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Endocrine DRT : Study Set Complete With Solutions
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Endocrine DRT : Study Set Complete With Solutions
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Endocrine DRT : Study Set Complete With SolutionsPheochromocytoma treatment Right Ans - irreversible alpha-agonists
Phentolamine --> phenoxybenzamine
followed by beta-blockers prior to tumor resection
(must be alpha established then beta to avoid hypertensive crisis)
Pheocromocytoma diagnosis Right Ans - CT scan to locate tumor
UA metanprhine + VMA
Pheochromocytoma post-op watch for Right Ans - Bleed
Hypotension (depleted catecholamines)
adrenal insufficiency
DM2 diagnosis Right Ans - BG random >126 x 2
or
>200 + hyperglycemia
or
A1C >6.5%
What is somogyi effect? Right Ans - somogyi - hyperglycemia due to nocturnal hypoglycemia
Tx: decrease insulin
What is the dawn phenomenon? Right Ans - Desensitized tissue so overnight BG increases
Tx: insulin
dawn rises
GLP-1 names & risk Right Ans - -tides
GI - pancreatitis Fruity breath and kussmaul breathing present in? Right Ans - DKA
DM 1
If glucose >500 , after 1L NS bolus. What is next fluid admin? Right Ans - 1/2 NS
What is IV insulin bolus for DKA and HHS? Right Ans - 0.1units/kg
How much should glucose levels drop in the 1st hour in DKA and HHS treatment? Right Ans - 10%
repeat if not there yet
Thyroid radioactive iodine scan w/ high uptake is? Right Ans - Graves disease
Graves disease Right Ans - hyperthyroidism with toxic goiter
Autoimmune
Thyroid radioactive iodine scan w/ low uptake it? Right Ans - subacute thyroiditis
Hashimoto's thyroiditis Right Ans - an autoimmune disorder that attacks the thyroid gland causing hypothyroidism
thiourea drugs Right Ans - Propylthiouracil (PTU) 300-600mg QID
Methimazole (Tapazole) 30-60mg TID
What is Lugol's solution? Right Ans - iodine and potassium iodide
3gtts TID x 10 days for hyperthyroidism
Treatment of thyroid crisis Right Ans - Propylthiouracil 150-250mg Q6 hours
OR
Methimazole (Tapazole) 15-25 mg Q6hrs (+)
Lugol's 10gtts t.i.d.
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