204 T1 MT 1: Endocrinology Case Studies

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Questions and Answers

What is the diagnosis for Mr. Albert, who has kidney stones and an elevated calcium level?

  • Hypoparathyroidism
  • Hyperthyroidism
  • Primary hyperparathyroidism (correct)
  • Adrenal insufficiency

What is the likely cause of Mr. Albert's elevated calcium level?

  • Adrenal tumor
  • Parathyroid hyperplasia
  • Parathyroid adenoma (correct)
  • Thyroid nodule

What symptom might Mr. Albert experience due to his condition?

  • Severe headaches
  • Stones, bones, abdominal groans, and psychic moans (correct)
  • Abdominal pain
  • Fatigue

What imaging would be helpful in diagnosing Mr. Albert's condition?

<p>Neck USS and Sestamibi scan (D)</p> Signup and view all the answers

What is the recommended treatment for Mr. Albert's condition?

<p>Surgery to remove the parathyroid adenoma (B)</p> Signup and view all the answers

What is the explanation for Mr. Bramble's symptoms of sweating and palpitations?

<p>Hypoglycaemia (A)</p> Signup and view all the answers

What is the significance of Mr. Bramble's insulin C-peptide level?

<p>It reflects his endogenous insulin production (A)</p> Signup and view all the answers

What is the likely diagnosis for Mr. Bramble, who has a high insulin C-peptide level and symptoms of hypoglycaemia?

<p>Insulinoma (B)</p> Signup and view all the answers

What is gliclazide, which Mr. Bramble's wife takes?

<p>An oral hypoglycaemic agent (B)</p> Signup and view all the answers

What is the sign of hyperparathyroidism?

<p>Elevated calcium levels (B)</p> Signup and view all the answers

What is the purpose of a Sestamibi scan in Mr. Albert's case?

<p>To localize the parathyroid gland (D)</p> Signup and view all the answers

What is the term for the collection of symptoms experienced by Mr. Albert?

<p>Stones, bones, abdo groans, psychic moans (C)</p> Signup and view all the answers

What is the explanation for Mr. Bramble's symptoms of hypoglycemia?

<p>Insulinoma (B)</p> Signup and view all the answers

What is the likely diagnosis for Mr. Bramble, who has a high insulin C-peptide level?

<p>Insulinoma (D)</p> Signup and view all the answers

Why is Mr. Bramble's cortisol level elevated?

<p>Due to a response to insulinoma (C)</p> Signup and view all the answers

What is the significance of measuring insulin C-peptide levels?

<p>It reflects endogenous insulin production (B)</p> Signup and view all the answers

What is the recommended treatment for Mr. Albert's condition?

<p>Parathyroidectomy (A)</p> Signup and view all the answers

What is the relevance of Mr. Bramble's wife taking gliclazide?

<p>It may be related to Mr. Bramble's hypoglycemia (C)</p> Signup and view all the answers

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