MKSAP TOP Exam Guide Questions and CORRECT Answers
Tumor lysis tx - IV fluids (6L/day), loop diuretic to maintain UOP if needed, and Rasburicase (preventative) Tumor lysis labs: - hyperkalemia, hyperuricemia, hyperphosphatemia, acute kidney injury (d/t prior) Acromegaly etiology - Hypersecretion of of GH, d/t pituitary adenoma GH --> liver --> IGF1-->acromegaly Diagnosis of acromegaly - IGF-1 level NOT GH level b/c secreted in pulses
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