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Rosh Review- Endocrine Exam Practice Questions and Answers (Graded A+)
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Rosh Review- Endocrine Exam Practice Questions and Answers (Graded A+)
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©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AMRosh Review- Endocrine Exam Practice
Questions and Answers (Graded A+)
What diabetes drug class is at risk for hypoglycemia?
How can this be treated? - ✔️✔️Sulfonylureas!
Glimepiride
Can also cause weight gain
TX:
Octreotide
What is MOA for Metformin? - ✔️✔️Biguanide drug class
Decreases hepatic glucogenesis
Diarrhea is side effect
Don't use in renal failure
What test can help to determine if a patient is surreptitiously self-administering insulin? - ✔️✔️C
peptide level:
Low
Insulin level:
High
is diagnostic for factitious hypoglycemia!
1
,©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
What medications are best for lowering triglyercides?
What medications are best for lowering LDL?
What medications are best for increasing HDL?
Goals for all of these? - ✔️✔️Triglycerides:
Best lowered via FIBRATES
LDL:
Best lowered via STATINS
HDL:
Best increased via NIACIN (Flushing, Pruritis SE)
Exercise also increases HDL
Goals:
Triglycerides--> <150
LDL--> <70
HDL --> >40
What is the criteria for diagnosing Diabetes I?
MOA?
Tx? - ✔️✔️Fasting Glucose:
>126 on 2 separate occasions
Random Glucose:
>200
Glucose Challenge 75 mg:
2
,©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
>200 2 hours post challenge
AlC:
>6.5%
MOA:
Autoimmune Destruction of Pancreatic ß-cells (islets of Langerhans beta-cells) causing
decreased insulin + increased glucose
Tx:
Insulin
What is pre diabetes Alc? - ✔️✔️5.7-6.4%
Which of the following is the recommended treatment for a pituitary adenoma >1 cm in size? -
✔️✔️> 1cm or compressing optic chiasm Pituitary tumors:
Surgical transphenoidal (hardy) resection is treatment of choice!
Radiation therapy:
Used in older adults that cannot have surgery
Dopamine Agonists:
Used in micro tumors or prolactinomas to reduce size/symptoms
What structure is commonly compressed and affects vision in those with a pituitary adenoma? -
✔️✔️Optic Chiasm!
What presents with bitemporal hemianopia?
Tx? - ✔️✔️Pituitary tumor compressing Optic Chiasm!
Tx:
Transsphenoidal surgical resection
What presents with amenorrhea, galactorrhea, infertility?
3
, ©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
Tx? - ✔️✔️Prolactinoma
Most common Pituitary Tumor!
Tx:
Dopamine Agonists
Bromocriptine, Cabergoline
What presents with Gigantism in children and Acromegaly in adults? - ✔️✔️Pituitary tumor hyper
secreting GH!
What is most common complication seen with pituitary tumors? - ✔️✔️Bitemporal Hemianopia
Meaning:
Partial Blindness where vision is Missing in the Outer Half of Both the Right and Left Visual
Field.
What labs are expected with TSH producing pituitary adenoma? - ✔️✔️Elevated TSH, High T3
and High T4
ALL elevated!
What thyroid disorder is defined by altered mental status and decompensated metabolic state? -
✔️✔️Myxedema Coma!
Most severe manifestation of Hypothyroidism
What presents with generalized weakness, fatigue, facial swelling, constipation, cold intolerance,
weight gain, periorbital edema, dry skin with coarse/brittle hair, delayed DTR?
Expected labs?
Most common manifestation?
Tx? - ✔️✔️Hypothyroidism!
4
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