Term
| What is the goal BP for diabetes? |
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Definition
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Term
| What lipid value to most closely related to insulin resistance? |
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Definition
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Term
| What should be the goal LDL level for a pt w/DM, and what is the tx for high LDL? |
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Definition
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Term
| Who is the most important person in long term DM management? |
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Definition
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Term
| Besides insulin what else is deficient in DM 1? |
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Definition
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Term
| Which condition is described as Nocturnal hypoglycemia with inc fasting plasma glucose levels in the morning? |
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Definition
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Term
Which of the following characteristics are true about Byetta?
A - Reduce insulin resistance
B - Enhance insulin secretion
C - Suppress glucagon secretion
D - Slows gastric emptying |
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Definition
| A - Reduce insulin resistance |
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Term
| Pt has newly onset DM2 and has tried exercise and diet however, his HgbA1C is 7.1%, what is the first-line tx? |
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Definition
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Term
| In a pt w/newly onset DM 2, what would you expect to see what? |
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Definition
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Term
| Which type of diabetes has a large genetic component? |
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Definition
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Term
| What is the MCC of death in DM 2? |
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Definition
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Term
| Which is the fast acting insulin you can take before meals? |
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Definition
| Lispro (or Aspart, as they are both fast acting) |
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Term
| What med was taken off the market b/c it can give you MI? |
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Definition
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Term
| What types of meds are sitagliptin (januvia) and saxagliptin (onglyza)? |
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Definition
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Term
| What happens if you drop glucose too fast in DKA? |
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Definition
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Term
| Whats the 1st thing you do to treat HNC? |
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Definition
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Term
| When do you screen for DM 2? |
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Definition
| begin at 45 y/o and screen q3yrs |
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Term
| At what rate should hyperglycemia associated with DKA be lowered in DKA? |
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Definition
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Term
| What is the hallmark of DM 2? |
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Definition
| Relative insulin deficiency |
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Term
| Which type of diabetes is characterized by Insulin, islet cells, GAD abs? |
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Definition
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Term
| How are Incretin mimetics delivered? |
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Definition
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Term
| DM1 kid came in hypoglycemia LOC, seizure, what do you give? |
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Definition
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Term
| What do you give in Gestational DM? |
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Definition
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Term
| Glucose 875, pH7.34, what is this? |
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Definition
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Term
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Definition
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Term
| Most specific test for chronic hyperglycemia and chronic complications? |
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Definition
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Term
| What are the complications of gestational DM? |
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Definition
| large baby, delivery complications (shoulder distocia), neonate death (NOT maternal risk of DM 1) |
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Term
| Preprandial glucose goal? |
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Definition
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Term
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Definition
| obesity w/central adiposity |
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Term
| Highest risk factor for insulin resistance in DM2? |
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Definition
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Term
| What is the Pathophys of GDM? |
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Definition
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Term
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Definition
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Term
| Urine show 150 albumin/day, what is this considered? |
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Definition
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Term
| Most related comorbidity to DM? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| What is the best, most controlling insulin dose? |
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Definition
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Term
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Definition
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Term
| What is the electrolyte imbalance in DKA? |
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Definition
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Term
| Prophylactic tx for MEN 2? |
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Definition
| Thyroidectomy and lymph node dissection |
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Term
| MC tumor for MEN 2 that is nearly 100%? |
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Definition
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Term
| What is one of the 1st symptoms seen in MEN 1? |
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Definition
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Term
| Which type of diabetes has peripheral insulin resistance? |
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Definition
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Term
| Man has fasting glucose of 123 and Hgb A1C of 6.1%, what does he have? |
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Definition
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Term
| If a pt has non-emergent DM what should you try first? |
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Definition
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Term
| Where are the Parthyroids located? |
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Definition
| embedded posterior to thyroid |
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Term
| Where is the L. adrenal gland located? |
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Definition
| ehind (periotoneal) under spleen |
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Term
| Calculate amt levothyroxine 50kg woman? |
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Definition
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Term
| What med is used for nursing mothers who have hyperthyroidism? |
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Definition
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Term
| What meds interact with thyroxine? |
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Definition
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Term
| What is the tx for Pheochromocytoma? |
|
Definition
| phenoxybenzamine (Dibenzyline) start 10mg BID |
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Term
|
Definition
| Desmopressin Acetate/DDAVP (tx) 0.05mg PO BID |
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Term
| What is the tx for dwarfism in children? |
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Definition
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Term
| In which dz does TSH-R Ab Increase (antibodies to TSH receptors)? |
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Definition
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Term
| What is the tx for Acute Adrenocortical Insufficiency? |
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Definition
| Hydrocortisone 100mg IV + saline (5% dextrose) |
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Term
| Which hormone from the anterior pituitary is regulated by an inhibitory hormone? |
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Definition
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Term
| Which condition has abnormal labs of increased ACTH and increased cortisol? |
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Definition
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Term
| What is a 2mm firm nodule on L. Neck most likely? |
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Definition
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Term
| Which type of tumor secretes GH? |
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Definition
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Term
| What condition is described as loss of vision in the temporal fields, caused by a lesion of the optic chiasm? |
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Definition
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Term
| Which posterior pituitary hormone works on a positive feedback system? |
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Definition
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Term
| Which condition is characterized by an increase in FT4 and low TSH? |
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Definition
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Term
| What hormone in the thyroid axis is inhibitory? |
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Definition
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Term
| What is the stimulus for Calcitonin secretion? |
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Definition
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Term
| What are the effects of PTH on the intestines? |
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Definition
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Term
| Which hormone from the anterior pituitary targets the adrenal gland? |
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Definition
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Term
| What condition would you suspect if your pt c/o that his hats are no longer fitting? |
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Definition
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Term
| What is a possible cause of galactorrhea in a women once you have r/o pregnancy? |
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Definition
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Term
| If a pt presents within increased ACTH and Increased cortisol levels and a brain MRI is w/in NL, what other test would you complete to r/o another cause of the abnormal levels? |
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Definition
| CT chest r/o small cell carcinoma |
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Term
| What can tagamet (Cimetidine) cause? |
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Definition
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Term
| What does a + chvostek's sign indicate? |
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Definition
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Term
| What condition must you suspect if an elderly ot shows signs of hyperthyroidism? |
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Definition
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Term
| What cardiovascular symptoms might be a symptom of hyperthyroidism? |
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Definition
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Term
| What is the only definitive test for a thyroid nodule? |
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Definition
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Term
| What other cause of hyperthyroid symptoms must you r/o? |
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Definition
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Term
| How is pheochromocytoma diagnosed? |
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Definition
| 24hr urine – VMA and catecholamines |
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Term
| What test is used to find the levels of PRL? |
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Definition
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Term
| What is another name for hyperaldosteronism? |
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Definition
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Term
| Which condition is described as markedly increased ACTH levels? |
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Definition
| acute adrenocortical insufficiency (Addisonian crisis) |
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Term
| What can a small heart size be indicative of? |
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Definition
| Chronic adreno insufficiency (addison's dz) |
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Term
| What med does insulin interact with? |
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Definition
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Term
| What condition is characterized by decreased ALD and increased renin? |
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Definition
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