BANK REVIEW COMPLETE
QUESTIONS SOLUTIONS A+
◉ HYPERthyroidism.
Answer: Graves disease is the most common- excessive thyroid
hormone production. Most common presenting symptom in >60 is Afib.
Symptoms: Palpitations, tremors, hungry, skinny, fatigue, muscle
weakness, emotional, poor concentation, hyper defecation, poor sleep
patterns
Pediatric Symptoms: Also add tachycardia, thyroid bruit, hyperreflexia,
eyelid lag, wide pulse pressure, exophthalmos
Diagnosis: free T4, TSh, free T3
Medications/Management: Beta-blockers, anti-thyroid drugs subtotal
thyroidectomy, radioiodine ablation. REFER PEDS
◉ Thyroid nodules.
Answer: If palpable order ultrasound and thyroid function tests. Refer to
a Endocrinologist for a fine needle biopsy and radioactive iodine studies.
Both benign and malignant nodules are often asymptomatic.
, FIXED, FIRM, Non-tender, and LARGE: likely to be malignant
Hashimotos may have multiple.
◉ Differences between Type 1 and 2 Diabetes:.
Answer: Type 1: Caused y autoimmune destruction of the pancreatic
beta cells. Typically gradual onset, but individuals may have sudden
onset of illness once symptoms manifest (IE new DKA)
Type 2: Genetic and Enviromental inluences combine. Obesity is the
most important enviromental issue. ^ visceral fat contributes to insulin
resistance. Ethnic variations are significant
◉ Type 1 Diabetes:.
Answer: Medication Management: Insulin pumps are preferred. Insulin
is delivered at a basal rate with boluses at mealtimes. Glargine, humalog,
novalog.
◉ Type 2 Diabetes:.
Answer: Medication management: Start with Metformin and follow the
ADA guidelines/ flowchart.
◉ Gestational Diabetes.