Mixed Flashcards
Insulin-induced hypoglycemia testing is contraindicated in what conditions?
“DICEE”
DM
IHD
CVD
Epilepsy
Elderly
What are the screening tests for functional pituitary adenoma?
Acromegaly
-IGF-1
-GH
Prolactinoma
-Serum PRL
Cushings
-24 urine cortisol
Level of Serum PRL that will make you maintain dopamine agonist
< 20 ug/L
What is the intial treatment of GH secreting adenomas?
Surgical resection
If there is discordant urine osm and urine volume, what lab test can be taken to assess adequacy?
Total urine creatinine
20-30 mg/kg/day
Maintenance TSH level for hypothyroid for those wanting to be pregnant?
TSH < 2.5
During pregnancy, Levothyroxine should be increased by how many %?
45% to nine doses weekly
*Measure monthly until 20 weeks
*Post 20 weeks, q6-8 weeks
Serum TG usually increased in all types of thyrotoxicosis except?
Thyrotoxicosis factitia
Indications for starting levothyroxine for subclinal hypothyroidism?
Wishing to be pregnant
TSH >10 miU/mL
Increased levothyroxine requirement for the ff condition
OCP
SERM
Malabsorption
Drugs (PPI, Sevelamer, CA supplementation, Ferrous, Amiodarone, ALOH, Carbmazepine, Phenytoin)
Most common pattern in SES
Low unbound or total FT3; normal TSH and FT4
Adrenal Size and CT density suggestive of adrenal malignancy
Size: > 4 cm
CT density > 20 HU
At what DHEAS level will you consider adrenal tumor?
> 18 umol/> or > 7000 ug/L
Whats the most common cause of female infertility?
Tubal defect
Whats the most common cause of ovulatory dysfunction?
Hypothalamic/Pituitary
- PCOS
- POF
- Uterine/outflow tract disorders