NGR6200 ENDOCRINE EXAM ANALYSIS UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
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.
Answer:
decrease *We don't want to "chase" the low blood sugar.
Question:
Patients with _________________ should not be prescribed DPP4 inhibitors (ends with
gliptin) or GLP1 agents (ends with tide) such as sitagliptin and exenatide.
Answer:
gastroparesis *Gastroparesis is a slowing of the GI tract which in common in patients
with diabetes made worse with these agents
Question:
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.
Answer:
ACEI
Question:
Glucagon is used to __________ blood sugar
Answer:
raise
, Question:
S/S of Hyperthyroidism:
(Graves Disease, Subacute Thyroiditis, Toxic Multinodular Goiter)
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
Question:
Characteristics of Hyperthyroidism (Graves' disease;
subacute thyroiditis; toxic multinodular goiter include) may include:
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
- clubbing of the digits with new bone growth called thyroid acropachy may occur with
long-standing hyperthyroidism *Grave's disease is the most common cause of
spontaneous hyperthyroidism in the US
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
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.
Answer:
decrease *We don't want to "chase" the low blood sugar.
Question:
Patients with _________________ should not be prescribed DPP4 inhibitors (ends with
gliptin) or GLP1 agents (ends with tide) such as sitagliptin and exenatide.
Answer:
gastroparesis *Gastroparesis is a slowing of the GI tract which in common in patients
with diabetes made worse with these agents
Question:
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.
Answer:
ACEI
Question:
Glucagon is used to __________ blood sugar
Answer:
raise
, Question:
S/S of Hyperthyroidism:
(Graves Disease, Subacute Thyroiditis, Toxic Multinodular Goiter)
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
Question:
Characteristics of Hyperthyroidism (Graves' disease;
subacute thyroiditis; toxic multinodular goiter include) may include:
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
- clubbing of the digits with new bone growth called thyroid acropachy may occur with
long-standing hyperthyroidism *Grave's disease is the most common cause of
spontaneous hyperthyroidism in the US
