NGR6200 Endocrine Exam Analysis Questions
With Correct Answers
In |patients |with |low |blood |sugar |that |occurs |in |a |"pattern" |it |is |best |to |___________________
|the |oral |agent |or |the |insulin |rather |than |asking |them |to |eat |more |carbohydrates. |- |CORRECT |
ANSWER✔✔-decrease
*We |don't |want |to |"chase" |the |low |blood |sugar.
Patients |with |_________________ |should |not |be |prescribed |DPP4 |inhibitors |(ends |with |
gliptin) |or |GLP1 |agents |(ends |with |tide) |such |as |sitagliptin |and |exenatide. |- |CORRECT |
ANSWER✔✔-gastroparesis |
*Gastroparesis |is |a |slowing |of |the |GI |tract |which |in |common |in |patients |with |diabetes |made |
worse |with |these |agents
Patients |with |diabetes |should |be |on |_____________ |if |they |are |hypertensive |or |have |
microalbuminuria, |other |agents |are |added |if |needed, |start |with |this |class |of |meds. |- |CORRECT |
ANSWER✔✔-ACEI
Glucagon |is |used |to |__________ |blood |sugar |- |CORRECT |ANSWER✔✔-raise
S/S |of |Hyperthyroidism:
(Graves |Disease, |Subacute |Thyroiditis, |Toxic |Multinodular |Goiter) |- |CORRECT |ANSWER✔✔-- |
Anxiety
- |nervousness
- |tachycardia
, - |blurred |vision
- |photophobi
- |diaphoresis
- |Wt |los
- |insomnia
- |heat |intolerance
- |tremors
- |diarrhe
- |DO
- |depression
Graves' |disease; |subacute |thyroiditis; |toxic |multinodular |goiter
- |TSH |low |, |TSH |< |0.35mIU/L, |Elevated |FT4 |> |12.5 |mcg/dL, |FT4 |(free |T4) |should |be |done |next; |
can |be |caused |by |overuse |of |thyroid |hormone, |bruit |may |be |heard |over |the |gland! |Grave's |
disease |is |the |most |common |cause |of |spontaneous |hyperthyroidism |in |the |US, |DTR's |may |
show |rapid |relaxation |of |the |reflex, |clubbing |of |the |digits |with |new |bone |growth |called |thyroid
|acropachy |may |occur |with |long-standing |hyperthyroidism
Characteristics |of |Hyperthyroidism |(Graves' |disease; |subacute |thyroiditis; |toxic |multinodular |
goiter |include) |may |include: |- |CORRECT |ANSWER✔✔-1. |TSH |low
2. |TSH |< |0.35mIU/L
3. |Elevated |FT4 |( |> |12.5 |mcg/dL) |
FT4 |(free |T4) |should |be |done |next
- |can |be |caused |by |overuse |of |thyroid |hormone
- |bruit |may |be |heard |over |the |gland! |
- |DTR's |may |show |rapid |relaxation |of |the |reflex
With Correct Answers
In |patients |with |low |blood |sugar |that |occurs |in |a |"pattern" |it |is |best |to |___________________
|the |oral |agent |or |the |insulin |rather |than |asking |them |to |eat |more |carbohydrates. |- |CORRECT |
ANSWER✔✔-decrease
*We |don't |want |to |"chase" |the |low |blood |sugar.
Patients |with |_________________ |should |not |be |prescribed |DPP4 |inhibitors |(ends |with |
gliptin) |or |GLP1 |agents |(ends |with |tide) |such |as |sitagliptin |and |exenatide. |- |CORRECT |
ANSWER✔✔-gastroparesis |
*Gastroparesis |is |a |slowing |of |the |GI |tract |which |in |common |in |patients |with |diabetes |made |
worse |with |these |agents
Patients |with |diabetes |should |be |on |_____________ |if |they |are |hypertensive |or |have |
microalbuminuria, |other |agents |are |added |if |needed, |start |with |this |class |of |meds. |- |CORRECT |
ANSWER✔✔-ACEI
Glucagon |is |used |to |__________ |blood |sugar |- |CORRECT |ANSWER✔✔-raise
S/S |of |Hyperthyroidism:
(Graves |Disease, |Subacute |Thyroiditis, |Toxic |Multinodular |Goiter) |- |CORRECT |ANSWER✔✔-- |
Anxiety
- |nervousness
- |tachycardia
, - |blurred |vision
- |photophobi
- |diaphoresis
- |Wt |los
- |insomnia
- |heat |intolerance
- |tremors
- |diarrhe
- |DO
- |depression
Graves' |disease; |subacute |thyroiditis; |toxic |multinodular |goiter
- |TSH |low |, |TSH |< |0.35mIU/L, |Elevated |FT4 |> |12.5 |mcg/dL, |FT4 |(free |T4) |should |be |done |next; |
can |be |caused |by |overuse |of |thyroid |hormone, |bruit |may |be |heard |over |the |gland! |Grave's |
disease |is |the |most |common |cause |of |spontaneous |hyperthyroidism |in |the |US, |DTR's |may |
show |rapid |relaxation |of |the |reflex, |clubbing |of |the |digits |with |new |bone |growth |called |thyroid
|acropachy |may |occur |with |long-standing |hyperthyroidism
Characteristics |of |Hyperthyroidism |(Graves' |disease; |subacute |thyroiditis; |toxic |multinodular |
goiter |include) |may |include: |- |CORRECT |ANSWER✔✔-1. |TSH |low
2. |TSH |< |0.35mIU/L
3. |Elevated |FT4 |( |> |12.5 |mcg/dL) |
FT4 |(free |T4) |should |be |done |next
- |can |be |caused |by |overuse |of |thyroid |hormone
- |bruit |may |be |heard |over |the |gland! |
- |DTR's |may |show |rapid |relaxation |of |the |reflex
