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I got the sugars
Buffalo hump won't you come out tonight?
Help! I've fallen and can't get up! My hip is broken!
Gonna get a goiter
Andre the Giant's favorite category
100
Medication which increases insulin sensitivity in an overweight patient with diabetes mellitus more than other medications.
What is metformin?
100
velvety, raised skin deposits in intertriginous areas are associated with insulin resistance and result from insulin stimulation of the basal layers of the epidermis
What is acanthosis nigricans?
100
Usual first sign of primary parahyperthyroidism
What is hypercalcemia?
100
The usual starting dose of levothyroxine in the non-elderly.
What is 1.6 mcg/kg? Women already on levothyroxine should increase dose by 25-50% @ pregnancy. Go to 9 doses/week
100
Type of visual defects caused by pituitary adenomas that can be the presenting symptom
What is bitemporal hemianopsia and superior temporal defects?
200
Sulfonylurea that has active metabolites and should not be used in CKD
What is glyburide?
200
Symptoms of Cushing's Disease
What is Central obesity Ecchymoses * Plethora * Proximal weakness * Osteopenia/osteoporosis Hypertension WBC > 11.0 Purple striae > 1cm wide * Other features: myopathy, hirsutism, opportunistic infections, loss of libido (male)
200
Antihypertensive medication that may mimic the effects of primary hyperparathyroidism.
What is HCTZ? An elevated level of parathyroid hormone (or a level that is in an unexpected “normal” range) in a patient with an elevated calcium level generally indicates a diagnosis of primary hyperparathyroidism. However, these laboratory findings may also occur with lithium or thiazide use, tertiary hyperparathyroidism associated with end-stage renal failure, or familial hypocalciuric hypercalcemia, and a medical and family history should be obtained to assess these possibilities. Thiazides decrease the renal clearance of calcium by increasing distal tubular calcium reabsorption.
200
Asymptomatic thyroid disorder associated with the development of atrial fibrillation, decreased bone density, and cardiac dysfunction
What is subclinical hyperthyroidism (TSH <0.1 µU/mL)?
200
The pituitary hormone which stimulates cortisol.
What is ACTH?
300
criteria for diagnosis of diabetes https://www.youtube.com/watch?v=p0oXPf0hMag
What is Hb A1c ≥ 6.5%; the symptoms of diabetes (polyuria, polydipsia, weight loss) plus a casual glucose level ≥200 mg/dL; a fasting plasma glucose level ≥126 mg/dL; or a 2-hour postprandial glucose level ≥200 mg/dL after a 75 gram glucose load. In the absence of unequivocal hyperglycemia the test must be repeated on a different day. The criteria for impaired glucose homeostasis include either a fasting glucose level of 100-125 mg/dL (impaired fasting glucose) or a 2-hour glucose level of 140-199 mg/dL on an oral glucose tolerance test. Normal values are now considered <100 mg/dL for fasting glucose and <140 mg/dL for the 2-hour glucose level on an oral glucose tolerance
300
Diagnosed after confirming an elevated ACTH level and an inability to stimulate cortisol levels with a cosyntropin stimulation test.
What is Addison's Disease?
300
Indications for parathyroid surgery
What is kidney stones, age less than 50, a serum calcium level greater than 1 mg/dL above the upper limit of normal, and reduced bone density
300
Psychiatry medication which is associated with the development of hypothyroidism.
What is Lithium? In patients taking this medication, it is recommended that thyroid function tests including total free T4, and TSH be obtained yearly
300
Name of chromosomal abnormality which causes primary male hypogonadism
What is Klinefelter syndrome XXY? Other causes of primary hypogonadism: Infections Trauma Cryptorchidism Drugs Chemotherapy
400
Diabetes medication which should be discontinued in a diabetic with delayed gastric emptying.
What is exenatide or pramlintide? Delayed gastric emptying may be caused or exacerbated by medications for diabetes, including amylin analogues (e.g., pramlintide) and glucagon-like peptide 1 (e.g., exenatide).
400
Endocrine disorder which may cause Cushing's sydrome - like presentation.
What is PCOS?
400
The name of the phenomenon of severe postoperative hypocalcemia that is prolonged, despite normal or even elevated levels of PTH after a parathyroid adenoma resection.
What is hungry bone syndrome?
400
Red flags in patients with a solitary thyroid nodule concerning for possible thyroid cancer
What is male gender; age <20 years or >65 years; rapid growth of the nodule; symptoms of local invasion such as dysphagia, neck pain, and hoarseness; a history of head or neck radiation; a family history of thyroid cancer; a hard, fixed nodule >4 cm; and cervical lymphadenopathy
400
Androgens tested to confirm hyperandrogenism in PCOS
What is free testosterone, dehydroepiandrosterone sulfate (DHEAS), and androstenedione?
500
The 10 categories of diabetes medications
What is Biguanide: (metformin) Thiazolidinedione (TZD): (pioglitazone) Sulfonylureas: (glyburide, glipizide, glimepiride) Meglitinides: (repaglinide, nateglinide) Alpha-glucosidase inhibitors: (acarbose, miglitol) Insulin (short and long acting; human and synthetic) GLP-1 receptor agonists: (exenatide, liraglutide, pramlintide) DPP-4 inhibitors: (sitagliptin, saxagliptin, linagliptin, vildagliptin) SGLT2 inhibitors: (canagliflozin) Bile acid sequestrant: (colesevelam)
500
Antifungal which may be used with aminoglutethimide to inhibit cushing's hypercortisol effects in perioperative period
What is Ketoconazole? Ketoconazole (Nizoral) and aminoglutethimide (Cytadren), which are inhibitors of adrenal steroid biosynthesis, may be used in the perioperative period to decrease the clinical effects of hypercortisolism
500
Recommended daily intake of calcium
What is Male Female 0–6 months* 200 mg 200 mg 7–12 months* 260 mg 260 mg 1–3 years 700 mg 700 mg 4–8 years 1,000 mg 1,000 mg 9–13 years 1,300 mg 1,300 mg 14–18 years 1,300 mg 1,300 mg 19–50 years 1,000 mg 1,000 mg 51–70 years 1,000 mg 1,200 mg 71+ years 1,200 mg 1,200 mg
500
Causes of hyperthyroidism other than Graves Disease
What is Hashimoto’s Iodine Amiodarone Hyperemesis gravidarum Postpartum thyroiditis Metastatic thyroid cancer
500
Andre the Giant's most famous role
What is Fezzik, the giant in the Princess Bride?