PA Internal Medicine EOR (Questions with complete answers) 100% verified

Pituitary tumor until proven otherwise correct answers Acute adrenal Insufficiency Dx: MRI of Sella Turcica Accounts for 50% of all pituitary tumors? MC sign/Sx correct answers Prolactinoma = Nipple discharge MC Sx of Pituitary Mass = Hemianopia (visual disturbances) Metabolic dysfunction Sexual immaturity Growth retardation Truncal adiposity from ↓ HGH in children correct answers Hypopituitarism Tx: Replacement hormones & *DNA HGH* 28 y/o female presents w/ recent infection presents w/ ↑ HR, BP, RR, DTR's. She is intolerant to heat, has recent weight loss, a fine tremor, palpitations, exopthalmos. EKG shows A-fib. She is acting manic and anxious. Labs show elevated t3/t4 and low TSH correct answers Hyperthyroidism (graves) w/ Thyroid Storm Tx of Thyroid Storm *P*roptotic *M*olly (*W*ait) *I*s *D*ying correct answers Propranolol *Methimazole* >> Propylthiouracil Wait 1 hour Iodide Dexamethasone O2, cooling, hydration and electrolyte replacement, Dig & diuretics (a-fib) Radioactive Iodine correct answers Treatment of choice for multinodular goiter Kussmaul respirations, tachypnea, vomiting, abdominal pain, AMS Increased anion gap metabolic acidosis ↑ blood glucose, ↑ ketones correct answers DKA Tx: *IVF* 20mL/kg, then add Insulin infusion, w/ K+ replacement Caution - Cerebral Edema (overagressive rehydration or ↓ blood glucose too quickly) Glipizide & Glyburide correct answers Sulfonylureas drugs used in the Tx of DM2 Can cause hypoglycemia in the first 2-3 days of Tx Painful, acute, unilateral vision loss from occlusion of trabecular meshwork in the eye and increased IOP. Pt c/o halos around lights, has a cloudy, injected cornea