Endocrinology & Diabetes — Flashcards

Flashcard 111: _____ are the first-line management of symptomatic prolactinomas of the pituitary gland

Answer: Dopamine agonists (e.g. cabergolin, bromocriptine)

Flashcard 112: What is the first-line management of toxic multinodular goitre/toxic adenoma while awaiting definitive treatment? _____

Answer: Titration-block regime (or block and replace regime)

Flashcard 113: Diagnosis of thyroid storm is based on _____

Answer: clinical features

Flashcard 114: _____ may be used to induce remission in patients with Grave's disease. This typically takes 12-18 months

Answer: Anti-thyroid drugs

Flashcard 115: _____ is used in the management of thyroid storms to treat hyperadrenergic symptoms

Answer: Propranolol

Extra: Propranolol is preferred in thyroid storm because it not only treats hyperadrenergic symptoms (tachycardia, tremor) but also inhibits the peripheral conversion of T4 to T3 at high doses.

Flashcard 116: Radioative iodine ablation is contraindicated in _____ women

Answer: pregnant/breastfeeding

Flashcard 117: _____ Microadenomas of the pituitary are usually asymptomatic

Answer: Non-functional

Flashcard 118: _____ are benign tumours of the anterior pituitary gland

Answer: Pituitary adenomas

Flashcard 119: _____ is used in the management of thyroid storms to inhibit peripheral conversion of T4→T3

Answer: hydrocortisone

Flashcard 120: _____ pituitary adenomas cause secondary hyperthyroidism

Answer: Thyrotroph