Chapter 13: Endocrinology

1. ADH is secreted by the

Hypothalamus

Posterior lobe of the pituitary

Intermediate Lobe of the pituitary

Anterior lobe of the pituitary

2. A 45 year old man is s/p total thyroidectomy with numbness in cace
and hands and a positve Chovstek sign. The serum calcium is 6.9 the
appropiate step is

D/C with close follow up to home

Check a magnesium STAT

Calcium gluconate 3 gm IV

Oscal with D 4500mg per day

When a patient is hypocalcemic and symptomatic, it is best to replace their calcium intravenously. This may delay their discharge because of the short half-life of IV calcium (6 hours), but should be given due to the symptomatic nature of the hypocalcemia.

Explanation

When a patient is hypocalcemic and symptomatic, it is best to replace their calcium intravenously. This may delay their discharge because of the short half-life of IV calcium (6 hours), but should be given due to the symptomatic nature of the hypocalcemia.

3. In relation to Calcium, phosphorus

Increases in serum concentration

Decreases in serum concentration

Linked to Magnesium

Linked to albumin

4. TSH stimulation in the thyroid causes

Decreased blood flow

Decrease in gland size

Increased in follicular epithelium

Increase in colloid

5. A 37 year old females is s/p thyroidectomy POD #2 with heart rate of 155,
temperature of 102 and altered mental status. Her TSH is 0.01 and T4 is
found to be 12.3. First line treatment includes

Medication targeted at destroying follicular cells

Medication that decreases T4 output in the colloid cells

Medication that prevents conversion of T4 to T3

Medication targeted centrally to prevent the release of TSH

A. Radioactive iodine ablation; B. methimazole; C. Propylthiouracil

Explanation

A. Radioactive iodine ablation; B. methimazole; C. Propylthiouracil

6. Long term management of hypercalcemia does not include

Bisphosphonates

Hydration

Calcitonin

Loop diuretics

Calcitonin has a short half life compared to the other choices.

Explanation

Calcitonin has a short half life compared to the other choices.

7. ADH has it greatest influence on the kidneys at

Cortex

Distal convoluted tubule

Medulla

Proximal convoluted tubule

8. A 16 year old female presents to HMC s/p boating accident and closed
head injury with anterior table non-displaced frontal sinus fracture. Her
urine output on day two is 10 liters a day. You tell the family

This is self limited and prognosis is good

This requires immediate surgery for decompression and fracturerepair

This is idiopathic and has a high mortality

This is not my problem as trauma service

Diabetes insipidus when related to trauma carries a high mortality rate. Etiology currently unknown.

Explanation

Diabetes insipidus when related to trauma carries a high mortality rate. Etiology currently unknown.

9. Which medication should be avoided in a thyroid storm

B-blocker

Glucocorticosteriods

Insulin

ASA

ASA increases the metabolic activity within the thyroid gland further contributing to the hyperthyroidism.

Explanation

ASA increases the metabolic activity within the thyroid gland further contributing to the hyperthyroidism.

Submit

Chapter 13: Endocrinology

1. ADH is secreted by the

2.

What first name or nickname would you like us to use?

2. A 45 year old man is s/p total thyroidectomy with numbness in cace
and hands and a positve Chovstek sign. The serum calcium is 6.9 the
appropiate step is

3. In relation to Calcium, phosphorus

4. TSH stimulation in the thyroid causes

5. A 37 year old females is s/p thyroidectomy POD #2 with heart rate of 155,
temperature of 102 and altered mental status. Her TSH is 0.01 and T4 is
found to be 12.3. First line treatment includes

6. Long term management of hypercalcemia does not include

7. ADH has it greatest influence on the kidneys at

8. A 16 year old female presents to HMC s/p boating accident and closed
head injury with anterior table non-displaced frontal sinus fracture. Her
urine output on day two is 10 liters a day. You tell the family

9. Which medication should be avoided in a thyroid storm

10. Bonus
The most anterior cell of the ethmoid sinuses is called ? and for full credit
marks what other structure

Chapter 13: Endocrinology

1. ADH is secreted by the

2.

What first name or nickname would you like us to use?

2. A 45 year old man is s/p total thyroidectomy with numbness in caceand hands and a positve Chovstek sign. The serum calcium is 6.9 theappropiate step is

3. In relation to Calcium, phosphorus

4. TSH stimulation in the thyroid causes

5. A 37 year old females is s/p thyroidectomy POD #2 with heart rate of 155,temperature of 102 and altered mental status. Her TSH is 0.01 and T4 isfound to be 12.3. First line treatment includes

6. Long term management of hypercalcemia does not include

7. ADH has it greatest influence on the kidneys at

8. A 16 year old female presents to HMC s/p boating accident and closedhead injury with anterior table non-displaced frontal sinus fracture. Herurine output on day two is 10 liters a day. You tell the family

9. Which medication should be avoided in a thyroid storm

10. BonusThe most anterior cell of the ethmoid sinuses is called ? and for full creditmarks what other structure

2. A 45 year old man is s/p total thyroidectomy with numbness in cace
and hands and a positve Chovstek sign. The serum calcium is 6.9 the
appropiate step is

5. A 37 year old females is s/p thyroidectomy POD #2 with heart rate of 155,
temperature of 102 and altered mental status. Her TSH is 0.01 and T4 is
found to be 12.3. First line treatment includes

8. A 16 year old female presents to HMC s/p boating accident and closed
head injury with anterior table non-displaced frontal sinus fracture. Her
urine output on day two is 10 liters a day. You tell the family

10. Bonus
The most anterior cell of the ethmoid sinuses is called ? and for full credit
marks what other structure