Endocrinology & Diabetes UK Medical PG Flashcards - Medical Study Cards
Master Endocrinology & Diabetes with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Endocrinology & Diabetes Flashcard Deck - 10 Cards
Flashcard 51: What should be done to an Addison's patients steroid replacement during intercurrent illness?
Answer:
• Double the glucocorticoids
• Keep fludrocortisone the same
*during illness the body usually increases cortisol production as a stress response
Flashcard 52: Which diabetes medication may have to be stopped in AKI due
to risk of toxicity (but doesn’t usually worsen AKI itself)?
Answer: Metformin
Flashcard 53: Hypoglycaemia with High Insulin levels, but Low C-peptide?
Answer:
• Exogenous Insulin Administration
• aka Insulin Overdose
Flashcard 54: What is the maximum dose of metformin in T2DM management?
Answer: 2g daily
Flashcard 55: What is the most appropriate imaging investigation for patients with Cushing's Syndrome?
Answer: CT Adrenals
Flashcard 56: What diabetes medication may cause fluid retention?
Answer:
• Pioglitazone
*Thiazolidinedione
Flashcard 57: In T2DM management when should SGLT-2 inhibitors be introduced?
Answer:
• If a patient develops CVD (e.g. diagnosed with ischaemic heart disease)
• a QRISK >= 10% or chronic heart failure
Flashcard 58: What is the first-line investigation in suspected primary hyperaldosteronism?
Answer:
• Aldosterone/renin ratio
Flashcard 59: Best test to diagnose Cushing's syndrome?
Answer:
• Low-dose (overight) dexamethasone suppression test
Flashcard 60: With hypercalcaemia caused by malignancy, what will PTH and PTHrP be?
Answer:
• PTH low -> negative feedback of hypercalcaemia
• PTHrP high -> released from the tumour e.g. sqamous cell lung cancer
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