Clin Med Exam 2 Endocrine Questions With Complete
Solutions
<20 Correct Answer serum cortisol in a patient with adrenal
crisis
<3 Correct Answer plasma cortisol level at 8 am that is
diagnostic for addison disease
<5.7% Correct Answer a normal HgbA1c
<7.35 Correct Answer arterial pH level for diabetic
ketoacidosis
>200 Correct Answer abnormal oral glucose tolerance test
after 2 hours
>250 Correct Answer glucose level for diabetic ketoacidosis
>400 Correct Answer serum glucose level for hyperglycemic
hyperosmolar state; can reach >600
>50 Correct Answer patients aged ________ with bacterial
meningitis should be treated with ceftriaxone + ampicillin +
vancomycin
>67 Correct Answer a level of ______ serum aldosteron/renin
ratio is very suggestive of primary aldosteronism
126 Correct Answer fasting glucose level on 2 or more
occasions that is diagnostic for diabetes
,18-50 Correct Answer patients aged ________ with bacterial
meningitis should be treated with ceftriaxone & vancomycin
3 polys Correct Answer polydipsia, polyuria, polyphagia;
seen in type 1 diabetics
54 Correct Answer hypoglycemic symptoms are felt around
____ mg/dL
6.5% Correct Answer a diabetic HgbA1c; can be higher
acanthosis nigrans Correct Answer increased pigmentation to
skin in the axilla, groin & neck; seen in type 2 diabetics
acetazolamide Correct Answer treatment of choice for pseudo
tumor cerebri
acquired (hypopituitarism) Correct Answer hypopituitarism
that results from a closed head injury
acromegaly Correct Answer extremity enlargement in adults;
mostly due to pituitary adenoma
addison disease Correct Answer chronic cortisol deficiency;
most commonly caused by autoimmune destruction of adrenals;
presents with increased skin pigmentation
adrenal crisis Correct Answer a medical emergency caused by
insufficient cortisol; vague symptoms
, alpha-glucosidase inhibitors Correct Answer oral DM
medication class that is used in type 2 diabetics either alone or
with insulin or sulfonylureas; contraindicated in patients with
CKD
anaplastic (thyroid CA) Correct Answer most aggressive form
of thyroid cancer; early mets to surrounding nodes & distant
sites
basal rate Correct Answer slow, continuous deliver of insulin
from an insulin pump
biguanides Correct Answer oral DM medication class used in
type 2 diabetics either alone or with insulin or other oral agents;
FIRST LINE for type2; includes metformin (glucophage)
bolus Correct Answer quick delivery of insulin for coverage
cabergoline Correct Answer dopamine agonist used in
patients who don't have complete remission of
acromegaly/gigantism after surgery
calcitriol Correct Answer vitamin D supplementation for
maintenance therapy in hypoparathyroidism
calcium gluconate Correct Answer given IV for emergency
treatment of tetany with hypoparathyroidism
cangliflozin Correct Answer invokana; SGLT2 inhibitor
Solutions
<20 Correct Answer serum cortisol in a patient with adrenal
crisis
<3 Correct Answer plasma cortisol level at 8 am that is
diagnostic for addison disease
<5.7% Correct Answer a normal HgbA1c
<7.35 Correct Answer arterial pH level for diabetic
ketoacidosis
>200 Correct Answer abnormal oral glucose tolerance test
after 2 hours
>250 Correct Answer glucose level for diabetic ketoacidosis
>400 Correct Answer serum glucose level for hyperglycemic
hyperosmolar state; can reach >600
>50 Correct Answer patients aged ________ with bacterial
meningitis should be treated with ceftriaxone + ampicillin +
vancomycin
>67 Correct Answer a level of ______ serum aldosteron/renin
ratio is very suggestive of primary aldosteronism
126 Correct Answer fasting glucose level on 2 or more
occasions that is diagnostic for diabetes
,18-50 Correct Answer patients aged ________ with bacterial
meningitis should be treated with ceftriaxone & vancomycin
3 polys Correct Answer polydipsia, polyuria, polyphagia;
seen in type 1 diabetics
54 Correct Answer hypoglycemic symptoms are felt around
____ mg/dL
6.5% Correct Answer a diabetic HgbA1c; can be higher
acanthosis nigrans Correct Answer increased pigmentation to
skin in the axilla, groin & neck; seen in type 2 diabetics
acetazolamide Correct Answer treatment of choice for pseudo
tumor cerebri
acquired (hypopituitarism) Correct Answer hypopituitarism
that results from a closed head injury
acromegaly Correct Answer extremity enlargement in adults;
mostly due to pituitary adenoma
addison disease Correct Answer chronic cortisol deficiency;
most commonly caused by autoimmune destruction of adrenals;
presents with increased skin pigmentation
adrenal crisis Correct Answer a medical emergency caused by
insufficient cortisol; vague symptoms
, alpha-glucosidase inhibitors Correct Answer oral DM
medication class that is used in type 2 diabetics either alone or
with insulin or sulfonylureas; contraindicated in patients with
CKD
anaplastic (thyroid CA) Correct Answer most aggressive form
of thyroid cancer; early mets to surrounding nodes & distant
sites
basal rate Correct Answer slow, continuous deliver of insulin
from an insulin pump
biguanides Correct Answer oral DM medication class used in
type 2 diabetics either alone or with insulin or other oral agents;
FIRST LINE for type2; includes metformin (glucophage)
bolus Correct Answer quick delivery of insulin for coverage
cabergoline Correct Answer dopamine agonist used in
patients who don't have complete remission of
acromegaly/gigantism after surgery
calcitriol Correct Answer vitamin D supplementation for
maintenance therapy in hypoparathyroidism
calcium gluconate Correct Answer given IV for emergency
treatment of tetany with hypoparathyroidism
cangliflozin Correct Answer invokana; SGLT2 inhibitor
