Endocrine

Question 1

Hypothyroidism, Management

Answer 1

Monitor TSH level and clinical state periodically

Question 2

Hypothyroidism, Pharmacologic Management

Answer 2

levothyroxine (T4)

Question 3

Hypothyroidism, Diagnosis

Answer 3

TSH >5 (ref: .5-5)
Low free T4
-May have elevated LDL/decreased HDL
-May have Anemia mild normocytic

Question 4

Hashimoto thyroiditis labs

Answer 4

Increased antimicrosomal antibodies

Question 5

Adrenal Insufficiency, Diagnostic Testing

Answer 5

(Addison’s disease)

1. Decreased plasma cortisol
2. ACTH (Increased:prImary; Decreased=seconDary)
   * if secondary > MRI brain

Question 6

Adrenal Insufficiency, Presentation

Answer 6

Weight loss, N/V, vague abdominal pain
Lethargy, confusion, psychosis
Hypoglycemia
Hyperpimentation
*Low aldosterone (hypovolemic hyponatremia and hyperpotassium)

Question 7

Primary adrenal insufficiency treatment

Answer 7

glucocorticoid (hydrocortisone or prednisone) and mineralcorticoid (fludrocortisone)

Question 8

Secondary adrenal insufficiency treatment

Answer 8

same as primary minus mineralcorticoid

Question 9

Hyperaldosteronism, Screening

Answer 9

ARR (aldosterone-to-renin ratio)