Thunder Thyroids
PituiTerry Crews
Sweet Pee
Adrenal Little Dream of Me
Chief's Choice
100
Untreated hypothyroidism is most likely to cause:
A. High cholesterol
B. Low blood pressure
C. Low blood sugar
D. None of the above
A. High cholesterol
100
By definition, a pituitary microadenoma is smaller than:
A. 0.5 cm
B. 1 cm
C. 1.5 cm
D. 2 cm
B. 1 cm
100
Which is NOT a known side effect of metformin?
A. Diarrhea
B. B12 deficiency
C. Weight loss
D. Pancreatitis
E. Lactic acidosis
D. Pancreatitis
100
Which of the following is NOT a first-line screening test for Cushing syndrome?
A. 24-hour urine free cortisol
B. Late-night salivary cortisol
C. 8am serum cortisol
D. Low-dose dexamethasone suppression test
C. 8am serum cortisol
100
What type of animal is Lil Sebastian in Parks and Rec?
A. Pony
B. Miniature Horse
C. Size-impaired Donkey
D. Micro-Pig
B. Miniature Horse
200
What thyroid cancer has the worst prognosis?
A. Medullary
B. Follicular
C. Anaplastic
D. Papillary
C. Anaplastic
200
Which of the following is the first step in management of pituitary apoplexy?
A. Neurosurgical decompression
B. Evaluate for panhypopituitarism
C. Stress-dosed steroids
D. Petrosal sinus sampling
C. Stress-dosed steroids
200
A patient with Type 2 Diabetes presents with nausea/vomiting. Pertinent labs include BG 150, Bicarb 16, LA 1.0. What DM medication most likely contributed to this presentation?
A. Metformin
B. Liraglutide
C. Empagliflozin
D. Saxagliptin
C. Empagliflozin
200
Pheochromocytomas are NOT associated with which of the following syndromes?
A. VHL
B. NF1
C. MEN1
D. MEN2A
C. MEN1
200
In the office’s episode titled “Murder”, to distract the member of the office from Dunder Mifflin’s financial troubles, Michael forces the office to play what murder mystery party game?
Belles, Bourbon and Bullets
Dallas
Murder in Savannah
Sour Grapes of Wrath
A. Belles, Bourbon and Bullets
300
Which of the following should never be given to a pregnant woman with hyperthyroidism?
A Propylthiouracil
B. Propranolol
C. Methimazole
D. I-131 (RAI)
D. 131I
300
What is the treatment of choice for Acromegaly from a Pituitary Tumor?
A. Trans-sphenoidal resection
B. Octreotide
C. Pegvisomant
D. Cabergoline
A. Trans-Sphenoidal Resection
300
55 yo M with PMH CAD was diagnosed with T2DM 3 months ago and was started on metformin. A1c remains above target. Which agents should you consider starting?
Empagliflozin or Liraglutide
Saxagliptin or Empagliflozin
Canagliflozin or Exenatide
Pioglitazone or Liraglutide
A. Empagliflozin or Liraglutide
300
Replacement of which of the following is universally indicated in primary adrenal failure but NOT in secondary (or central) adrenal failure):
A. Glucocorticoids
B. DHEA
C. ACTH
D. Mineralocorticoids
D. Mineralocorticoids
300
What is Nearly Headless Nick's real name?
Peeves
Sir Nicholas de Mimsy-Porpington
Nikolai Ungern von Sternberg
Sir Patrick Delaney-Podmore
B. Sir Nicholas de Mimsy-Porpington
400
Which of the following is NOT a clear indication to treat subclinical hypothyroidism?
A. Repeated abnormal TFTs 6 months apart
B. Positive anti-TPO antibodies
C. TSH >10
D. Presence of large goiter
A. Repeated abnormal TFTs 6mo apart
400
100 points to the family of the first person to name ANY film, TV show, or other work of media that Terry Crews has appeared in.
So many...
400
60 yo M PMH T2DM (A1c 7.3) with neuropathy, retinopathy on metformin, lantus, and aspart desires to get A1c below 7.0. Fasting glucose ranges 120-160, 2hr post-prandial ranges 65-190. Pt is asymptomatic. Your recommendation for diabetes management?
Continue current management
Continue current insulin, increase metformin.
Decrease meal-time insulin, add pramlintide.
Decrease meal-time insulin, continue metformin.
D. Decrease meal-time insulin, continue metformin
400
In an asymptomatic, otherwise healthy patient with an adrenal incidentaloma with CT attenuation >10 HU, screening is indicated for all of the following EXCEPT:
A. Hyperaldosteronism
B. Subclinical Cushing's syndrome
C. Pheochromocytoma
D. All of the above are indicated
A. Hyperaldosteronism
400
In the novel Dune, how does one avoid attracting the sand worms?
A. Travel single file
B. Walk without rhythm
C. Pole vault between boulders
D. Cover yourself with mud
B. Walk without rhythm