Endocrinology

Question 1

most important way to reduce risk of diabetic nephropathy

Answer 1

tight blood pressure control 130/80

Question 2

Which hyperthyroid treatment option can initially worsen exopthalmos and how can you prevent it?

Answer 2

radioactive iodine = the destroyed thyroid cells release excess thyroid hormone that can temporarily worsen the hyperthyroid state.

Question 3

anithyroid drug side effects

Answer 3

agranulocytosis, methimazole causes cholestasis and is a first trimester teratogen; PTU can cause hepatic failure and cause ANCA associated vasculitis; surgery can cause permanent hypothyroidism and risk of recurrent laryngeal nerve damage

Question 4

what do you see on CT for primary adrenal insufficiency? what is the most common cause worldwide and in the US

Answer 4

calcified adrenal glands, TB and autoimmune adrenalitis

Question 5

if you see enlarged adrenal glands on CT

Answer 5

think adrenaleukodystrophy from the buildup of VLCFA