Hormone Gone Wrong
Labs Tell the Story
Assessment Clues
Med Match
DKA vs HHS
100

This pituitary hormone deficiency causes polyuria, polydipsia, and dilute urine.

What is Diabetes Insipidus?

100

Normal fasting blood glucose range in adults.

What is 70–100 mg/dL?

100

Fruity breath, Kussmaul respirations, and abdominal pain indicate this emergency.

What is Diabetic ketoacidosis (DKA)?

100

Synthetic ADH used to treat diabetes insipidus.

What is Desmopressin?

100

Which condition is more common in Type 1 diabetes?

What is DKA?

200

Excess cortisol production leads to weight gain, moon face, and purple striae.

What is Cushing syndrome?

200

This electrolyte is elevated in untreated DKA due to acidosis and insulin deficiency.

What is Potassium?

200

Tingling around the mouth and muscle twitching after thyroid surgery suggests this complication.

What is Hypocalcemia?

200

First-line oral medication for Type 2 diabetes that decreases hepatic glucose production.

What is Metformin?

200

Which condition typically has glucose levels greater than 600 mg/dL?

What is HHS?

300

Deficiency of this hormone causes tetany, muscle cramps, and a positive Chvostek’s sign.

What is Parathyroid hormone?

300

A patient with SIADH will most likely have this serum sodium finding.

What is Hyponatremia?

300

Bronze skin, hypotension, and fatigue suggest this adrenal disorder.

What is Addison disease?

300

Medication given for adrenal insufficiency to replace cortisol.

What is Hydrocortisone?

300

Which condition involves metabolic acidosis?

What is DKA?

400

Excess thyroid hormone increases metabolic rate, heat intolerance, and weight loss.

What is Hyperthyroidism?

400

Elevated TSH with low T3/T4 indicates this disorder.

What is Hypothyroidism?

400

Weight gain, cold intolerance, and constipation are classic signs of this condition.

What is Hypothyroidism?

400

Rapid-acting insulin typically given with meals.

What is Insulin lispro (Humalog)?

400

Which condition has little to no ketosis?

What is HHS?

500

Lack of insulin production due to autoimmune beta-cell destruction defines this condition.

What is Type 1 diabetes mellitus?

500

This lab confirms long-term glucose control over 2–3 months.

What is Hemoglobin A1c?

500

Severe dehydration with very high glucose and no ketones points to this condition.

What is Hyperosmolar hyperglycemic state (HHS)?

500

Antithyroid medication that inhibits thyroid hormone synthesis.

What is Methimazole?

500

Initial priority treatment for both conditions.

What are IV fluids?

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