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CaCa
Potpourri
Medicinal potpourri
antibodys gone wild
Endo the line
100
Patient with low serum Ca++, you give IV Calcium, but still no increase in serum Calcium. Which element should you check.
What is Magnesium in serum
100
It is the most common of the causes of short stature in Pediatrics.
What is Constituitional growth delay
100
What do you think the bone age would be for someone with diagnosis of Familial short stature.
What is "equal to chronological age"
100
Autoimmune polyglandular syndrome Type consists of which disease states.
What is (1) chronic mucocutaneous candidiasis, (2) hypoparathyroidism, and (3) autoimmune adrenal insufficiency
100
Patient with congenital adrenal hyperplasia and is now sick, best immediate treatment.
What is Parental hydrocortisone hemisuccinate (stress dose of glucocorticoid)
200
Which condition would give you demineralization of bone, widening and cupping of metaphyses.
What is Nutritional rickets
200
The following are assoicated with this syndrome: Bony fibrous dysplasia, precocious puberty in females, cushing syndrome, neonatal cholestasis, hypothyrodism, and phosphaturic osteomalacia.
What is McCune albright syndrome.
200
First med to Rx (Acute treatment) for someone with new onset diagnosis of Graves disease.
What is Propranolol.
200
15 year old presents with poor growth, delayed puberty, and fatique. Denies headaches. On exam she is forgetful and moves slow. Labs show low Free T4 and high TSH. what is her likely diagnosis?
What is Hashimoto's disease
200
5 year old adopted child, reared as male, present with pubic hair development and was refered to you by a local family doctor as patient told he was "female gender" and is hypertensive. Lab results revealed hypokalemia and low 17-hydroxyprogesterone. Which enzyme is likely missing?
21 hydroxylase deficency (Congenital adrenal hyperplasia)
300
Is it Vitamin D deficient rickets, X-linked hypophosphatemic rickets, or Vitamin D dependent rickets? The mother of an 18 month old African-American boy expressed concern during a routine health supervision visit that her son had not begun to walk. He had been breastfed through 9 months of age and since weaning had received very little dairy products or vitamin D. His weight was 9.8kg (<5th percentile) and he had bilateral wrist enlargement, lower limb bowing and frontal bossing. Laboratory studies demonstrated decreased phosphorus, decreased calcium, elevated alk phosphate, decreased hydroxyvitamin D, and increased dihydroxyvitamin D. Serum creatinine values were normal. Radiographs of the skeleton with fraying and cupping of the metaphyses, especially in the wrists, and widening of the physes.
What is Vitamin D deficient rickets
300
which syndrome is associated with short stature, high arched palate, web neck, pectus excavatum, leukemia, and hypogonadism in males.
What is Noonan syndrome
300
When making the diagnosis of Vitamin D deficency. what is best lab to order.
What is 25 hydroxy vitamin D (It will be low)
300
14 year old male presents with GI disturbances and a previous diagnosis of Anorexia Nervosa. Patient has weight loss, hypotension, muscle weakness, and labs from previous admissions show: hyponatremia, hyperkalemia, and a mild non–anion-gap metabolic acidosis. Thyroid and CBC were normal. The patient looks at you and says he does not have a concern regarding weight gain, but does have a problem with his weight loss. At times he can't control his vomiting. What is the most likely diagnosis?
What is Addison disease (adrenocortical insufficiency)
300
A 2 month old male child born of third degree consanguineous marriage and no prenatal care presents with first M.D visit with loose motions since 3 days, vomiting since 1 day and aspiration of milk. The child was bottle fed with formula feeds. His antenatal and postnatal period was uneventful with a birth weight of 2.9 kg. Mother had no illness. He had achieved social smile at 2 months of age. He had an old sibling of 2 years age who was asymptomatic. On examination, he had coarse facies and extremities were cold though rectal temperature was normal. He had a dry and thick skin with a protruding tongue. Anterior fontanelle was wide-open 4 cm x 4 cm. Between Congenital Hypothyrodism, Noonan syndrome, Down Syndrome, Hyperaldosteronism, and Turner syndrome. Which is the most likely Diagnosis?
What is Congenital Hypothyrodism
400
Is it Vitamin D deficient rickets, X-linked hypophosphatemic rickets, or Vitamin D dependent rickets? Normal Calcidiol (25-hydroxyvitamin D) Normal serum calcium and normal PTH And normal Calcitriol (1,25 (OH)2) Patient with short stature, dental abscesses, and osteomalacia
What is X-linked hypophosphatemic rickets
400
what condition will present with oral candidiasis and intenstinal malabsorption, then present with hypoparathyroidism, and end with adrenocortical failure.
What is autoimmune polyendocrinopathy.
400
A 7-year-old child presented with polyuria and polydipsia for 1 year. Also, new onset wetting that developed after being continually dry for a minimum of six months. Glucose is normal! What should the "TOP" workup include following History and physical (Need 4/6 needed for credit)
What is MRI head Water deprivation test, Obtain vasopressin levels, Then give vasopressin, Then check urine and serum osmolality (Distinquish central Vs. Nephrogenic DI)
400
If considering comeone to have type 1 Diabetes Mellitus, which autoantibodies should one consider (need 2/3)
What is GAD 65 (glutamic acid decarboxylase autoantibodies), Islet cell antibody, or insulin antibodies.
400
The diagnosis of hypothyrodism requires two very important labs?
What is Free thyroxine (FT4) and TSH
500
Name 2 of 3 organs PTH acts on.
What is bone, kidney, and intestines.
500
It is the most common cause of adrencocortical insufficiency.
What is Congenital adrenal hyperplasia.
500
Most common cause of rickets in the United States.
What is X-linked hypophosphatemic rickets
500
Antithyroid drugs needed to treat Graves Disease such as propylthiouracil and methimazole have potential side effects. Name at least one worrisome side effect? (Hint: Nausea ain't one of them!)
What is Granulocytopenia, rash, and Liver failure.
500
If congenital hypothyroidism untreated. Name 2/3 problems likely to arise.
What is microcephaly, low intelligence and growth problems (including CNS development).