Endocrinology

Question 1

Catecholamines in the urine, headaches, hypertension and palpitations?

Answer 1

Phaeochromocytoma

Question 2

Tanned skin without being on holiday?

Answer 2

Addison’s

Question 3

Increased shoe size, “spade hands”, wedding ring too tight?

Answer 3

Acromegaly

Question 4

Signs of hyperthyroidism plus any eye changes, gritty eyes, smooth velvety skin?

Answer 4

Grave’s disease

Question 5

Moon face, proximal weakness, stretch marks, buffalo hump, abdo fat?

Answer 5

Cushingss

Question 6

Ketones on breath (sweet smelling/ pear drop breath)

Answer 6

DKA

Question 7

Deep laboured breathing (Kussmaul breathing)?

Answer 7

Metabolic acidosis (Esp DKA)

Question 8

“Orphan Annie” Nuclei?

Answer 8

Papillary thyroid cancer

Question 9

Bone pain, stones, abdo pain, psychiatric problems (bones, stones, moans and groans)?

Answer 9

Hypercalcaemia (hyperparathryoidism)

Question 10

Psammoma bodies?

Answer 10

Found in papillary thyroid carcinomas

Question 11

Butterfly rash?

Answer 11

SLE

Question 12

Heat intolerance/ palpitations?

Answer 12

hyperthryoidism

Question 13

Cold intolerance/ weight gain?

Answer 13

Hypothyroidism

Question 14

Anosmia and isolated GnRH deficiency?

Answer 14

Kallmann’s syndrome

Question 15

Trousseau sign, Ckvostek sign and QT prolongation (on ECG)?

Answer 15

Hypocalcaemia

Question 16

Acute management of hypocalcaemia?

Answer 16

IV calcium gluconate (10ml of 10% calcium gluconate over 10 minutes in 50% dextrose or saline)

Question 17

Brachydactyly of the 4th metacarpal?

Answer 17

Pseudohyoparathyroidism