USTEP3 Day 6

  1. rx for gastraparesis
    erythromycin and metaclopramide
  2. All forms of hyperthyroidism give elevated what
    t4
  3. rx for graves
    • acutely methimazole and PTU
    • then radioactive iodine
  4. only cause of hyperthyroidism with elevated ash
    pituitary adenoma
  5. 4 medications for thyroid storm
    • iodine
    • PTU
    • prednisone
    • proprano
  6. what does dexamethasone do in thyroid storm
    block t4 to t3 conversion
  7. Jose basedow phenomenon
    thyrotoxicosis in a iodine deficiency when it was made replete
  8. MEN 1 a
    • Parathyroid
    • pituitary
    • pancreatic
  9. men 2a
    • parathyroid
    • medullary
    • pheo
  10. men 2 b
    • medullary thyroid
    • marfanoid
    • phew
  11. metastasis of follicular vs medullary thyroid cancer
    • follicular-lymph
    • medullary- hematogenous
  12. orphan annie nuclei
    follicular
  13. how does high calcium cause volume depletion
    blocks adh causes nephrogenic di
  14. electrolyte abnormalities of long qt
    • low 
    • K
    • Mg
    • Ca
  15. albrights hereditary osteodystrophy
    • low ca
    • round facies
    • mental retardation
    • short 4th digit
  16. 3 cases for cushing syndrome
    • pituitary adenoma
    • ectopic acth production
    • adrenal adenoma
  17. how to diagnose cushing syndrome
    24 hour urine cortisol level after 1 gram dexamethasone level
  18. how to find etiology of cushing syndrome
    • if acth is low, then adrenal adenoma
    • if acth is high--do acth suppression- if suppressed --pituitary
    •                                if not suppressed- adrenal
  19. diagnostic test for addison disease
    co-syntropin test
  20. rx for adrenal insufficiency
    hydrocortisone
  21. dx of conns syndrome
    • low renin
    • HTN, metabolic alkalosis hypokalemia
    • high aldosterone despite salt loading
  22. rx for conns syndrome
    • solitary adenoma-resection
    • hyperplasia- spironolactone
  23. rx for pheo no metastasis
    rx for metastatic pheo
    alpha blockage then beta surgery

    medical treatment
  24. most accurate diagnostic test for prolactinoma
    mRI of brain
  25. rx for prolactinoma
    • dopamine agonists
    • if refractory, give surgery
  26. why is DM common in acromegaly
    bc growth hormone acts as anti-insulin
  27. best initiall test for acromegaly
    IGF
  28. rx for growth hormone releasing tumor
    • resection
    • octerotide
    • dopamine agonists
    • pegvisomant
  29. 2 causes of primary amenorrhea
    • turners
    • testicular feminization
  30. causes of secondary ammenorhea
    • prolactin
    • exercise
    • pcos
    • pregnancy
    • hypothyroidism
  31. LH, FSH, testosterone in klinefelters
    • high LH, FSH
    • low testosterone
  32. kallman's syndrome
    • hypothalamus
    • low gnrh, low lh, low fsh
    • anosmia
  33. subclinical hyperthyrodism
    low tsh and normal T3 and T4
  34. subclinical hypothyroidism
    high tsh and normal T3 and T4
  35. rx for pagets disease
    bisphosphonate
Author
pszurnicki
ID
320096
Card Set
USTEP3 Day 6
Description
USTEP3 Day 6
Updated