Science Quiz / ClinMed High Yield Endocrine

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Can you name the Combined HIgh Yield Endocrine

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

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