Quiz #2 Flashcards
1
Q
DDX for fatigue
A
Cancer Anemia Depression Endocrine Malabsorption/Nutritional Def. HIV Sleep Apnea
2
Q
3 Most common causes of fatigue
A
Depression
Thyroid
Anixety
3
Q
Anemia PE Findings
A
Conjunctiva pallor Nail beds pallor SOB; tachycardia Delayed cap refill Petechiae Jaundice
4
Q
Labs to order for fatigue
A
CMP CBC with iron panel Thyroid panel Lipid panel UA Glucose Hemoccult
5
Q
Risk factors for DM
A
Age > 45 y/o 1st degree relative with DM HTN Dyslipidemia Gestational DM Obesity Sedentary lifestyle
6
Q
Diagnosis Criteria for DM
A
- two fasting glucose > 126
- one glucose level > 200 w/ sx
- A1c > 6.5%
- positive 2 hr oral glucose tolerance test
7
Q
Signs/Symptoms of hypothyroidism
A
Constipation Weight gain Fatigue Hair loss Constipation Menstrual irregularities Cold intolerance
8
Q
PE Exam Findings for hypothyroidism
A
Weight gain
Hair loss
Decreased/slow relaxation phase on DTRs
Dryness in skin
9
Q
Labs for hypothyroidism
A
CBC CMP Thyroid panel Iron study (after thyroid result) Blood glucose Lipid panel
10
Q
Signs/Symptoms of hyperthyroidism
A
Weight loss heat intolerance Anxiety Palpitations Tachycardia Hyperdefecation Menstrual irregularities
11
Q
PE Findings of hyperthyroidism
A
Exophthalmos Pretibial myxedema Tachycardia Dry skin Lid retraction Thyroid may be diffuse, firm Hyperactive bowel sounds Tremor
12
Q
Tx for hyperthyroidism
A
Methimazole
PTU
Radioactive Iodine Ablation
Beta Blocker
13
Q
Risk Factors for Thyroid Cancer
A
Head/Neck Radiation Family hx of thyroid CA Rapid growth Hoarseness, vocal cord paralysis Dysphagia Calcifications (salted appearance) Cervical lymphadenopathy
14
Q
Types of Thyroid Cancer
A
- Papillary
- Follicular
- Medullary
- Anaplastic
15
Q
Thyroid Nodule Workup
A
- Check TSH
If TSH high/normal, ultrasound
If TSH low, thyroid radioactive iodine uptake scan - If uptake cold, biopsy
- If uptake warm, do not need biopsy unless characteristics of cancer
- If ultrasound shows > 1-1.5 cm, biopsy
- If > 0.5 with characteristics of cancer, biopsy
