Thyroid fun
Pure adrenaline
Potpourri
Pituitary
Final Jeopardy
100
Definition of subclinical hypothyroidism
What is an elevated TSH with normal T3 and T4, asymptomatic
100
Test for cushing syndrome
What is: - Bedtime salivary cortisol - 24h free urinary cortisol - overnight dexamethasone supression test
100
Maneuvers to elicit signs of hypocalcemia
Chvostek
Trousseau
100
This syndrome causes postpartum hypopituitarism
Sheehan Syndrome
200
Worsens ophthalmopathy in Graves disease
What is radioiodine
200
This AM cortisol range value is considered indeterminate for ruling out/in adrenal insufficiency and what test you would need to perform
what is 3-15 mcg/dL - a cosyntropin stimulation test
200
Definition of functional urinary incontinence
What is the physical inability to toilet in a timely manner (comon in older adults with significant dificulties for ambulation - tx prompted voiding)
200
This lab test is used to screen for acromegaly
IGF1
300
You should do this when your hypothyroid female patient gets pregnant
What is increase the dose of levothyroxine by 30%?
300
Most common cause of primary adrenal insufficiency
What is autoimmune adrenalitis
300
Stage of this pressure injury/ulcer
What is stage 2
300
This is the definition of pituitary macroadenoma
> 1cm
400
Treatment of liver disease during thyroid storm
What is cholestiramine
400
Next step after finding a >1cm adrenal incidentaloma
What is 1mg overnight Dexamethasone suppression test
400
How do you calculate weight based levothyroxine dose
1.6 mcg/kg/day
400
This is are the most common causes of non neoplastic hyperprolactinemia
physiologic, chest wall injury, pituitary stalk compression, hypothyroidism, CKD, medications
500
May induce thyroid storm in preexisting hyperthyroidism
What is iodinated contrast exposure
500
2 key features present in primary adrenal insufficiency only (absent in secondary insufficiency)
What is hyperpigmentation and hyperkalemia?
500
Name of this condition
What is chronic venous insufficiency with lipodermatoesclerosis
500
These medications can be used in the medical management of prolactinomas
dopamine agonists = bromocriptine, cabergoline
500
60 yo male is following up in clinic 1.5 weeks after a parathyroidectomy. He is having complaints of confusion, muscle spasms, and numbness and tingling in arms and face. With several lab checks since his surgery, he is noted to have persistent hypocalemia, hypophophatemia, and hypomagnesia. The PCP should be concerned about this phenomenon____________.
What is Hungry Bone Syndrome?