Endocrinology Assessment and Pituitary Hormones Quiz
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Questions and Answers

What is the most appropriate initial diagnostic workup in a patient with a cold Thyroid nodule and decreased TSH?

  • Treat Hyperthyroidism
  • FNA or Biopsy (correct)
  • RAIU
  • Thyroidectomy
  • In a patient presenting with symptoms of extreme hyperthermia, tachycardia, and vomiting, what condition should be suspected?

  • Hypothyroidism
  • Hyperparathyroidism
  • Thyroid Storm (correct)
  • Thyroid Cancers
  • Which medication should be administered to a patient in Thyroid Storm to help manage their condition?

  • Cooling blankets
  • Propranolol (correct)
  • Dexamethasone
  • L-Thyroxine
  • What is the most common cause of primary hypothyroidism in North America?

    <p>Hashimoto Thyroiditis</p> Signup and view all the answers

    Which cancer type among thyroid cancers is often associated with a positive prognosis?

    <p>Papillary</p> Signup and view all the answers

    In a patient with hypoparathyroidism due to neck surgery, what sign might be present indicating low calcium levels?

    <p>Chvostek sign</p> Signup and view all the answers

    What is a common symptom seen in both men and women with panhypopituitarism?

    <p>Decreased libido in both</p> Signup and view all the answers

    What is the main effect of parathyroid hormone on renal tubular reabsorption?

    <p>Decreases phosphate reabsorption</p> Signup and view all the answers

    Which diagnostic test is most indicative of hyperparathyroidism?

    <p>Increased PTH levels</p> Signup and view all the answers

    What diagnostic test is used for panhypopituitarism?

    <p>Triple Bolus Test</p> Signup and view all the answers

    Which hormone is usually decreased in patients with hyperprolactinemia?

    <p>Follicle-Stimulating Hormone (FSH)</p> Signup and view all the answers

    What is the mechanism of the Triple Bolus Test in diagnosing panhypopituitarism?

    <p>Induction of hypoglycemia to stimulate GH and ACTH release</p> Signup and view all the answers

    Which hormone is NOT typically affected in patients with hyperprolactinemia?

    <p>Thyroid-Stimulating Hormone (TSH)</p> Signup and view all the answers

    What symptoms are commonly seen in patients with low ACTH levels?

    <p>Adrenal insufficiency</p> Signup and view all the answers

    Which hormone is necessary for normal linear growth?

    <p>Growth Hormone (GH)</p> Signup and view all the answers

    What is the main action of Anti-Diuretic Hormone (ADH) in the renal collecting ducts?

    <p>Increasing urine concentration</p> Signup and view all the answers

    What is a common initial test for diagnosing Pituitary adenoma?

    <p>MRI of the pituitary lesion</p> Signup and view all the answers

    Which medication can be used to treat Neurogenic Diabetes Insipidus?

    <p>Desmopressin (DDAVP)</p> Signup and view all the answers

    What commonly causes SIADH?

    <p>CNS disease</p> Signup and view all the answers

    Which disease state leads to impaired water reabsorption in the kidneys?

    <p>Nephrogenic Diabetes Insipidus</p> Signup and view all the answers

    What is the main function of Thyroid Hormone in bone growth?

    <p>Enhancing mineralization</p> Signup and view all the answers

    'YOU’RE PISSING INSANE AMOUNTS OF WATER' is associated with which endocrine disorder?

    <p><strong>Nephrogenic Diabetes Insipidus</strong></p> Signup and view all the answers

    Which hormone is responsible for stimulating the thyroid gland according to the 'FLAGTOP' mnemonic?

    <p>Thyroid Stimulating Hormone (TSH)</p> Signup and view all the answers

    What is the etiology of panhypopituitarism related to 'I' in the mnemonic provided?

    <p>Iatrogenic</p> Signup and view all the answers

    Which hormone deficiency may manifest as decreased lactation?

    <p>Prolactin</p> Signup and view all the answers

    What type of tumors are generally associated with invasive causes of panhypopituitarism?

    <p>Meningioma</p> Signup and view all the answers

    Which hormone deficiency may result in decreased levels of Follicle Stimulating Hormone (FSH)?

    <p>Gonadotropin-Releasing Hormone (GnRH)</p> Signup and view all the answers

    What type of head trauma can lead to panhypopituitarism?

    <p>Severe head trauma</p> Signup and view all the answers

    Which hormone deficiency might present with symptoms related to skin and hair changes?

    <p>Adrenocorticotropic hormone (ACTH)</p> Signup and view all the answers

    What is the hormone commonly known as ADH an abbreviation for?

    <p>Antidiuretic Hormone</p> Signup and view all the answers

    Which of the following statements about calcium homeostasis is accurate?

    <p>An imbalance in calcium homeostasis can lead to confusion and constipation.</p> Signup and view all the answers

    Which condition is characterized by elevated PTH, increased calcium, and decreased phosphate levels?

    <p>Primary Hypoparathyroidism</p> Signup and view all the answers

    What is the most likely cause of hypercalcemia in a patient with granulomatous disease?

    <p>Enhanced GI absorption of calcium</p> Signup and view all the answers

    In Pseudohypoparathyroidism, there is a defect in the ____________.

    <p>Response to PTH in target tissues</p> Signup and view all the answers

    Which disease presents with increased calcium, decreased phosphate, and decreased PTH levels?

    <p>Pseudohypoparathyroidism</p> Signup and view all the answers

    What distinguishes Cushing Syndrome from Cushing Disease?

    <p>Source of excess cortisol production</p> Signup and view all the answers

    Which condition is associated with kidney stones, osteoporosis, and high serum calcium?

    <p>Hyperparathyroidism</p> Signup and view all the answers

    In Chronic Renal Failure, which of the following mineral imbalances is typically seen?

    <p>Low calcium, high phosphate</p> Signup and view all the answers

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