Endocrinology Cpc Flashcards

1
Q

what does opthalmoplegia mean

A

paralysis of one or more eye muscles

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

what will a TFT show for most people with a goitre

A

normal function

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

what is carbimazole

A

antithyroid medication

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

what is Propylthiouracil

A

antithyroid medication

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

why might a patient with hyperthyroidism be prescribed beta blockers

A

to attenuate the adrenergic symptoms such as tachycardia (if the pt has adrenergic symptoms)

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

what is the treatment for hyperthyroidism

A

initially medication only, if unsuccessful then thyroidectomy or radioactive iodine

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

why should you test for TSH receptor antibodies in a pt with hyperthyroidism

A

useful for prognostic purposes

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

what is a major risk factor for grave’s eye disease

A

smoking

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

what is the prognosis for a well defined follicular carcinoma

A

very good, even if metastases

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

how is hyperprolactinaemia treated

A

dopamine agonist

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

how will secondary amenorrhea affect the bones

A

will decrease bone mineral density and predispose to osteoporosis

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

why might PCOS cause obesity

A

insulin resistance

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

what is an insulinoma

A

a pancreatic tumour that secretes excessive insulin

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

what is whipple’s triad

A

used to identify a hypoglycaemic disorder

symptoms of hypoglycaemia
biochemical evidence of hypoglycaemia
symptoms resolve when hypoglycaemia is corrected

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

what should you measure in a pt with hypoglycaemia

A

measure serum insulin and C peptide conc

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

what is C peptin

A

by product of insulin production

17
Q

in what disease might you see hyperpigmentation on pressure areas and sun exposed areas

A

addisons

18
Q

list some symptoms of addisons

A

fatigue, anorexia, hyperpigmentation, amenorrhea, orthostatic dizziness

19
Q

how do you treat Addison’s

A

hydrocortisone

fludrocortisone

20
Q

what should you tell a patient with Addison’s

A

increase salt intake in hot dry summers
double hydrocortisone during periods of emotional or physical stress
administer hydrocortisone and saline in periods of vomiting
monitor for other autoimmune endocrinopathies