Endocrinology

Question 1

what is gynaecomastia

Answer 1

• abnormal amount of breast tissue in males
• caused by an increase in oestrogen

Question 2

drug causes of gynaecomastia

Answer 2

spironolactone
cimetidine
digoxin
cannabis
finasteride
GnRH agonists - goserelin, buserelin
oestrogens, anabolic steroids

Question 3

hashimotos thyroiditis

Answer 3

features of hypothyroidism - low mood, tired, no motivation, weight gain
goitre: firm, non-tender
anti-thyroid peroxidase (TPO) and also anti-thyroglobulin (Tg) antibodies

Question 4

Blood gases for cushings syndrome

Answer 4

hypokalaemic metabolic alkalosis