Mixed Flashcards

1
Q

Insulin-induced hypoglycemia testing is contraindicated in what conditions?

A

“DICEE”

DM
IHD
CVD
Epilepsy
Elderly

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2
Q

What are the screening tests for functional pituitary adenoma?

A

Acromegaly
-IGF-1
-GH

Prolactinoma
-Serum PRL

Cushings
-24 urine cortisol

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3
Q

Level of Serum PRL that will make you maintain dopamine agonist

A

< 20 ug/L

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4
Q

What is the intial treatment of GH secreting adenomas?

A

Surgical resection

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5
Q

If there is discordant urine osm and urine volume, what lab test can be taken to assess adequacy?

A

Total urine creatinine

20-30 mg/kg/day

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6
Q

Maintenance TSH level for hypothyroid for those wanting to be pregnant?

A

TSH < 2.5

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7
Q

During pregnancy, Levothyroxine should be increased by how many %?

A

45% to nine doses weekly

*Measure monthly until 20 weeks
*Post 20 weeks, q6-8 weeks

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8
Q

Serum TG usually increased in all types of thyrotoxicosis except?

A

Thyrotoxicosis factitia

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9
Q

Indications for starting levothyroxine for subclinal hypothyroidism?

A

Wishing to be pregnant
TSH >10 miU/mL

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10
Q

Increased levothyroxine requirement for the ff condition

A

OCP
SERM
Malabsorption
Drugs (PPI, Sevelamer, CA supplementation, Ferrous, Amiodarone, ALOH, Carbmazepine, Phenytoin)

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11
Q

Most common pattern in SES

A

Low unbound or total FT3; normal TSH and FT4

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12
Q

Adrenal Size and CT density suggestive of adrenal malignancy

A

Size: > 4 cm
CT density > 20 HU

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13
Q

At what DHEAS level will you consider adrenal tumor?

A

> 18 umol/> or > 7000 ug/L

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14
Q

Whats the most common cause of female infertility?

A

Tubal defect

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15
Q

Whats the most common cause of ovulatory dysfunction?

A

Hypothalamic/Pituitary

  1. PCOS
  2. POF
  3. Uterine/outflow tract disorders
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16
Q

When to start pharmacotherapy and bariatric surgery with and without comorbids?

A

27 - w/ comorbids
30 - without

35 - w/ comorbids
40 - without

17
Q

CBG when you should delay exercise

A

> 250 + ketones present
< 100

18
Q

2 FDA approved drugs for painful DM neuropathy?

A

Pregabalin
Duloxetin

19
Q

Medication for hypertrig > 500 despite lifestyle management?

A

Fenofibrates

20
Q

Which of the following is the most important concept in the approach to his weight loss?

A

Caloric restriction

Physical activity for maintenance of weight loss

21
Q

Biochemical profile of diffuse nontoxic goiter

A

Low FT4, normal FT3 and TSH