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DIT endocrine quiz
| Question | Answer |
|---|---|
| DM a/w obesity | type II |
| DM that may cause ketoacidosis | type I |
| DM with strong genetic predisposition | type II |
| DM a/w HLA DR3 and 4 | type I |
| Parathyroid, Pancreas, Pituitary | MEN I |
| Med Thyroid, Pheochromocytoma, Parathyroid | MEN IIa |
| Med Thyroid, Pheochromocytoma, Mucosal neuromas | MEN IIb |
| Clinical manifestations of Addisons | hyperpigmentation, hypotension, hyperkalemia, acidosis, weakness, malaise, anorexia, weight loss. |
| decreased aldosterone, decreased cortisol, increased ACTH | addison's |
| adrenal atrophy, absence of hormone production, all 3 cortical divisions | addison's |
| lactic acidosis is a rare but worrisome side effect | metformin |
| most common side effect is hypoglycemia | sulfonylureas |
| MOA: closes K channel on beta cells cause depolarization causing Ca influx cause insulin release | sulfonylureas |
| MOA: inhibits alpha glucosidase at intestinal brush border | alpha glucosidase inhibitors |
| MOA: agonist at PPARgamma receptors | glitazones |
| mech of propylthiouracil? | inhibit the coupling and organificatio of iodine, decrease the peripheral conversion of T4 to T3 |
| What other drug works like PTU | methimazole |
| Side effects of PTU/methimazone | skin rash, agranulocytosis, aplastic anemia |
| What cell type produces PTH? | chief cells of the parathyroid |
| What cell type produces calcitonin | C cells (parafollicular) of the thyroid |
| What cancers are a/w RET gene mutation? | MEN IIa, IIb, medullary and papillary thyroid carcinoma |
| sx of 21 alpha hydroxylase deficiency? | hyperkalemia, hypotension, masculinization |
| sx of 11 beta hydroxylase deficiency? | HTN, masculinization |
| increased cortisol | Cushing's |
| increased aldosterone | Conn's |
| decreased cortisol, decreased aldosterone | Addison's |
| increased thyroid hormones | Graves' |
| extremely tender thyroid gland | DeQuervain's |
| palpation of single thyroid nodule | toxic thyroid adenoma |
| palpation of multiple thyroid nodules | multinodular toxic goiter |
| recet study using IV contrast dye (iodine) | Jod-Basetow phenomena |
| Eye changes: proptosis, edema, injection | Graves |
| most common chronic arrhythmia | A Fib |
| most comon bacteria in GI tract | bacteroides |
| most common gynecologic malignancy | endometrial carcinoma |
| most common primary cardiac tumor in children | rhabdmyosarcoma |
| most common breast cancer | infiltrating ductal carcinoma |