Endocrine

Diabetus

100

inpatient glucose goal

140-180. Nice Sugar

200

Dx for DM (2 of 3)

Hemoglobin A1c, fasting plasma glucose >126, or oral glucose tolerance test >200

300

Antibodies in T1DM

glutamic acid decarboxylase and tyorsine phosphatase IA-2

400

hyperglycemia in 2nd or 3rd trimeseter in women without prepregnancy dx of T1 or T2DM.

gestational DM

500

side effect of euglycemic DKA

euglycemic DKA

Calcium Disorders

100

most appropriate test for Vit D deficiency

25-hydroxyvitamin D

200

initial testing for hypercalcemia

serum calcium and PTH at the same time

300

2 ways to dx oseoperosis

DEXA with bone mineral less than -2.5 and clinically based on fragility fracture, hip fracture or vertebral compression fracture

400

medication that treats bone pain

Zoledronic acid

500

Typical calcium level in malignancy

>14

Potpourri

100

After TSH, next (and only other) lab measurement required for diagnosing hypothyroidism

  T4. T3/TPO antibody titers are generally unnecessary in the diagnosis of hypothyroidism

200

What is Evan's preferred hypoglycemia food?

AirHeads

300

2 screening labs required before initiating testosterone therapy

 PSA (for men >40), HCT (baseline, 3mo, 6mo, then yearly)

400

B vitamin that can cause false alterations in lab assays for TSH/T3/T4

Biotin, B7

500

Patient with AFib/flutter on Amiodarone is found to be severely Hyperthyroid! What is the best management?

Moderate- to high-dose prednisone;

Type 2 amiodarone-induced thyrotoxicosis (destructive thyroiditis) can be treated with moderate- to high-dose prednisone that can be gradually tapered over 1 to 3 months.

Discontinuation of amiodarone would not yield any immediate clinical benefit due to its prolonged half-life elimination. The decision to discontinue amiodarone depends on the patient's cardiac status, availability of effective alternatives, and type of thyrotoxicosis,

Adrenals

100

ICU admission is found to be Hypothyroid and adrenally insufficient. What therapy do they need first?

glucocorticoid replacement therapy

Patients with concomitant untreated adrenal insufficiency and hypothyroidism should always receive glucocorticoid replacement therapy first to prevent precipitation of adrenal crisis by thyroid hormone replacement.

200

All Adrenal Incedentalomas should be evaluated for what?

• All patients with adrenal incidentaloma should be evaluated for pheochromocytoma; those with hypertension or hypokalemia should also be evaluated for primary aldosteronism, and all patients should be evaluated for subclinical Cushing syndrome.

300

Patient has a Pheochromocytoma and has surgery scheduled.  What medicine needs to be started in the weeks prior?

Phenoxybenzamine is started approximately 10 to 14 days prior to surgery or another Alpha blocker

400

Antibody associated with Autoimmune Adrenalitis

21-hydroxylase antibodies- found in 90% cases

500

What is the initial test for a person with subclinical Cushing Syndrome and an incedentaloma noted on imaging?

 1-mg overnight dexamethasone suppression test

Reproductive

100

After oral contraceptives, the next line of therapy for hirsutism related to hyperandrogenism  

Spironolactone 

200

First step in laboratory workup of female infertility

Midluteal phase serum progesterone

300

Specific laboratory workup required before prescribing testosterone replacement therapy

 8am fasting total testosterone levels on TWO OCCASIONS

400

Treatment of amenorrhea secondary to prolactinoma

Cabergoline or bromocriptine

500

Laboratory evaluation of male gynecomastia (4 elements)

hCG, LH, estradiol, 8am fasting testosterone