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2
Q

sx metabolico

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3
Q

criterios ATP3 de sindrme metabolico

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4
Q

FP del

sx metablico

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5
Q

estudio de lab que hay que hacer en sx metabolico

A

HBA1c

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6
Q

primer paso en el tx del sx metabolico

A

restriccion calorica y act fisica

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7
Q

obesidad

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8
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9
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10
Q
A

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

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11
Q

estudios de lab para sop

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12
Q

tx del sop

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13
Q

farmaco util en el sop

A

metformina

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14
Q

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

A

pravastatina (fibrato)

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15
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16
Q

labs para la evaluacion de un paciente en el sx metabolico

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17
Q

sobre el orlistat

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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
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19
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20
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21
Q

contexto de pie diabetico infectado

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22
Q

contexto de pie diabetico infectado

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23
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24
Q
A

sx de sheehan dx rm tx hormonas(reemplazo hormonal)

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25
Q
A

fentermina

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26
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27
Q

antihipertensivo que das en el sx metabolico

A

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

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28
Q

farmacos que mejoran la sensibilidad periferica de la insulina

A

biguanidas o tiazolidinedionas(pioglotazona)

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29
Q

contexto de sindrome metabolico

A

dieta hipocalorica

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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

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31
Q

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

A
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32
Q
A

dislipidemia

las dislipidemias mas frecuentes son niveles bajos de hdl y hipertrigliceridemia

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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.

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34
Q

dislipidemia aterogenica

A

hipertrigliceridemia, hdl bajo y particulas de ldl

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35
Q

a quien le hacemos la prueba a tolerancia oral de glucosa

A
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36
Q
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37
Q

si comfirmas dm2 farmaco de primera eleccion

A

metformina

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38
Q

tx en dm2

A
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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

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40
Q

MA de la

metformina

A
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41
Q

efecto adverso de la

metofrmina

A

gastrointestinales

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42
Q

cuando suspender o no dar metformina

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43
Q

metas en dm

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44
Q

metas de HB1ac

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45
Q
A

70-130

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46
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47
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48
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49
Q

otro efecto adverso de la metofrmina es

A

def vit b12

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50
Q

efecto adverso de la acarbosa

A

flatulencias

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51
Q

e

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52
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53
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54
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55
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56
Q

metas en contexto de dm

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57
Q

seguimiento de una paciente con dm

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58
Q

dx de pre diabetes o int a la glucosa

A
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59
Q
A

o prediabetes

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60
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61
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62
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63
Q
A

inicias atorvastatina

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64
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65
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66
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67
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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

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69
Q

fármaco de segunda eleccion en dm2 si no puedes dar metfor

A

inh de ddp4 osea sitagliptina

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70
Q

estado hiperglucemico hiperoamolar

A

alt electrolitica mas frecuente ea hiponatremia

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71
Q

dx estado hiperglucemico hiperosmolar

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72
Q

tx en el estado hiperglucemico hiperosmolar

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73
Q

contexto estado hiperglucemico hiperosmolar

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74
Q

dx de cetoacidosis diabetica

A
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75
Q

como confirma dx de cetoacidosis diabetica

A

medicion serica de beta hidroxibutirato

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76
Q

alt electrolitica de Cetoacidosis diabetica

A

hipokalemia

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77
Q

respecto al K y cet diabetica

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78
Q

tx inicial en cet diabetica

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79
Q

contexto cet diabetica

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80
Q

K y estado hiperglucemico hiperosmolar

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81
Q

K y cet diabetica

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82
Q

contexto de cet diabetica

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83
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84
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85
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86
Q

contexto de paciente con riesgo cardiovasvular alto

A

estatina inicias

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87
Q
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88
Q

tasas de filtrado y grados

A
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89
Q
A
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90
Q

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

A
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91
Q

croterios dx de enf renal cronica

A
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92
Q

tamizaje para enf renal cronica

A

relacion albumina creatinina

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93
Q

checa los valores relacion albumina creatinina

A
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94
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95
Q
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96
Q

contexto de etapa G4 en insf renal cronica

A

o predialisis

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97
Q
A

g4

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98
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99
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100
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101
Q

hipoglicemia

A
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102
Q

contexto de hipoglucemia

A
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103
Q
A

feocromocitoma

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104
Q

edo de imagen para el feocromocitoma

A
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105
Q

tx de eleccion del feocromocitoma

A
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106
Q

contexto de feocromocitoma

A

alfa bloqueadores

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107
Q

contexto de feocromocitoma

A
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108
Q

dx confirmatorio de feocromocitoma

A

RM contrastada

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109
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110
Q

contexto de feocromocitoma

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111
Q

contexto de feocromocitoma

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112
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113
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114
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115
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116
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117
Q

estudio diagnostico de primera eleccion en acromegalia

A

niveles de IGF1

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118
Q

edio dx confirmatorio de acromegalia

A

prueba de supresion de glucosa

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119
Q

edio de imagem em acromegalia

A

RM craneal

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120
Q

tx de eleccion en acromegalia

A

cirigia transesfenoidal

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121
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122
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123
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124
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125
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126
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127
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128
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129
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130
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131
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132
Q

causa mas frecuente de prolactinemia

A

prolactinoma

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133
Q
A
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134
Q

o transesfenoidal

A
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135
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136
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137
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138
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139
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140
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141
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142
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143
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144
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145
Q

estudo dx de elecciom de la diabetes insipida central

A
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146
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147
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148
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149
Q
A

estudio de imagen RM con gadolino

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150
Q

tx en el sx de nelson

A

cx mas radioterapia

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151
Q

antes de inicar tx en el sx de nelson

A
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152
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153
Q

estudio dx de sx de cushing

A

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

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154
Q

contexto sx de cushing

A
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155
Q

contexto de sx de cushing

A
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156
Q
A
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163
Q

contexto tumor ectopico de acth

164
Q

tumor ectopico de acth

167
Q

insf suprarrenal aguda

168
Q

enf de adisson

169
Q

confirmas dx de addison

170
Q

enf de adisson o insf suprarenal

172
Q

dx de insf suprarenal

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

193
Q

contexto carcinoma medular de tiroides

194
Q

tx para los sintomas en carcinoma medular de tiroides

195
Q

ante carcinoma medular de tiroides

196
Q
A

carcinoma folicular

197
Q

tx de eleccion en ca folicular

201
Q
A

hiperparatiroidismo

primario

211
Q

repetir HA1C

212
Q

contexto paciente recien dx con dm2

214
Q

contexto prediabetes

215
Q

tx para la prediabetes

A

metformina

218
Q
A

acarbosa o metformina

221
Q
A

fentermina

234
Q
A

metformina

235
Q

contexto adulto mayor con hta demencia

236
Q

citerios de resplucion de la cet diabetica

240
Q
A

pantofotocoagulacion

244
Q
A

monofilamento y diapason

245
Q

contexto de neuropatia diabetica

248
Q
249
Q

fp del mody 2

250
Q

tx de eleccion en el mody 2

251
Q
252
Q

fp del mody 3

253
Q

mody3

255
Q

mody 5

256
Q

mody1

258
Q

claf de pedis

259
Q

clasf de wagner

260
Q

contexto de ulcera por pie diabetico

264
Q

ed de oro no invasivo de osteomelitis

293
Q

contexto sindrome de climaterio

297
Q

es un hipotiroidismo

298
Q

sobre hipotiroidismo

300
Q

solo la tsh esta elevada

301
Q

ante un hipotiroidismo subclinico

303
Q

enf de graves

A

o hipertoroidismo

304
Q

hipertoroidismo

308
Q

tirotoxicosis o tormenta tiroidea

309
Q

criterios dx de tirotoxicosis

310
Q

tx de la

tirotoxicosis

311
Q

alternativas en la tirotoxicosis

313
Q

con asma o epoc no das beta bloqs

314
Q

tx sintomatico en la

tirotoxicosis

315
Q

controlaar los sintomaaas

323
Q

datos de malignidad en este caso

A

adenomegalia

326
Q

aborsaje dx del nodulo tiroideo

335
Q

tx del nodulo

tiroideo

336
Q

tx qx del nodulo

364
Q

macroadenoma

394
Q

metas en dm1

A

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

med interna (16 decks)

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