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Exam (elaborations)

AG-ACNP Endocrine Questions and Answers

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  • ACNP
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AG-ACNP Endocrine Questions and Answers

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  • November 11, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACNP
  • ACNP
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AG-ACNP Endocrine Questions and
Answers
What is a concern when lowering Na levels Correct Ans-be careful of lowering too fast, can
cause cerebral edema



What is pheochromocytoma? Correct Ans-RARE

results from excess catecholamine relese characterized by paroxysmal or sustained hypertension;
almost always due to a tumor of the adrenal medulla



What catecholamines are released in phyochromocytoma? Correct Ans-norepinephrine and
epinephrine



What are s/s of phyochromocytoma? Correct Ans-HTN(labile)

diaphoresis

hyperglycemia

severe h/a

palpitations

tremors

tachycardia

wt loss

postural hotn

,What is the first lab test you would run in suspected pheo pt? and why? Correct Ans-TSH, to
r/o hyperthyroid



A patient with DM and HTN should be on which classification of medication and why?
Correct Ans-ACE Inhibitors - to reduce proteinuria and the resulting diabetic nephropathy



30 yo. D with PMH of DM Type II is scheduled for a cardiac cath within the next 7 days. Home
medications include Metformin (Glucophage) 500 mg TID. What instructions would you give
her regarding her medications? Correct Ans-Instruct the patient to stop Metformin
(Glucophage) at least 3 days before procedure. The use of Metformin (Glucophage) and contrast
dye could cause ARF.



Identify the post-surgical complications associated with correction of a pheochromocytoma.
Correct Ans-Hypotension - depleted catecholimines

Adrenal Insufficiency

Hemorrhage



Define the treatment of choice of a pheochromocytoma. Correct Ans-Surgical removal of the
adrenal medulla tumor



Pheochromocytoma is most often associated with what hallmark symptom? Correct Ans-
Labile HTN and orthostatic hypotension



What are the four components of the urine assay that is diagnostic for a pheochromocytoma?
Correct Ans-Urine catecholimines

, Metanephrines

Vanillylmandelic acid (VMA)

Creatinine



What diagnostic confirms a pheochromocytoma? Correct Ans-CT scan of adrenals to confirm
and localize tumor



Define the criteria for diagnosing Metabolic Syndrome. Correct Ans-Any of the 3:

- Waist circumference: M > 40 in, F > 35 in

- BP > 130/85

- Triglycerides > 150

- FGB > 100

- HDL: M <40, F < 50



40 yo. F presented to ED with complaints of four UTIs in the past 6 months and chronic skin
infection, with increasing pruritus. What is most likely differential? Correct Ans-DM Type II.
Women present with reoccuring vaginitis and chronic skin infections.



Identify the three Insulin Analogs. Correct Ans-Aspart (NovoLog)

Glargine (Lantus) - prolonged duration

Lispro (Humalog) - rapid onset

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