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Rosh Review- Endocrine | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions $13.48   Add to cart

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Rosh Review- Endocrine | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions

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Rosh Review- Endocrine | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions

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Rosh Review- Endocrine | Questions & Answers (100 %Score) Latest Updated 2024/2025
Comprehensive Questions A+ Graded Answers | With Expert Solutions


What diabetes drug class is at risk for hypoglycemia?

How can this be treated? - Sulfonylureas!

Glimepiride

Can also cause weight gain

TX:
Octreotide

What is MOA for Metformin? - Biguanide drug class

Decreases hepatic glucogenesis

Diarrhea is side effect

Don't use in renal failure

What test can help to determine if a patient is surreptitiously self-administering insulin? -
C peptide level:
Low

Insulin level:
High

is diagnostic for factitious hypoglycemia!

What medications are best for lowering triglyercides?

What medications are best for lowering LDL?

What medications are best for increasing HDL?

Goals for all of these? - Triglycerides:
Best lowered via FIBRATES

LDL:
Best lowered via STATINS

HDL:
Best increased via NIACIN (Flushing, Pruritis SE)

,Exercise also increases HDL

Goals:
Triglycerides--> <150
LDL--> <70
HDL --> >40

What is the criteria for diagnosing Diabetes I?

MOA?

Tx? - Fasting Glucose:
>126 on 2 separate occasions

Random Glucose:
>200

Glucose Challenge 75 mg:
>200 2 hours post challenge

AlC:
>6.5%

MOA:
Autoimmune Destruction of Pancreatic ß-cells (islets of Langerhans beta-cells) causing
decreased insulin + increased glucose

Tx:
Insulin

What is pre diabetes Alc? - 5.7-6.4%

Which of the following is the recommended treatment for a pituitary adenoma >1 cm in
size? - > 1cm or compressing optic chiasm Pituitary tumors:
Surgical transphenoidal (hardy) resection is treatment of choice!

Radiation therapy:
Used in older adults that cannot have surgery

Dopamine Agonists:
Used in micro tumors or prolactinomas to reduce size/symptoms

What structure is commonly compressed and affects vision in those with a pituitary
adenoma? - Optic Chiasm!

What presents with bitemporal hemianopia?

, Tx? - Pituitary tumor compressing Optic Chiasm!

Tx:
Transsphenoidal surgical resection

What presents with amenorrhea, galactorrhea, infertility?

Tx? - Prolactinoma

Most common Pituitary Tumor!

Tx:
Dopamine Agonists
Bromocriptine, Cabergoline

What presents with Gigantism in children and Acromegaly in adults? - Pituitary tumor
hyper secreting GH!

What is most common complication seen with pituitary tumors? - Bitemporal
Hemianopia

Meaning:
Partial Blindness where vision is Missing in the Outer Half of Both the Right and Left
Visual Field.

What labs are expected with TSH producing pituitary adenoma? - Elevated TSH, High
T3 and High T4

ALL elevated!

What thyroid disorder is defined by altered mental status and decompensated metabolic
state? - Myxedema Coma!

Most severe manifestation of Hypothyroidism

What presents with generalized weakness, fatigue, facial swelling, constipation, cold
intolerance, weight gain, periorbital edema, dry skin with coarse/brittle hair, delayed
DTR?

Expected labs?

Most common manifestation?

Tx? - Hypothyroidism!

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