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Questions and Answers
Which drug does not cause hypoglycaemia in the elderly?
Which drug does not cause hypoglycaemia in the elderly?
In primary hyperaldosteronism, which of the following is seen?
In primary hyperaldosteronism, which of the following is seen?
Diabetic man with recent onset of diarrhoea and fecal incontinence. He also has a 1 year history of constipation. The most likely cause of his symptoms is:
Diabetic man with recent onset of diarrhoea and fecal incontinence. He also has a 1 year history of constipation. The most likely cause of his symptoms is:
Woman with Cushing's syndrome. Cortisol does not suppress with low dose dexamethasone test but does suppress with high dose test. Diagnosis:
Woman with Cushing's syndrome. Cortisol does not suppress with low dose dexamethasone test but does suppress with high dose test. Diagnosis:
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Woman with known Hx of DM I and hypothyroidism presents with weakness, dizziness, weight loss and orthostatic drop in BP. Normal TSH and HbA1c is 0.07. Next step:
Woman with known Hx of DM I and hypothyroidism presents with weakness, dizziness, weight loss and orthostatic drop in BP. Normal TSH and HbA1c is 0.07. Next step:
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20 year old woman with a 2 year history of hirsuitism and oligomenorrhoea. DHEA and 17-OH progesterone both elevated. Normal testosterone, LH, FSH and overnight dexamethasone suppression test. Normal pelvic exam. Treatment:
20 year old woman with a 2 year history of hirsuitism and oligomenorrhoea. DHEA and 17-OH progesterone both elevated. Normal testosterone, LH, FSH and overnight dexamethasone suppression test. Normal pelvic exam. Treatment:
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18 year old male with gynaecomastia, chest pain, fatigue, and loss of retrosternal airspace on CXR. Diagnosis:
18 year old male with gynaecomastia, chest pain, fatigue, and loss of retrosternal airspace on CXR. Diagnosis:
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25 year old male with hypokalaemia, bicarbonate of 28 and urine chloride of 40. Diagnosis:
25 year old male with hypokalaemia, bicarbonate of 28 and urine chloride of 40. Diagnosis:
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Cushingoid female who's serum cortisol does not suppress with low dose dexamethasone. Low serum ACTH. Next step:
Cushingoid female who's serum cortisol does not suppress with low dose dexamethasone. Low serum ACTH. Next step:
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18 year old male with DKA. Initial pH 6.96, glucose 28. Given 2 L NS over 2 hours, 10 units of IV insulin bolus then 3 units per hour. Now pH is 7.01 and glucose is 23. Next step:
18 year old male with DKA. Initial pH 6.96, glucose 28. Given 2 L NS over 2 hours, 10 units of IV insulin bolus then 3 units per hour. Now pH is 7.01 and glucose is 23. Next step:
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60 year old male with DM II on human NPH 50 units q AM. Nocturia, morning BS 10, elevated HbA1c. Next step:
60 year old male with DM II on human NPH 50 units q AM. Nocturia, morning BS 10, elevated HbA1c. Next step:
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Which is true regarding the treatment of Graves' disease?
Which is true regarding the treatment of Graves' disease?
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28yF 19 weeks pregnant. Diagnosed with Graves' disease. Treatment:
28yF 19 weeks pregnant. Diagnosed with Graves' disease. Treatment:
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In the setting of primary hyperparathyroidism you would expect:
In the setting of primary hyperparathyroidism you would expect:
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Elderly patient diagnosed with Paget's disease. Most appropriate management option:
Elderly patient diagnosed with Paget's disease. Most appropriate management option:
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26 year old diabetic with BP 130/80, microalbuminuria. No overt proteinuria. Treatment:
26 year old diabetic with BP 130/80, microalbuminuria. No overt proteinuria. Treatment:
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Elderly male with longstanding diabetes which is poorly controlled presents with right buttock and thigh pain and has quadriceps and thigh muscle wasting. He also complains of fatigue and weight loss. He has:
Elderly male with longstanding diabetes which is poorly controlled presents with right buttock and thigh pain and has quadriceps and thigh muscle wasting. He also complains of fatigue and weight loss. He has:
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Young woman with ulcerative colitis, not responding to 5-ASA. You want to start corticosteroids. The following is true about steroid use:
Young woman with ulcerative colitis, not responding to 5-ASA. You want to start corticosteroids. The following is true about steroid use:
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The following is true with respect to osteomalacia:
The following is true with respect to osteomalacia:
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Old woman with lumbar fracture and past history of breast cancer. On vitamin D and Calcium. What treatment would you start now?
Old woman with lumbar fracture and past history of breast cancer. On vitamin D and Calcium. What treatment would you start now?
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Back pain, x-rays showing osteopaenic spine, scapula with linear radioluscencies (Looser zones). Ca 2.10, Pi 0.75, ALP 125. This is most in keeping with:
Back pain, x-rays showing osteopaenic spine, scapula with linear radioluscencies (Looser zones). Ca 2.10, Pi 0.75, ALP 125. This is most in keeping with:
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Type II diabetic. Best indication to use insulin:
Type II diabetic. Best indication to use insulin:
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A patient with diabetes has hypertension ~180/90. No proteinuria. What should be the target blood pressure?
A patient with diabetes has hypertension ~180/90. No proteinuria. What should be the target blood pressure?
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A 58yF falls and suffers a vertebral compression fracture. BMD confirms osteoporosis. Prior TAH/BSO at age 40. Prior DVT. Pain controlled with Tylenol. Best treatment:
A 58yF falls and suffers a vertebral compression fracture. BMD confirms osteoporosis. Prior TAH/BSO at age 40. Prior DVT. Pain controlled with Tylenol. Best treatment:
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Study Notes
Endo Questions - E1
- Acarbose does not cause hypoglycemia in the elderly
- Repaglinide, Glyburide, and Tolbutamide do cause hypoglycemia in the elderly
Endo Questions - E2
- Primary hyperaldosteronism is associated with metabolic alkalosis and low renin.
Endo Questions - E3
- Inflammatory bowel disease is the most likely cause of diarrhoea, fecal incontinence and constipation in a diabetic man
Endo Questions - E4
- In Cushing's syndrome, cortisol does not suppress with low-dose dexamethasone, but does suppress with high-dose dexamethasone. Adrenal adenoma is the diagnosis.
Endo Questions - E5
- The next step in a diabetic female with hypothyroidism presenting with weakness, dizziness and weight loss is to perform a dexamethasone suppression test.
Endo Questions - E6
- In a 20 year old female with hirsuitism and oligomenorrhea, elevated DHEA and 17-OH-progesterone, but normal testosterone, LH, FSH and overnight dexamethasone suppression test, the treatment is oral contraceptive pill.
Endo Questions - E7
- A 18 year old male with gynaecomastia, chest pain, fatigue and retrosternal airspace on CXR is most likely to have thymoma.
Endo Questions - E8
- Primary hyperaldosteronism is the diagnosis for a 25 year old male with hypokalaemia, bicarbonate of 28 and urine chloride of 40
Endo Questions - E9
- If a Cushingoid female has low serum ACTH and their cortisol does not suppress with low-dose dexamethasone, the next step is a 24-hour cortisol and 17-hydroxysteroid test after high-dose suppression.
Endo Questions - E10
- For a 18 year old male in DKA, if the initial pH is 6.96 and glucose 28, given 2 L NS over 2 hours, 10 units of IV insulin bolus then 3 units per hour. If pH is 7.01 and glucose is 23, the next step is to double the insulin rate.
Endo Questions - E11
- For a 60 year old male with DM II on human NPH 50 units q AM, with nocturnal, elevated HbA1c. The next step is to add 10 units of NPH at night.
Endo Questions - E12
- Radioactive iodine can result in remission in Graves' disease, and ophthalmopathy is an indication for urgent thyroidectomy.
Endo Questions - E13
- The treatment for a pregnant female with Graves' disease is a beta-blocker.
Endo Questions - E14
- In primary hyperparathyroidism, increased PTH and high urinary calcium is expected.
Endo Questions - E15
- Analgaesics and bisphosphonates are the most appropriate management for Paget's disease in the elderly.
Endo Questions - E16
- Start ACEi for a 26 year old diabetic with BP 130/80, microalbuminuria and no overt proteinuria
Endo Questions - E17
- Diabetic neuropathy is the possible cause for an elderly male with longstanding poorly controlled diabetes with right buttock and thigh pain
Endo Questions - E18
- Bisphosphonates do not decrease the risk of vertebral fractures, and they would not inevitably lead to osteoporosis in the long term.
Endo Questions - E19
- Osteomalacia is usually due to dietary calcium deficiency.
Endo Questions - E20
- Old women with a lumbar fracture and prior breast cancer should be given Alendronate
Endo Questions - E21
- Coeliac disease, in conjunction with low calcium, phosphate and high ALP, is most likely the cause of low bone density
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Description
Test your knowledge in endocrinology with a series of focused questions covering conditions such as diabetes, Cushing's syndrome, and hyperaldosteronism. Evaluate your understanding of symptoms, treatments, and diagnostic tests. Perfect for students and professionals in the medical field looking to refresh their knowledge.
