Diabetes
Thyroid/Parathyroids
Adrenals
Pituitary
Lipids/Obesity
100
Diagnostic criteria of diabetes mellitus
What is fasting glucose > 126, HgbA1C> 6.5 GTT > 200 confirmed on 2 readings or random > 200 with symptoms
100
Patient presents with fatigue, constipation, cold intolerance, and dry skin for the past 4 months. What would you expect her labs to be?
What is elevated TSH decreased free T4: Primary hypothyroidism
100
Cushing's disease
What is pituitary
100
Most common pituitary adenoma
What is prolactinoma
100
Condition associated with triglycerides > 500
What is pancreatitis
200
Name 5 risk factors of DM
What is age > 45, BMI > 25, DM in first degree relative, sedentary lifestyle, ethnicity (AA, Hispanic, Native American, Asian American, pacific islanders) HTN, dyslipidemia, metabolic syndrome, gestational DM, PCOS, ASCVD
200
Patient has elevated serum calcium and elevated PTH. What symptoms could she have?
What is stones, bones, groans, abdominal moans, and psychiatric overtones
200
Most common presenting sign of secondary adrenocortical insufficiency.
What is hypoglycemia
200
Sheehan's syndrome
What is anterior pituitary infarction secondary to postpartum hemorrhage.
200
Name 4 conditions included in atherosclerotic cardiovascular disease (ASCVD)
What is MI, angina, CAD, CVA, TIA, PAD
300
Screen for diabetic nephropathy
What is urine for microalbumin annually
300
Second most common cause of hypercalcemia
What is malignancy
300
Low cortisol level with elevated ACTH level and no change with ACTH stimulation test
Primary adrenocortical insufficiency: Addison's
300
Most common tumor leading to hypopituitarism in children
What is craniopharyngioma
300
Lipid levels with Familial combined hyperlipidemia
What is high LDL, high triglycerides, low HDL
400
Treatment for elevated fasting am glucose with elevated 3 am glucose
What is increase pm medication dose due to Dawn phenomenon
400
Tumor marker for thyroid cancer
What is thyroglobulin
400
Elevated 24 hour urine cortisol and 11 pm salivary cortisol, elevated ACTH, and no change in cortisol with dexamethasone or high dose dexamethasone suppression testing.
What is ectopic ACTH producing tumor: small cell lung cancer
400
Initial lab evaluated when assessing for acromegaly
What is IGF-1
400
Name 3 physical exam findings associated with very high triglycerides.
What is lipemia retinalis, eruptive cutaneous xanthomas, xanthelasma, arcus senilis
500
Most common transient asymmetric neuropathy
What is CN III palsy: ipsilateral headache, ptosis, ophthalmoplegia with down and out gaze with sparing or reactivity
500
Congenital defective development of parathyroids and thymus
What is DiGeorge syndrome
500
Rule of 10s
What is pheochromocytoma: 10% bilateral, 10% extra-renal 10% malignant 10% occur in children 10% familial 10% will reoccur
500
Patient presents after a fall from a 10 foot ladder with loss of consciousness, headache, and vomiting. He now has polyuria and polydipsia. Initial labs reveal hypernatremia. What is the most likely diagnosis?
What is central diabetes insipidus
500
38-year-old male presents for follow up after receiving 2 cardiac stents. FH reveals MI in father and grandfather both in their 40s. Recent LDL was 504 mg/dL. What is the diagnosis?
What is homozygous familial hypercholesterolemia
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