Endocrinology

Diabetes

100

42-year-old Mr. Wallowitz comes in for a checkup after getting lab work & is diagnosed with Type 2 DM. What labs did he have that determined his diagnosis?

What is fasting glucose >126 mg/dL, random glucose >200, Hgb A1C >6.5%

200

Mr. Potter is 35-year-old with a history of Type 1 DM who comes in to the ER with polyuria, polyuria, nausea, vomiting, blurred vision, altered mental status. The ER resident can’t tell if it’s DKA or HHNS, can you help him?

What is different glucose levels, arterial pH, metabolic acidosis vs. no acidosis, urine ketones

300

Chelsea Chiberia is 40-year-old with Type 2 DM who comes in to your office, she has been taking an oral hypoglycemic agent that has made her annoyed because she has to get his LFTs monitored and she also broke his leg while on the drug. You switch her to a different drug, but first you check her Cr. What was she taking & what did you switch her to?

What is a thiazolidinedione (i.e. rosiglitazone, pioglitazone) and metformin?

Thyroid

100

Terry Tundra is a 25 year old woman comes in for thyroid testing. A doctor finds she has elevated TBGs. What test does he do next?

Pregnancy test, liver function tests

200

Sir SnowsALot comes in to see Dr. Joe for the first time. He’s 20 years old, very tall with a large armspan, has been feeling hot & having tachycardia, palpiations, & anxiety and his labs show increased calcitonin. What is a likely diagnosis?

What is MEN2B

300

You have diagnosed Mr. Wallowitz with thyroid cancer. After a radioidine test comes back positive & a biopsy is done, you inform him he has the most common & least aggressive type of thyroid cancer. What is it?

What is papillary thyroid cancer?

Adrenals

100

Sally Sleepsalot is a 29 year old who comes in with new onset hypertension, headache, tachycardia, palpitations, and anxiety. What tests do you & do next & what is your first step in treatment?

What is test for metanephrine, VMA, HVA, and what is alpha blockers?

200

Skinny Steve is a 35-year-old who comes to see you with hypertension. He’s never had blood pressure problems before. He also has some headaches & muscle weakness. His exam is unremarkable, including negative for peripheral edema. A certain electrolyte on his labs comes back low. What is it & what is your diagnosis?

What is primary hyperaldosteronism (Conn's syndrome)?

300

Marge Arita is a 32-year-old with a recent history of TB. It’s the middle of Chicago winter but she looks really tan and has been feeling dizzy. Her blood pressure is low. What electrolyte levels do you see on labs & what’s your diagnosis?

What is primary adrenal insufficiency (Addison’s disease)?