prl

Question 1

Amenorrhea Test

Answer 1

Pregnancy Test (BHCG)
TSH (thyroid disease), FT4
PRL
Estradiol
FSH/LH
IGF-1 (GH)
AM serum cortisol

Question 2

macroadenoma

Answer 2

FT4 (thyroid)
IGF-1 (GH)
AM serum cortisol (ACTH)

Question 3

Adrenal insufficiency

Answer 3

morning cortisol <3-5mg/dl
N: >15-18mg/dl

Question 4

acromegaly features

Answer 4

enlarged jaw; enlarged and swollen hands and feet, resulting in increasing shoe and ring size; thickening and enlargement of the tongue; and joint symptoms relating to hypertrophic arthropathy

Question 5

Most accurate test for acromegaly

Answer 5

oral glucose tolerance test
N: GH <0.3ng/ml

Question 6

treatment of choice of GH adenoma

Answer 6

TSS

Question 8

3 tests for cushing

Answer 8

24 hr urine cortisol x 2
PM salivary cortisol x2
dexamethasone suppression test

N cortisol: <1.8mg/dl

Question 9

endocrine abnormalities in eating disorders with hypothalamic amenorrhea

Answer 9

low serum FSH, LH, estradiol, IGF-1, leptin

increased cortisol levels

Normal PRL, TSH, and T4 levels T3 level is low

reverse T3 (rT3) is high (as in illness)