Pastest Endocrine Flashcards

1
Q

What is Kallman Syndrome

A

Failure of episodic GnRH secretion and anosmia

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2
Q

What is the treatment for Kallman Syndrome

A

Testosterone replacement

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3
Q

Which endocrine disease is associated with HLA-DR3/4

A

Type 1 diabetes

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4
Q

What is the most common form of MODY

A

MODY 3 (HNF-1A gene)

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5
Q

What GI pathology is MODY 3 associated with

A

Hepatic Neoplasms

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6
Q

Which HLA is Grave’s associated with

A

Grave’s is associated with HLA-B8

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7
Q

Which HLA is Hashimoto’s thyroiditis associated with

A

Hashimoto’s thyroiditis is associated with HLA-DR5

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8
Q

Nocturnal diarrhoea may occur as part of which complication of diabetes

A

Autonomic Neuropathy

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9
Q

Why would a pregnant woman have an OGTT at 28weeks

A

If she has a 1st degree relative with T2DM

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10
Q

Spade-shaped hands is a buzzword for which disease

A

Acromegaly

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11
Q

How does PTH lead to bone degradation and calcium release

A

PTH causes osteoblasts to increase production of RANK-L, which causes osteoclast activation

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12
Q

What kind of receptor does Growth hormone work via

A

Tyrosine kinase receptor

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13
Q

In which age group are Craniopharyngiomas more common than pituitary adenomas

A

Children

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14
Q

What should you suspect in a woman with postural hypotension after pregnancy

A

Hypopituitarism due to Sheehan syndrome

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15
Q

Is insulin resistance associated with high/low levels of leptin?

A

High

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16
Q

Which ratio is used to monitor nephropathy in diabetes

A

ACR (Albumin Creatinine)

17
Q

Which endocrine disease can Carbamazepine cause

18
Q

What is serum potassium level like in someone with DKA

A

Can result in hypokalaemia but K+ tends to be high on presentation

19
Q

Which cardio problem are DKA patients at high risk of

A

Thromboembolism

20
Q

Treatment for someone in an Addisonian crisis

A

Fluid replacement with normal saline + hydrocortisone

21
Q

Which endocrine disease can be described as end-organ resistance to PTH

A

Pseudohypoparathyroidism
Called pseudo because there is a biochemical picture of high phosphate and low calcium suggesting hypothyroidism but PTH is appropriately high

22
Q

What is Pseudopseudohypoparathyroidism

A

Clinical picture of Pseudohypoparathyroidism but without the calcium abnormality

23
Q

What neuro presentation can hyponatremia cause

24
Q

What thyroid abnormality can puberty and pregnancy cause

25
What happens to calcium and phosphate levels in chronic Cushing’s syndrome and what can this lead to
Ca and Pho will be decreased, leading to secondary hyperparathyroidism
26
What is the test for Adult-onset growth hormone deficiency
Oral Insulin Tolerance test | opposite of growth hormone excess (Acromegaly)
27
Hyperpigmentation associated with Addison's tends to affect which areas of the body
Scars and buccal mucosa
28
What will C-peptide levels be like in a patient with an insulinoma
C-peptide levels will be raised | as there is an excess of insulin being produced
29
Which endocrine disorder characteristically causes loss of outer 3rd of eyebrow
Hypothyroidism
30
Which type of thyroid cancer occurs in iodine-rich areas
Papillary
31
Which type of thyroid cancer can be difficult to classify as benign or malignant due to their similar cellular architecture
Follicular
32
Patients with Down’s Syndrome are more prone to having what thyroid abnormality
Hypothyroidism