Endo In Class

Question 1

Graves Dz due to autoantibody to ___, stimulating the ____

Specific sx E, P, N

Assess thyromegaly/nodule via
V__ after swallowing
Anterior palp w __
Bimanual palp from ___

Answer 1

TSH, receptor

Exopthalmos, pretibial myxedema, nail findings

visual inspection
right hand
behind

Question 2

Pituitary mass possilble lesions
P
C
M
B
N

Acanthosis Nigricans possibly seen in C and A

best response is to check for ____

if allergic dermatitis expected, ___ and changing __ are indicated

Answer 2

pituitary adenoma
Craniopharyngioma
Meningioma
Basilar artery anuerysm
Nerve sheath tumors (CN)

Cushings, Acromegaly

diabetes

topical steroids, deoderant

Question 3

Neuropathic ulcer #1 cause

lab finding

hypoadrenalism- test for ___ after stimulation w ___

Serum __ levels drawn w suspected ___ aka __ tumor presenting w ___

Answer 3

DM

inc A1C

cortisol, ACTH

gastrin, gastrinoma, panc, peptic ulcers

Question 4

Facial plethora and venous engorgement w Pembertons sign seen w __, __

__ can cause baseline facial plethora

Cancer of head/neck can metastasize to the mediastinum, producing ___ at baseline

Galactorrhea possible causes
Chronic \_\_
High \_\_
\_\_ and \_\_thyroid
Chronic \_\_\_
M\_\_

Answer 4

thoracic inlet mass, SVC syndrome

Polycythemia vera

facial plethora

nipple stimulation
prolactin
hyper/hypo
renal failure
meds

Question 5

hypoNa and hyperK without renal dysfxn should indicate ___ with low ___

Renal failure should raise

hypoT can cause

DKA Serum glucose > __, low serum ___, high ___

Answer 5

hypoadrenalism, MC

BUN

hypoNa, hypoTN, weakness

250, bicarb, AGAP

Question 6

hypoT commonly has loss of ___, enlarged ___

Dahls sign should have chronic retention of ___, meaning kidney will retain ___

__ causes hyperT w extra__ tissue from ___

Findings
clinical __
normal __ and __ exam and ___
scintigraphy should be

Possibly caused by ___ aka thyrotoxicosis factita

typically is ___

Grave’s dz uptake is ___

Answer 6

lateral eyebrows, tongue

CO2, HCO3

struma ovarii, thyroidal tissue, ovarian teratoma

hyperT
thyroid/pelvic, imaging
increased

exogenous TSH

benign

increased

Question 7

(T1DM) Ketoacidosis main findings

not associated w

Inflammatory breast carcinoma presents w

cell type

breast abscess has focal __ and __, w ___ palp

Type 1.5 dm has ketoacidosis w

Hashimotos thyroiditis is a common cause of

Answer 7

Kussmaul, low pH

Acanthosis nigricans

peau d orange

adenocarcinoma

redness, tenderness, fluctuant

stress

hypoT

Question 8

Cardiac flow murmurs heard in the ___ area

common in ___ states

can occur from ___

HyperT sx w normal sized thyroid gland w nodule suggests\

hyperT sx w normal gland suggests

isolated GC insufficiency (rapid withdrawal of CS) does not present w ___ and ___ because __ synthesis does not require ___

Answer 8

aortic

high CO

untreated HTN

fxn thyroid nodule

exogenous TSH

hypoNa, hyperK, MC, ACTH

Question 9

Pretibial myxedema possible diseases

best test for acromegaly

inc body pigmentation of Addisons correlated to inc

new onset seizure w focal weakness can suggest ___ or ___

helpful sx for diagnosis

alopecia can be assc w

thyrotoxicosis factita radioiodine uptake is

Answer 9

Graves and Hashimoto

serum IGF1

POMC

brain tumor, cerebral hemorrhage

papilledema

hypoT

low

Question 10

systolic flow murmur and pedal edema expected w

insulinoma sx

c peptide levels should be

MEN2 includes

possible lab finding of adrenal insufficiency

Answer 10

high CO states

hypoGly w high insulin

high

hyperPTH, pheo, medullary thyroid ca

blood eosinophilia