Pediatric Diabetes & Thyroid disease

Question 1

insulin dependent DM is AKA

Answer 1

type 1 DM

Question 2

type 1 DM is most common in

Answer 2

whites

Question 3

most common form of DM under 40 is ___, most common form >40 is ___

Answer 3

Type 1 ; Type 2

Question 4

what is MODY?

Answer 4

maturity onset diabetes of youth (type 2 DM in obese kids)

Question 5

tx of MODY

Answer 5

diet, exercise, oral hypoglycemics

Question 6

diabetic ketoacidosis is assc’d with what type of diabetes?

Answer 6

DM type 1

Question 7

role of glu tolerance test in kids

Answer 7

rarely need for dx

Question 8

most common dosing schedule of insulin

Answer 8

2/3 dose before breakfast, 1/3 dose before dinner

Question 9

goal of blood glu monitoring: keep blood sugar b/w____

Answer 9

100-200

Question 10

hunger, weakness, shakiness, sweating, drowsiness, complication of DM 1

Answer 10

hypoglycemia

Question 11

DKA when blood glu >_____, and venous blood gas under _____ and or bicarb under____

Answer 11

glu > 200; VBG under 7.3, bicarb under 15

Question 12

tx of DAK (4)

Answer 12

1, restore intravascular fluids

2. give insulin, add dextrose
3. manage electrolytes
4. correct acidosis

Question 13

how is ketogenesis shut down?

Answer 13

by insulin admin

Question 14

relationship b/w detal & maternal pituitary thyroid axes

Answer 14

completely independent

Question 15

by week ____, thyroid gland can make hormones

Answer 15

14

Question 16

how can hyperthryoid mothers produce thyrotoxic newbrons?

Answer 16

transmit human-specific thyroid stimulator Ig

Question 17

if you get a serum TSH high, then what tests to add?

Answer 17

free T4

Question 18

if you get a low serum TSH, what tests to add?

Answer 18

free T4 & T3

Question 19

most common hypothyroidism in kids

Answer 19

chronic lymphocytic thyroidisits (hashimotos)

Question 20

type of anemia found in hashimotos

Answer 20

normocytic anemia

Question 21

drug of choice for hypothyroidism

Answer 21

levothyroxine

Question 22

triiodothyroixine is used for?

Answer 22

TSH suppression test

Question 23

tender thyroid in toxic appearing patient from bacterial infn

Answer 23

acute suppurative thyroiditis

Question 24

idiopathic hyperthyroidism presents usu in _____ of age _____

Answer 24

females age 12-14