Science Quiz / ClinMed High Yield Endocrine

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Can you name the Combined HIgh Yield Endocrine

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HintAnswer
What type of drugs must you give before resecting a pheochromocytoma but after an alpha blockade to decrease risk a hypertensive crisis?
What is the hallmark symptom of glugaconoma?
Lantus and Detamir are __________________ insulins
Type of assay used to measure PTH
Autonomic dysfunction in diabetes causes diarrhea that is worse when?
Antibiotic to avoid during the last trimester
Low testosterone with low or normal levels of LH and FSH are present in what type of hypogonadism?
Most accurate test to diagnose Klinefelter Syndrome
Deficient PTH secretion is a complication of what genetic disorder
Metabolic Syndrome: HDL below this number in women
During pregnancy, TSH levels are (increased/decreased)
Type of thyroid cancer that can met to bone
A woman with gestational diabetes has a _____-_____ % chance of developing diabetes?
Two different classes of diabetes drugs that are secretagogues and share a common post-receptor pathway
Primary antbiotic used for anaerobic infection
People on tetracyclines or quinolones should avoid this medication
Trousseau and Chvostek signs are signs of what disorder?
Most common cause of hyperthyroidism
Cushing disease patient that has bilateral adrenalectomy and subsequent symptoms of headache, hyperpigmentation, visual changes
Mainstay treatment of hyperthyroidism in pregnancy
Vitamin D exerts its effects in the ____.
Spectrum of action of streptomycin
Metabolic syndrome: Male waistline must be greater than how many inches?
Hyperthyroidism (higher/lower) resin thyroid hormone uptake
Gene that is associated with MEN 2
Condition in which Archibald sign is seen but there is no hypocalcemia
Gastrinoma would be seen in what familial neoplastic disorder?
In MEN 1, how many parathyroid glands show enlargment?
Class of drug that is a PPAR gamma agonist that enhances insulin sensitivity
Stimulates production and release of thyroxine and triiodothyronine
During the 3 hour oral glucose tolerance test, women should be below this value after 1 hour
Drug that is currently used most often to maintain baseline insulin levels
Altered persperation due to autonomic dysfunction as a late complication of diabetes causes excessive sweating during this activity
Most common cause of hypercalcemia in inpatients
Short stature, round face, short neck, shortened 4th and 5th digits on fingers and toes
Type of insulin with a high concentration that is helpful in managment of morbidly obese diabetics
Treatment of hypoparathyroidism
Type of insulin pump infusion where part of the bolus is given immediately and the rest is given over a period of time.
GH causes (hypo/hyper)glycemia.
People on tetracyclines or quinolones should avoid this in their diet
MEN 2b shows this type of neuroma
Stimulates ACTH release
PTH receptor does not respond to Calcium until the levels are very high
Enzyme that plays a role in the development of gestational diabetes
During the 3 hour oral glucose tolerance test, women should be below this value after 3 hours
HintAnswer
Stimulates GH release
Stimulates release of IGF-1.
Mainstay medical treatment of hypothyroidism
Hypoparathyroidism is associated with what familial autoimmune condition
Hypothyroidism (higher/lower) resin thyroid hormone uptake
Stimulates TSH release
Which gender gets more thyroid nodules
Resin uptake of thyroid hormone is (higher/lower) in a women on birth control?
High levels of this hormone can mimic TSH during pregnancy because they share an alpha subunit
Antibiotic associated with neural tube defects
Two of the three: DM Type I, Addison's disease and autoimmune thyroid disease are needed to diagnosis this disorder
Type of insulin pump infusion where the bolus is given over a period of time
Fluoroquinolone used to treat anaerobic infections
Antibiotic associated with gray baby syndrome
NPH and Lente are _________ acting insulins
Stimulates FSH release
Normal range of calcium
80-100% of MEN2a patients have this type of tumore
First line medical therapy for acromegaly.
Metabolic syndrome: Triglycerides greater than this value
Bone complication associated with hyperparathyroidism and hypercalcemia
One hour glucose in pregnant women should be below this value
Principle route of drug elimniation
Type of insulin pump infusion where the entire bolus is given at one time
Autonomic dysfunction of the GI tract associated with late-stage diabetes - delayed gastric emptying
Type of thyroid cancer that can't be determined by fine'-need biopsy
Aldosterone causes _____________ of sodium (retention/excretion)
Stimulates LH release
Mainstay treatment of hypertyroidism
First-line medication for prolactinoma
What type of cell is neoplastic in medullary thyroid carcinoma
Diagnostic test for acromegaly.
Gold standard measure for euthyroidal illness
Drug classes that lowers seizure threshold
Most commonly diagnosed form of hyperaldosteronism
During the 3 hour oral glucose tolerance test, women should be below this value to start
What organism are cephalosporins particularly useful against?
Pancreatic tumors, hyperparathyroidism and pituitary adenomas are characteristic of what syndrome?
Best way to induce stress in patients with potential adrenal insufficiency
Most common cause of Cushing syndrome
Condition with which an archibald sign is associated
Paroxysmal headaches are associated with what?
Humalog, novolog and Apidra are all _______acting insulins
Most common symptom of MEN 1
Most sensitive tool for testing thyroid
HintAnswer
Aldosteron causes ______________ of potassium (retention/excretion)
DeQuerivain's thyroiditis would show (high/low) levels of exogenous iodine upake?
Most common cause of dialysis
Condition in which too much TBG leads to decreased levels of free T3 and T4 and what seems to be inappropriately high bound T4
People with prolactinoma should have levels of what two chemicals checked?
VIPoma would be seen in what familial neoplastic disorder?
Zollinger-Ellison syndrome is associated with which familial neoplastic disorder?
Corrected Ca+2=
Metabolic syndrome: fasting glucose must be higher than _____ and lower than ______.
Metabolic syndrome: Female waistline must be greater than how many inches?
Inflate a BP cuff on the arm and see if the patient develops tetany in the forearm/hand, if they do it is called __________
Most common cause of hypercalcemia in outpatients
Antibiotic that has the major side effect of crystalizing in the gallbladder and causing stones and 'sludge'
Best time of day to check testosterone levels
Leading cause of blindness in people older than 50 years old.
Low testosterone with high levels of LH and FSH are present in what type of hypogonadism
Type of thyroid cancer with a very strong genetic link
Complicating skin condition that is pathognomonic for diabetes
Step in bacterial cell wall synthesis that is inhibited by penicillin
VIPoma has symptoms that resemble what type of infection
Alright Hereditary Osteodystrophy aka...
Which gender has a high risk of thyroid malignancy?
Normal physiologic response of the body to downregulate iodine symporters in the presence of iodine to prevent hyperthyroidism
Stimulates prolactin release
Drug that is co-secreted with insulin and inhibits glucagon, delays gastric emptying and decreases appetite
What type of drugs must you give before resecting a pheochromocytoma or else you risk a hypertensive crisis? (Usually 7-10 days prior)
Patient relaxes his/her facial muscles then the physician taps the facial nerve in front of the ear, if the person's face twitches or spasms it is a positive ___________
Lack of this hormone from the posterior pituitary can cause central diabetes insipidus
Most common cause of death in acromegaly
Mineral required for PTH release
The most common pituitary adenoma secretes this hormone
Gold standard test for evaluating a primary hypothyroid patient
Screening test for acromegaly.
In what familial neoplastic disorder do you see glucagonoma?
Stimulates secretion of glucocorticoids and sex steroids
Commonly used drug that can cause drug-induced hypogonadism
Pathologic Wolff-Chaikoff causes (hyper/hypo)thyroidism.
Candidiasis (representing T-cell defect) is seen in what disorder along with hypoparathyroidism and Addison's disease?
Test that automatically runs free T4 if TSH is abnormal
Metabolic Syndrome: HDL below this number in men
Inhibits prolactin release
MEN 2b shows this type of body habitus
Waterhouse Friedrichson syndrome is associated with what bacteria
GH secreting adenomas are usually __________adenomas (micro/macro)
During the 3 hour oral glucose tolerance test, women should be below this value after 2 hours

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