Endocrinology

Question 1

Primary hyper-PTH

Answer 1

PTH: Normal
Ca: elevated
Vit D: elevated
PO4: decreased

Question 2

Secondary hyper-PTH

Answer 2

PTH: elevated
Ca: normal / low
Vit D: low

Question 3

Tertiary hyper-PTH

Answer 3

PTH: elevated ++
Ca: elevated
Vit D: low
PO4: elevated

Question 4

High TSH indicates…

Answer 4

hypothyroid

Question 5

SE of thyroxine (4)

Answer 5

Hyperthyroid
OP
Angina
AF

Question 6

Use of liraglutide

Answer 6

High BMI (>35) & prediabetic hyperglycaemia

Question 7

Most common cause of thyrotoxicosis

Answer 7

Graves’

Question 8

Thyrotoxicosis with tender goitre

Answer 8

De Quervain’s

Question 9

Low C peptide indicates..

Answer 9

T1DM

Question 10

T2DM: diagnosis (symptomatic)

Answer 10

Fasting BM >= 7 OR random BM >= 11.1

Question 11

T2DM: diagnosis (asymptomatic)

Answer 11

On x2 occasions
Fasting BM >= 7 OR random BM >= 11.1

Question 12

HbA1c: diabetes diagnosis

Answer 12

48mmol/mol

Question 13

HbA1c: pre-diabetes

Answer 13

41-47mmol/mol

Question 14

T2DM: HbA1c target metformin

Answer 14

<58mmol/mol

Question 15

T2DM & CVD: Mx

Answer 15

metformin & SGLT-2 inhibitor (-fliozin)

Question 16

T2DM: second line

Answer 16

DPP-4 inhibitor (-gliptin)
Pioglitazone
Sulfonylurea (gliclazide)

Question 17

Cushing’s: blood gas

Answer 17

Hypokalaemic metabolic alkalosis

Question 18

Addison’s: diagnosis

Answer 18

ACTH stimulation test (short synacthen)

Question 19

Primary hyperaldosteronism: features

Answer 19

HTN & hypokalaemia