PA Internal Medicine EOR |328 questions| with correct answers

Pituitary tumor until proven otherwise CORRECT ANSWER Acute Adrenal Insufficiency Dx: MRI of Sella Turcica Accounts for 50% of all pituitary tumors? MC sign/Sx CORRECT ANSWER Prolactinoma = Nipple discharge MC Sx of Pituitary Mass = Hemianopia (visual disturbances) Metabolic dysfunction Sexual immaturity Growth retardation Truncal adiposity from ↓ HGH in children CORRECT ANSWER Hypopituitarism Tx: Replacement hormones & *DNA HGH* 28 y/o female presents w/ recent infection presents w/ ↑ HR, BP, RR, DTR's. She is intolerant to heat, has recent weight loss, a fine tremor, palpitations, exopthalmos. EKG shows A-fib. She is acting manic and anxious. Labs show elevated t3/t4 and low TSH CORRECT ANSWER Hyperthyroidism (graves) w/ Thyroid Storm Tx of Thyroid Storm *P*roptotic *M*olly (*W*ait) *I*s *D*ying CORRECT ANSWER Propranolol *Methimazole* >> Propylthiouracil Wait 1 hour Iodide Dexamethasone