Shared Flashcard Set

Details

USMLE Step 1 Endocrine
DIT Endocrinology
95
Medical
Graduate
05/21/2010

Additional Medical Flashcards

 


 

Cards

Term
What hormone? Stimulates bone and muscle growth
Definition
GH
Term
What hormone? Stimulates milk production and secretion
Definition
prolactin
Term
What hormone? stimulates milk secretion during lactation
Definition
oxytocin
Term
What hormone? Responsible for female secondary sex characteristics
Definition
estrogen
Term
What hormone? Stimulates metabolic activity
Definition
thyroid hormone
Term
What hormone? increases blood glucose level and decreases protein synthesis
Definition
glucocorticoids
Term
What hormone? Responsible for male secondary sex characteristics
Definition
testosterone
Term
What hormone? prepares endometrium for implantation/maintenance of pregnancy
Definition
progesterone
Term
What hormone? stimulates follicle maturationin females and spermatogenesis in males
Definition
FSH
Term
What hormone? stimulates adrenal cortex to synthesize and secrete cortisol
Definition
ACTH
Term
What hormone? increases plasma Ca2+, increases bone resorption
Definition
PTH
Term
What hormone? decreases plasma Ca2+, increases bone formation
Definition
calcitonin
Term
What hormone? stimulates ovulation in females and testosterone synthesis in males
Definition
LH
Term
What hormone? Stimulates thyroid to produce TH and uptake iodine
Definition
TSH
Term
Secreted from where? Growth hormone
Definition
Anterior pituitary
Term
Secreted from where? thyroid hormones
Definition
thyroid
Term
Secreted from where? Glucocortoids (cortisol)
Definition
Adrenal zona fasciculata
Term
Secreted from where? progesterone
Definition
ovaries and placenta
Term
Secreted from where? Prolactin
Definition
anterior pituitary
Term
Secreted from where? Oxytocin
Definition
Secreted f/ the hypothalamus and stored in the posterior pituitary
Term
Secreted from where? Atrial naturietic hormone (ANH)
Definition
heart
Term
Secreted from where? glucagon
Definition
alpha cells of the pancreas
Term
Secreted from where? Testosterone (3)
Definition
zona reticularis and testes and ovaries
Term
Secreted from where? FSH
Definition
Anterior pituitary
Term
Secreted from where? Vasopressin
Definition
Posterior pituitary
Term
Secreted from where? calcitonin
Definition
parafollicular cells (C cells)
Term
Secreted from where? TSH
Definition
Anterior pituitary
Term
Secreted from where? epinephrine and norepinephrine
Definition
Chromaffin cells of the adrenal medulla
Term
Secreted from where? insulin
Definition
beta cells of the pancreas
Term
Secreted from where? estradiol
Definition
ovaries
Term
Secreted from where? estriol
Definition
placenta
Term
Secreted from where? estrone
Definition
fat cells
Term
Secreted from where? estrogen in males
Definition
testes
Term
Secreted from where? PTH
Definition
parathyroid glands
Term
Secreted from where? somatostatin
Definition
Delta cells
Term
Secreted from where? LH
Definition
Anterior pituitary
Term
Secreted from where? Mineralcorticoids
Definition
zona glomerulosa
Term
Secreted from where? ACTH
Definition
Anterior pituitary
Term
Which 4 hormones share the same alpha unit
Definition
TSH, LH, FSH, b-hCG
Term
What 7 hormones arise f/ the anterior pituitary
Definition
GH, prolactin, FSH, LH, TSH, MSH, ACTH
Term
Which anterior pituitary hormones are basophils?
Definition
"B-FLAT" FSH, LH, ACTH, TSH
Term
What is a dopamine agonist used in treating prolactinomas?
Definition
Bromocriptine
Term
11-beta-hydroxylase deficiency?
Definition
Hypertension and masculinization
Term
17-alpha-hydroxylase deficiency?
Definition
Hypertension and phenoptypically female
Term
21-hydroxylase deficiency?
Definition
HypOtension and masculinization
Term
What are the 2 main causes of hypercalcemia?
Definition
1. Primary Hyperparathyroidism (adenoma, hyperplasia)
2. Malignancy (squamous cell cancers, bone invasion)
Term
What is the MOA of bisphosphonates?
Definition
inhibits osteoclasts
Term
What are two "signs" used to test for hypOcalcemia?
Definition
1. Chvostek's Sign
2. Trousseau's Sign
Term
What is the cause of the hypErthyroidism? extremely tender thyroid gland
Definition
Subacute/DeQuervain's thyroiditis
Term
What is the cause of the hypErthyroidism? Pretibial myxedema
Definition
Graves' Dz
Term
What is the cause of the hypErthyroidism? Palpation of a single thyroid nodule
Definition
adenoma
Term
What is the cause of the hypErthyroidism? palpation of multiple thyroid nodules
Definition
toxic multinodular goiter
Term
What is the cause of the hypErthyroidism? Recent study involving IV contrast dye (iodine)
Definition
Jod-Basedow phenomenom
Term
What is the cause of the hypErthyroidism? Eye changes: proptosis, edema, injection
Definition
Graves' dz
Term
What is the cause of the hypErthyroidism? Hx of thyroidectomy or radio-ablation of the thyroid
Definition
replacing too much thyroid hormone
Term
Which type of thyroid cancer? most common type
Definition
papillary
Term
Which type of thyroid cancer? second most common cause of thyroid cancer
Definition
follicular
Term
Which type of thyroid cancer? activation of receptor tyrosine kinases
Definition
papillary and medullary
Term
Which type of thyroid cancer? Hashimoto's thyroiditis is a risk factor
Definition
lymphoma (non-hodgkins)
Term
Which type of thyroid cancer? Cancer arising f/ parafollicular C cells
Definition
medullary
Term
Which type of thyroid cancer? commonly associated w/ either a RAS mutation or a PAX-PPAR-gamma1 rearrangement
Definition
follicular
Term
Which type of thyroid cancer? Commonly associated w/ rearrangements in RET oncogene or NTRK1
Definition
papillary
Term
Which type of thyroid cancer? most common mutation in the BRAF gene (serine/threonine kinase)
Definition
papillary
Term
Which 2 endocrine hormones use the cGMP signaling pathway?
Definition
think vasodilators: ANP, NO
Term
What is the pneumonic for the 5 endocrine hormones which utilize the IP3 signaling pathway? What are they?
Definition
"GGOAT" GnRH, GHRH, Oxytocin, ADH (V1 receptor), TRH
Term
What 6 hormones utilize the tyrosine kinase signaling pathway?
Definition
"F-PPIIG" ...FGF, Prolactin, PDGF, Insulin, IGF-1, GH
Term
An adult male with elevated serum cortisol levels and signs of Cushing's syndrome undergoes a dexamethosone suppression test. One mg does not decrease cortisol but 8 mg does. What is the dx?
Definition
Pituitary adenoma producing excess ADH
Term
A very tan child with a pale mother presents to the dr w/ hypOtension, what is the dx?
Definition
Addison's Dz
Term
Which oral diabetics agent? lactic acidosis is a rare but worrisome side effect
Definition
Metformin
Term
Which oral diabetics agent? Most common side effect is hypOglycemia
Definition
insulin, 2nd generation sulfonureas
Term
Which oral diabetics agent? also helps to lower TG and LDL cholesterol levels
Definition
Metformin
Term
Which oral diabetics agent? not safe in settings of hepatic dysfxn or CHF
Definition
glitazones and metformin
Term
Which oral diabetics agent? Should not be used in pts w/ elevated creatinine
Definition
metformin
Term
Which oral diabetics agent? should not be used in pts w/ liver cirrhosis, elevated serum creatinine, or IBD
Definition
alpha-glucosidase inhibitors
Term
Which oral diabetics agent? hepatic serum transaminases should be carefully monitored when using these agents
Definition
glitazones and metformin
Term
Which oral diabetics agent? No associated w/ wt gain, often used in overweight pts
Definition
metformin
Term
Which oral diabetics agent? metabolized by liver, excellent choice for pts w/ renal dz
Definition
glitazones
Term
Which oral diabetics agent? primarily associated w/ postprandial hyperglycemia
Definition
alpha-glucosidase inhibitors
Term
Which oral diabetics agent? MOA: closes K channels on Beta cells--> depolarization--> Ca influx--> insulin release
Definition
sulfonureas
Term
Which oral diabetics agent? decreases gluconeogenesis
Definition
metformin
Term
Which oral diabetics agent? agonist at PPAR-gamma receptors--> improved target cell response to insulin
Definition
glitazones (thazolidinediones)
Term
How is hemoglobin glycolsylated in DM to form HA1c?
Definition
non-enzymatic glycosylation
Term
What tumor locations are associated with MEN1?
Definition
"PPP"...Parathyroid, Pituitary, Pancreatic
Term
What tumor locations are associated w/ MEN2a?
Definition
"PPM"...Parathyroid, Pheochromocytoma, Medullary carcinoma of thyroid
Term
What tumor locations are associated w/ Men2b?
Definition
"PMM" Pheochromocytoma, Medullary thyroid, Mucosal neuroma
Term
What are the clinical manifestations of Addison's dz?
Definition
Autoimmune, low cortisol and aldosterone, hypOtension, wt loss, fatigue, skin hyperpigmentation
Term
What is the MOA of propylthiouracil?
Definition
Inhibits the incorporation/organification of iodine; also inhibits the peripheral conversion of T4-->T3
Term
What are 3 possible side effects of PTU and methimazole?
Definition
1. skin rash
2. agranulocytosis (rare)
3. aplastic anemia
Term
What type of cells produce PTH? Calcitonin?
Definition
PTH: Chief cells of the parathyroid
Calcitonin: C cells of parafollicular cells of thyroid
Term
Which 2 MEN subtypes are associated w/ RET mutations?
Definition
MEN2a and MEN2b
Term
Which primary hormone is increased or decreased? Cushing's syndrome
Definition
Increased Cortisol
Term
Which primary hormone is increased or decreased? Conn's syndrome
Definition
Increased Aldosterone
Term
Which primary hormone is increased or decreased? Addison's dz
Definition
Decreased aldosterone and cortisol
Term
Patient presents with multiple nodules on his oral mucosa amd a Marfan's habitus. What is the likely dx?
Definition
MEN 2B (PMM)...Pheochromocytoma, Medullary thyroid carcinoma, and mucosal nodules/marfan habitus
Term
Measurement of what substance will help you to dx MEN2b?
Definition
Pentagastrin-stimulated calcitonin test (will suggest thyroid C cell hyperplasia suggestive of medullary carcinoma)
Supporting users have an ad free experience!