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Medicine > Hx And Ex Of Endocrine System > Flashcards

Hx And Ex Of Endocrine System Flashcards

1
Q

Hirsutism is only caused by

A

High androgens (Not by taking G.corticoids)

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2
Q

<1 cm pituitary adenoma will cause

A

Headache only

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3
Q

Pituitary adenoma compressing upward will most probably cause

A

Bitemporal hemianopia

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4
Q

Pituitary adenoma compressing downwards will most probably cause

A

Sinusitis + Rhinorrhea

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5
Q

Pituitary adenoma compressing laterally will most probably cause

A

6th nerve palsy + temporal lobe epilepsy

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6
Q

The TSH is inhibited by?

A

Somatostatins + dopamine

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7
Q

The prolactin is stimulated by ?

A

TRH

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8
Q

ACTH is stimulated by?

A

CRH + ADH

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9
Q

Prognathism and soft tissue and skin thickening are clinical features of?

A

Acromegaly

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10
Q

Hyperpigmentation of the skin is a clinical feature of?

A

Addison’s diseases + acromegaly + cushing’s syndrome

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11
Q

Buccal pigmentation is seen in?

A

Addison’s disease

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12
Q

Wide carrying angle + wide spaced nipples + webbed nick are clinical feature of?

A

Turner’s syndrome

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13
Q

Increases PTH

A

Magnesium + Renal failure

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14
Q

Hypercarotenemia is seen in?

A

Hypothyroidism

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15
Q

Amenorrhea is seen in?

A

Thyrotoxicosis

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16
Q

heat intolerance + weight gain are clinical features of?

A

Acromegaly

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17
Q

Increased appetite + weight gain is seen in?

A

Cushing’s syndrome + hypoglycemia + hypothalamic diseases

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18
Q

Loss of appetite + weight loss is seen in?

A

Adrenal insufficiency

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19
Q

Diarrhea is seen in which endocrine diseases?

A

Hyperthyroidism + adrenal insufficiency

20
Q

Increased sweating is a clinical feature of?

A

Hyperthyroidism + acromegaly + pheochromocytoma + hypoglycemia

21
Q

Dry and scaly skin

A

Hypoparathyrodism

22
Q

Dry and pale skin

A

Hypothyroidism

23
Q

Onycholysis is seen in?

A

Graves’ disease + Cushing’s syndrome

* due to sympathetic overactivity.

24
Q

Acanthosis nigricans is seen in?

A

Insulin resistance (cushing’s syndrome)+ POS

25
Q

Hyperpigmentation of the skin is a clinical feature of?

A

Primary adrenal insufficiency + Cushing’s syndrome + acromegaly

26
Q

Depigmentation is seen in?

A

Hashimoto’s disease + hypothyroidism + Addison’s disease

27
Q

The thyroid glad feels firm in?

A

Simple Goiter (Iodine deficiency)

28
Q

The thyroid glad feels rubbery hard in?

A

Hashimoto’s thyroiditis

29
Q

A stony hard node in the thyroid gland suggests?

  • Goiter.
  • Carcinoma.
  • Hashimoto’s thyroiditis.
  • Normal.
30
Q

Tenderness of the thyroid gland is a typical feature of?

A

Thyroiditis

31
Q

Tethered thyroid gland suggests?

32
Q

Palpable thrill at the thyroid gland suggests?

A

Thyrotoxicosis

33
Q

Thyroid bruit is a sign of?

  • Hypothyroidism.
  • Hyperthyroidism.
  • Euthyroid.
  • Addison’s disease.
A

Hyperthyroidism

* also by using antithyroid drugs.

34
Q

Majority of patients with diffuse goiter are?

  • Hyperthyroid.
  • Hypothyroid.
  • Euthyroid.
35
Q

Which of the following causes a solitary thyroid nodule?

  • Hashimoto’s thyroiditis.
  • Subacute thyroiditis.
  • Pendred’s syndrome.
  • Follicular adenoma.
A

Follicular adenoma

36
Q

Thyrotoxicosis factitia is?

A

Thyrotoxicosis caused by ingestion of exogenous thyroid hormone

37
Q

Anti arrhythmic drug which causes thyrotoxicosis?

A

Amiodarone

38
Q

The most common cause of thyrotoxicosis in young patients?

A

Graves’ disease

39
Q

Thyroid acropathy (clubbing) is specific for?

A

Graves’ disease

40
Q

Complications of proptosis

A 
1- chemosis “edema of the conjunctiva”.
2- conjunctivitis.
3- corneal ulceration.
4- Optic atrophy.
5- ophthalmoplegia.
41
Q

Sclera visible above the iris is called?

  • Exophthalmus.
  • Lid lag.
  • Lid retraction.
  • chemosis.
A

Lid retraction

42
Q

Thyroid enlargement is unlikely to be absent in this disease?

A

Graves’ disease

43
Q

Gynecomastia is seen in?

  • Hyperthyroidism.
  • Hypothyroidism.
A

Hyperthyroidism

44
Q

Pretinial myxoedema is specific for?

A

Graves’ disease

45
Q

Amiodarine causes?

  • Hypothyroidism.
  • Hyperthyroidism.
  • Hypergonadism.
  • Hyperadrenalism.
46
Q

Xanthelasmata is seen in?

  • Hyperthyroidism.
  • Hypothyroidism.
A

Hypothyroidism

Medicine (19 decks)

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