Maternity
Diabetes
Thyroid
Obesity/metabolic syndrome
General
100
It is recommended to start pharmacological therapy for treatment of gestational diabetes when 2 hrs post-prandial readings are consistently above this value.
What is 120 mg/dL
100
This medication decreases glucose production in the liver and decreases insulin sensitization, it is also the most commonly prescribed oral medication.
What is Metformin
100
This is the most common cause of hypothyroidism.
What is Hashimoto's
100
According to the USPSTF, everyone should be screened for obesity beginning at this age.
What is 6 yo
100
This is defined as the most common benign "sellar mass"
What is Pituitary adenoma
200
In the 2-step glucose test for screening of gestational diabetes. This is the glucose level at which the first step is considered abnormal.
What is 135 (or 140).
200
An elderly patient is being treated for diabetes, HTN and hyperlipidemia. Pt is on metformin, lisinopril, and zocor. This is the Creatinin value above which it is recommended to discontinue metformin.
What is 1.5.
200
This is the recommended hyperthyroid medication in the first trimester of pregnancy as well as during breast feeding.
What is PTU
200
This is the USPSTF recommendation of amount of weekly moderate aerobic activity.
What is 150min/wk or 5-7 30 min sessions a week
200
This event is what differentiates between Gigantism and Acromegaly.
What is growth plate closure
300
True or false: Thyroid testing is indicated in an asymptomatic pregnant female with slightly enlarged thyroid glands
False (B)
300
This class of medications are incretin derived medications with a MOA that potentiates insulin secretion, suppresses post prandial glucagon secretion, slows gastric emptying, promotes satiety.
What is GLP-1 receptor agonist "the TIDES" lariglutide (victoza) , exenatide (byetta)...
300
A 30 yo female presents with neck lump over the last 6 weeks. On exam there is a palpable 2 cm firm mass in the right lobe of the thyroid. You order a TSH comes back elevated. This is the next step in you evaluation.
What is Fine Needle Aspiration
300
This is the definition of overweight in children.
What is >95th percentile of weight for age and gender
300
This is the main pathology in Primary Hypogonadism.
What is Testicular Failure.
400
would you increase or decrease thyroid supplementation in a previously diagnosed hypothyroid female that became pregnant and what is the recommended frequency of TSH check in pregnancy.
Increase q trimester, unless changed dosing, recheck 4-6 weeks.
400
This class of medications has a MOA that blocks reabsorption of glucose in the kidney, increases urinary excretion of glucose, decreases weight, and blood pressure.
What is SGLT-2 Inhibitors. "the GLIFLOZINS", Dapagliflozin (farxiga), Canagliflozin (invokana)
400
This is the definitive treatment of Graves disease.
What is Radioactive iodine ablation.
400
This is the most common cause of death following bariatric surgery.
What is Pulmonary Embolus
400
This level of prolactin strongly correlates with presence of prolactinoma. (Normal prolactin level is < 25).
What is > 200
500
These are the three most common risks of untreated maternal hypothyroidism
What is Pregnancy loss, low birth weight, prematurity
500
These are the FOUR parameters used in the Diagnosis of Diabetes.
What is: 1) Hgb A1c >= 6.5% 2) Fasting plasma glucose >= 126 mg/dl 3) 2-hr lasma glucose >= 200 mg/dl (after 75g glucose trial) 4) random plasma glucose >= 200 with classic hyperglycemia symptoms.
500
A 42 yr old male presents to your office with fatigue, palpitations, weight loss, and hand tremor that have been increasing over the last 4 weeks. You suspect the patient has a thyroid disease. What is the disease, and what four laboratory tests are recommended to confirm diagnosis.
What is Graves disease. TSH, T4, T3, Thyroid antibodies.
500
These are the 5 factors used for the definition of Metabolic syndrome. (only 3 are required for the diagnosis)
What is Fasting Glucose >=110 Waist circ > 40” Men, 35” Women HDL <40M, 50W TG >= 150 BP >= 130/85
500
A 30 yo female presents with neck lump over the last 6 weeks. On exam there is a palpable 2 cm firm mass in the right lobe of the thyroid. You order a TSH comes back Low. This is the next step in you evaluation.
What is I-123 scan Cold --> FNA Hot --> Surgery
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