Thyroid
Pit
DM
Adrenal
Bones
100

Most common cause of hyperthyroidism

Grave's Disease

100

Likely diagnosis for thunderclap headache, bitemporal hemianopsia, and hypotension

Pituitary apoplexy (accept pituitary hemorrhage or pituitary infarction)

100

ADA recommends this as the first line therapy for pre-diabetes

Lifestyle modification (accept exercise and weight loss)

100

Physical examination finding that differentiates primary from secondary adrenal insufficiency

Increased pigmentation

100

Eye finding associated with osteogenesis imperfecta

Blue sclera

200

Preferred medical treatment of hyperthyroidism during the first trimester of pregnancy

Propylthiouracil (accept PTU)

200

Initial drug therapy for pituitary apoplexy

Hydrocortisone (accept steroids)

200

Test to distinguish exogenous from endogenous hyperinsulinemia

Plasma C-peptide

200

All normotensive patients with adrenal incidentaloma are screened for these 2 endocrine disorders

Pheochromocytoma and Cushing syndrome

200

Common term for persistent hypocalcemia after parathyroidectomy for severe, prolonged hyperparathyroidism

Hungry bone syndrome

300

Endocrine Society recommends treatment of subclinical hypothyroidism when TSH is above this level

10 mU/L

300

Pituitary hormone often with elevated baseline levels in polycystic ovary syndrome

Luteinizing hormone (accept LH)

300

Minimum duration of albuminuria needed to diagnose diabetic nephropathy

3 months

300

Two initial laboratory tests for suspected primary hyperaldosteronism

Plasma aldosterone and plasma renin activity (accept aldosterone and renin activity; aldosterone/renin ratio)

300

Most common cause of oral vitamin D 'resistance'

Vitamin D malabsorption

400

Next diagnostic step for thyroid nodule associated with low TSH

Thyroid scintigraphy (accept iodine or technetium scan or nuclear scan)

400

Initial laboratory test used to diagnose acromegaly

Insulin-like Growth factor-1 (accept IGF-1)

400

Statin therapy increases the risk of this metabolic disease

Diabetes

400

Adrenal incidentaloma threshold size suspicious for malignancy

> 4 cm

400

Diagnostic test to rule out familial hypocalciuric hypercalcemia

24-hour urine calcium excretion

Bonus: Confirmatory test if very low urine Ca?

500

Name for this finding associated with obstructive substernal goiter

Pemberton's sign (Pemberton's maneuver)

500

First two tests to evaluate secondary amenorrhea after excluding pregnancy

FSH and prolactin

500

Major metabolic complication of selective inhibitors of sodium-glucose cotransporters

Ketoacidosis (accept euglycemic DKA)

500

Prednisone threshold dose of any duration that does not require perioperative testing or replacement to prevent adrenal crisis

Less than or equal to 5 mg/day

500

Next best step in hypercalcemia, suppressed PTH, and this CXR:

1,25-dihydroxyvitamin D level

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