TEST QUESTIONS

Question 1

What is the most common pituitary tumor?

Answer 1

• non-secreting pituitary tumor

Question 2

What is the most common secreting pituitary tumor?

Answer 2

• prolactinoma

Question 3

How do you diagnose acromegaly?

Answer 3

• GH

- glucose tolerance tests= paradoxical rise of GH following glucose administration.

Question 4

Can craniopharyngiomas present with central diabetes insipidus?

Answer 4

• YES

Question 5

What will you see in DI?

Answer 5

• dilute urine

- reduced osmolarity in urine

Question 6

How do you treat central DI?

Answer 6

• desmovasopressin (aka ADH)

Question 7

Is the central source of Cushings ACTH dependent or independent?

Answer 7

• ACTH dependent

Question 8

Is the adrenal source of Cushings ACTH dependent or independent?

Answer 8

• ACTH independent

Question 9

What test do we use to diagnose Cushings?

Answer 9

• overnight dexamethasone (1 mg at bedtime) and then get the cortisol level in the morning.

Question 10

If a pt has central Cushings, what test result will you see?

Answer 10

• suppression of high dose test.
• if there is no suppression, then the cause is either an adrenal source (ACTH independent) or ectopic (ACTH secreting tumor).

Question 11

What is the most common congenital adrenal hyperplasia?

Answer 11

• 21 hydroxylase deficiency

Question 12

What will you see with hyperaldosteronism?

Answer 12

• secondary cause of HTN

- alkalosis and HYPOkalmeia

Question 13

How do you treat pheochromocytoma?

Answer 13

• alpha blocker

- surgery

Question 14

Are thyroid nodules most often benign?

Answer 14

• YES

Question 15

What is the most common thyroid cancer?

Answer 15

• papillary

Question 16

How many people have T2DM in the U.S. and world, respectively?

Answer 16

• U.S.= 29 million

- world= 400 million

Question 17

What are the macro and microvascular complications of T2DM?

Answer 17

• macro= stroke, MI, and PVD.

- micro= retinopathy, nephropathy, and peripheral neuropathy