Pedia: Endo Flashcards

0
Q

In a decrease in cortisol what happens to bone age growth rate and final height of pxs?

A

All NORMAL. But in an increase they all go down.

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1
Q

In nutritional insufficiency what goes down first, weight or height?

A

Weight

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2
Q

What are the x ray findings in hypothyroidism?

A

Epiphyseal dygenesis, wide sutures, large sells turcica

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3
Q

What MEN syndromes have hyperparathyroidism? Pheochromocytoma?

A

MEN 1 and 2a

MEN 2a and 2b

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4
Q

Which drugs cause central/ Nephrogenic DI?

  1. Phenytoin
  2. Ethanol
  3. Lithium
  4. Amphotericin
  5. Rifampicin
A

1-2 central

The rest are Nephrogenic

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5
Q

What is the most consistent X-ray finding in hyperparathyroidism?

A

Resorption of subperisoteal bone along the phalanges.

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6
Q

What is the most common skeletal abnormality in Turner syndrome?

A

Shortening if the 4th metatarsal and and metacarpal bones

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7
Q

Treatment of Nephrogenic DI

A

Thiazides

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8
Q

Drug for precocious puberty

A

Leuprolide acetate

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9
Q

What is the MCC of thyroid dz in children and adol

A

Thyroiditis

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10
Q

What antibodies are seen in most cases of hashimoto thyroiditis?

A

Thyroid ANTIPEROXIDASE antibodies

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11
Q

Which type of MEN causes zollinger Ellison syndrome, VIPoma, glucagonoma?
Wermer
Sipple
Grolin

A

Wermer MEN 1

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12
Q

MEN with ganglioneuromatosis
Wermer
Sipple
Grolin

A

Grolin or MEN 3

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13
Q

Tx for neonatal tetany

A

Calcium gluconate

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14
Q

MEN with prolactinima
Wermer
Sipple
Grolin

A

Wermer MEN 1

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15
Q

What type of hyperparathyroidism causes renal osteodystroohy?
Primary
Secondary
Tertiary

A

Secondary and tertiary

16
Q

What type of hyperparathyroidism causes osteitis fibrosa cystica?
Primary
Secondary
Tertiary

A

Primary

17
Q

What type of hyperparathyroidism is due to chronic renal dz?
Primary
Secondary
Tertiary

A

Secondary and tertiary

18
Q

What type of hyperparathyroidism is due to decreased serum calcium?
Primary
Secondary
Tertiary

A

Secondary

19
Q

Which type of CAH will present with salt wasting will present with:

  1. Virilization of female gentalia
  2. Salt wasting
  3. Cortisol deficiency
A

21 hydroxylase deficiency

3 beta dehydrogenase

20
Q

Which type of CAH will present with salt wasting will present with:

  1. Virilization of female gentalia
  2. Hypertension
  3. Cortisol deficiency
A

11 beta hydroxylase

21
Q

Medication for klinefelter?

A

Enanthane ester, a testosterone

22
Q

A previously toilet trained child starts wetting her bed and starts having a voracious appetite. What HLA type is her dz associated with?

A

DR 3, DR 4

23
Q

DKA

A
Hydrate with isotonic saline
Glucose 5% when glucose approaches 300
Bicarbonate if less than 7.2 pH 
Insulin 0.1u/kg/h
LIMIT FLUID TO 4L/m2/day