Board Question Buzz
The diagnosis when the stem says hypokalemia and hypertension
Conn Syndrome / Hyperaldosteronism
The test to diagnose adrenal insufficiency
ACTH stim test
The diagnosis when the free T4 is very low and the TSH is “normal” at 0.5.
Central / secondary hypothyroidism
The diagnosis when there is sudden loss pubic and axillary hair in an adult woman.
Adrenal Insufficiency
Classically pulsatile hormone which makes the interpretation of a random value difficult.
GH
The diagnosis when the stem says salt craving.
Addison's / Adrenal Insufficiency
The test to confirm a diagnosis of acromegaly
Oral glucose tolerance test for GH
The diagnosis when the cortisol level after 1 mg of dexamethasone is “normal” at 10.
Cushing's
The diagnosis when the patient is a pregnant woman and the prolactin level is “normal” at 15.
Hypopituitarism
Midnight salivary value takes advantage of the diurnal secretion of this hormone
Cortisol
The diagnosis when the stem says obstetrical hemorrhage and inability to lactate.
Sheehan's Syndrome
The test to confirm the diagnosis of Diabetes Insipidus
Water deprivation test
The diagnosis when the calcium level is elevated at 15 and the intact PTH is “normal” at 40.
Primary hyperparathyroidism
The genes, in order, for 1) MEN1; 2) MEN2; 3) APS 1
1) Menin
2) RET
3) AIRE
The hormone when secreted in high levels by an adenoma causes osteoporosis and when given in bursts by daily injection builds bone.
PTH
The diagnosis when the stem says central obesity, proximal muscle weakness and easy bruising.
Cushing's Syndrome
The three tests used to assess for an overproduction of cortisol
Midnight salivary cortisol
Dexamethasone suppression test
24-hr urine free cortisol
The diagnosis when the post ACTH level of cortisol is “normal” at 7.
Adrenal insufficiency
The medications needed for patients with pan hypopituitarism
Hydrocortisone
LT4
Test/E2 if applicable (pre-menopausal)
GH maybe
To check for deficiency these two hormones need to be measured first thing in the morning to capture their highest levels.
Cortisol and Testosterone
The diagnosis when the stem says amenorrhea and galactorrhea.
Prolactinoma
The setting in which the ACTH stimulation is unreliable.
Acute secondary adrenal insufficiency
The diagnosis when the growth hormone level is normal but the IGF 1 level is very high.
Acromegaly
The inheritance pattern of adrenoleukodystrophy
X-linked
An agonist of this hormone’s receptor changes the secretion of the hormone and delays puberty in a child with short stature.
LH