Posterior pituitary -Table 1

Question 1

what is desmopressin?

Answer 1

analogue of ADH (PO and nasal spray)- used to tx central DI- dosing is very individualized

Question 2

Hypernatremia is a complication of what?

Answer 2

Untreated DI, not enough ADH

Question 3

DI is what?

Answer 3

inability to concentrate urine- central and nephregenic

Question 4

What are the causes of nephrogenic DI?

Answer 4

idiopathic, familial, chronic renal dz, Acute renal failure,

Question 5

DI diagnosis

Answer 5

Urine osmolality

Question 6

what is the water deprivation test?

Answer 6

no fluids for 12-18hrs, give 5units vasopressin subQ and measure urine osmo after 1 hr.- central(urine concentrats)

Question 7

what is the treatment for central DI?

Answer 7

DDAVP, Chlorpropamide, Carvemazepine

Question 8

How do you treat nephrogenic DI?

Answer 8

low NA diet, thiazide, indomethocin

Question 9

SiADH characteristics?

Answer 9

too much ADH, hyponatremia, edema

Question 10

what are the ddx for SiADH?

Answer 10

CHF(cannot walk and talk), liver cirrhosis

Question 11

endocrine without edema

Answer 11

Adrenal insufficiency (low aldosterone), hyponatremia

Question 12

acute siadh presentation?

Answer 12

water intoxicaiton, ha, confusion, n/v, anorexia, coma,

Question 13

What is the primary SiADH treatment?

Answer 13

Fluid restriction

Question 14

How do you treat ACTH deficincy?

Answer 14

Hydrocortisone, cortisone acetate, prednisone

Question 15

How do you treat TSH deficiency?

Answer 15

Levothyroxone

Question 16

How do you treat FSH/LH deficiency in men?

Answer 16

Testosteorne

Question 17

How do you treat FSH/LH deficiency in women?

Answer 17

conjugated estrogen, progesterone(if they have a uterus), estradiol

Question 18

How do you treat FSH/LH deficiency in women who are infertile??

Answer 18

menopausal gonadotrpins, human chorionic gonadotropins

Question 19

GH deficincy is treated with?

Answer 19

somatotropin

Question 20

ADH deficincy is treated with?

Answer 20

DDVAP(desmopressin)

Question 21

what are benign tumors of the sellar?

Answer 21

Pituitary adenoma, craniopharyngioma, meningiomas

Question 22

cabergaline

Answer 22

treatment of hyperprolactinoma

Question 23

bromochriptine

Answer 23

treatment of

Question 24

Estrodiol?

Answer 24

feel good hormone for women-