ESAP 2013 Flashcards
Is the tumor usually apparent if a patient has tumor-induced hypoglycemia?
Yes
Since most plasma ACTH assays cannot reliably detect subnormal or suppressed levels, experts suggest proceeding with adrenal imaging in patients with endogenous hypercortisolism who have ACTH concentrations less than ____ pg/mL.
25
Nutritional support is required when a patient has had poor nutrition for ____ days.
7
What effect does rifampin have on thyroid hormones?
Accelerates metabolism of T3 and T4 by augmenting deiodinases.
Does rifampin increase TSH?
Only in patients who already have hypothyroidism and are treated by levothyroxine.
Patient has:
- Marked hypercalcemia
- Renal insufficiency
- Alkalosis
Diagnosis?
Milk-alkali syndrome
Can fenofibrate and simvastatin be used together?
Yes
How is fetal hyperthyroidism treated?
By administering methimazole to the mother
What does an ankle-brachial index of more than 1.3 suggest?
Non-compressible vessels
What are the two methods of measuring macroprolactin?
- Gel filteration
- Polyethylene glycol precipitation
If patients are treated for Cushing’s disease with mifepristone then when does it need to be discontinued?
If adrenal insufficiency develops.
Can alendronate be used in renal transplant patients?
Yes
Which is better for localizing an insulin secreting tumor endoscopic ultrasonography or PET with F-DOPA in adults?
Endoscopic ultrasonography
Is hospitalization usually required for superficial diabetic foot ulcers?
No
What is the dose of alendronate for Paget’s disease?
40 mg daily for 3 - 6 months
What vaccination is indicated immediately after the diagnosis of diabetes?
Hepatitis B series
Patient has:
- Bilateral pheochromocytomas
- Signs of cerebellar dysfunction
- Renal cell carcinoma
Diagnosis?
VHL (von Hippel-Lindau) syndrome
If the total testosterone is discordant with the clinical picture then what’s the next step?
Free testosterone measurement
What happens to the fluid status of a patient after a pheochromocytoma is resected?
They are volume depleted.
What do you need to make sure the patient doesn’t have when you see an elevated 1,25 (OH) vitamin D level?
Sarcoidosis
What should you do to screen families who have a patient in the family with medullary thyroid carcinoma?
Molecular genetic testing for a RET proto-oncogene mutation
Does androgenic alopecia require further management?
No
How do you diagnosis osteonecrosis?
MRI
Does hypothyroidism increase cholesterol or triglycerides?
Both
