Hard subject (Endo)

Question 1

prolactinoma tx? and why?

Answer 1

Carbergoline or bromocriptine (dopamin agonist), Dopamin stops prolactin production

Question 2

somatotroph tx? and why?

Answer 2

Octreotide (inhibit growth hormone)

Question 3

Children below average growth chart. what do you have to think of it?

Answer 3

Dwarfism (Acondroplasia)

Question 4

What is test for dwarfism and tx?

Answer 4

arginine and sleep stimulate test / GH replacement

Question 5

Delayed puberty by what age of female or male?

Answer 5

F (13), M (14)

Question 6

Hypogonadism may cause at where? how to find it?

Answer 6

testes and pituitary area
FSH,LH high + testosterone low = teste problem
FSH,LH low + testosterone low = pituitary problem

Question 7

What is meaning of bitemporal hemianopsia?

Answer 7

Turnnel vision (outter vision blocked) Something is pressure on optic chiasm

Question 8

Acromegaly usually related with

Answer 8

LVH, DM, HTN, cadiomypathy, erectile dysfunction

Question 9

Desmopressin stimulated test how to interpret?

Answer 9

Desmopressin test to find DI or not -> give stimulation -> urine reduction -> DI

Question 10

What is reason behind to give desmopressin in DI?

Answer 10

DI means no ADH, desmopressin act as ADH

Question 10

What is aldosterone job?

Answer 10

Keep NA + H20

Question 11

Meaning of loss of water?

Answer 11

Becoming acidic

Question 12

What is cortisol?

Answer 12

Gluconeogensis, break down muscle, and bone, vasoconstriction

Question 13

what is androgen?

Answer 13

sex drive, sex chracteristic

Question 14

hyperpigmentation + Hypotension

Answer 14

Adrenal insufficiency

Question 15

MC cause of adrenal insufficiency?

Answer 15

Addision disease (adrenal destruction)

Question 16

MC cause of adrenal crisis?

Answer 16

Abruptive withdrawal of glucorticoids

Question 17

What is MC aldosteronism? and 2nd?

Answer 17

Hyperplasia, renal artery stenosis

Question 18

What is Dx/Tx for hyperaldosteronism?

Answer 18

Dx - ARR >20:1 (aldosterone/renin)
Tx - spironolactone

Question 19

Cushing disease vs syndrome?

Answer 19

Disease - pituitary adenoma
Syndrome - too much cortisol

Question 20

Moon face, thin extemities, purple striae, Acanthuses

Answer 20

Cushing syndrome

Question 21

How do you test cushing syndrome?

Answer 21

use dexa 1mg, urine, slivary