ya girl
Then antibody used as a confirmatory test in the diagnosis of type 1 diabetes
Glutamic acid decarboxylase (GAD) antibody- FYI there is a ~70% prevalence SO not all T1DMs will have this antibody (like ya girl)
Name of antibody responsible for Graves Disease
Thyrotropin receptor antibody
Age for first DEXA scan for osteoporosis screening in women with no additional risk factors
65 years old
Baseline lab to obtain before starting testosterone replacement therapy
Hematocrit (CBC) to establish baseline for monitoring. Then obtain CBC at 3, 6 and 12 months after initiation.
Most commonly used anti-androgen medication for transgender women
Spironolactone (need 100-200 mg at least)
General name for insulin pumps that use CGM data to deliver insulin without user input
Closed loop insulin pumps/systems. FYI even those marked as "closed loop" like the "iLet Bionic Pancreas" require patients to indicate when they are eating and how big of a meal they're eating
Imaging study to diagnose Graves if TRAb negative
Thyroid scintigraphy with radioactive iodine uptake (RAIU)- you would see diffuse increased uptake
Appropriate first-line treatment for osteoporosis in patient with CKD stage IV
Denosumab
Important thing to ask about/screen for in young male patients who present to primary care clinic with chief complaint of low libido (related to this category, obvi)
Anabolic steroid use, which can cause hypogonadism by suppressing HPA axis
Preferred formulation of estrogen for trans women who would like hormone therapy
Estradiol, transdermal likely has lowest risk of thromboembolism
21 year-old female with type 1 diabetes with new, frequent post-prandial hypoglycemia to 50s-60s over past month. #1 other autoimmune condition she should be screened for.
Celiac disease with IgA tissue transglutaminase antibody and IgA level
Preferred thionamide used to treat thyroid storm
Propylthiouracil. Preferred over methimazole because it reduces the conversion of thyroxine to triiodothyronine
Number of years after bisphosphonate initiation a drug "holiday" should be done and duration of "holiday"
Patients should be taken off bisphosphonates 3-5 years after initiation for drug "holiday" of 2-3 years
Likely cause of hypogonadism in 31 year-old male with PMH of HTN, OUD on methadone
Opioid use is likely causing secondary hypogonadism (AKA hypothalamic or pituitary issues). Opioid inhibit release of GnRH, which decreases FSH and LH. Opioids can also stimulate prolactin release.
Serum testosterone (less than what) and serum estradiol targets (between what and what) for transgender women receiving HRT
Serum testosterone <50, serum estradiol 100-200
The number of years after diagnosis a patient with T1DM should be screened for diabetic retinopathy within
Within 5 years of diagnosis with type 1 diabetes
Medication commonly used in treatment of thyroid storm that Farkas is on a campaign against in recent (2/2026) IBCC post
Beta blockers. Not evidenced-based practice, can cause cardiovascular collapse, could be analogous to using BB to treat sinus tachycardia in other conditions
Creatinine clearance needed in order to be prescribed Bisphosphonates (greater than what number)
Creatinine clearnce >35 mL/min
Most common congenital cause of primary hypogonadism
Kleinfelter syndrome (47,XXY)
Year the right to access gender-affirming care was signed into law in the state of Vermont
2023, Vermont Senate Bill 37 (Act 15)
Drug investigated for prevention of progression of CKD in type 1 diabetics in recent NEJM article. Class of drug also accepted
Finerenone (nonsteroidal mineralocorticoid receptor antagonist that binds better/more selectively than spironolactone)
Negative predictors (3) of remission in Graves disease that would indicate a patient is a good candidate for radioactive iodine therapy and/or thyroidectomy
Moderate to severe thyroid eye disease, age younger than 40 years, and persistently elevated TRAb
Contraindication to Abaloparatide
Hyperparathyroidism (anabolic parathyroid hormone receptor agonist approved for treating postmenopausal women and men with osteoporosis at high risk for fracture)
Most likely cause of hypogonadism in 53 year-old patient with PMH of HFpEF with chief complaint of breast enlargement/tenderness, no issues with sexual function
Spironolactone-induced hypogonadism
Name of American physician who helped pioneer the use of X-ray to diagnose tuberculosis and was instrumental in developing TB screening programs who also happened to be a transgender man
Dr. Alan Hart (1890-1962) !