SARAH MICHELLE LIVE REVIEW EXAM

• | P a g e

SARAH MICHELLE LIVE REVIEW EXAM

NEWEST -

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+||BRAND NEW!!

What is the purpose of the parathyroid gland? - ANSWER- Releases parathyroid hormone which keeps both our calcium and phosphorus in check

What is the relationship between calcium and phosphorus? - ANSWER- Inverse relationship

In hyperparathyroidism- what is going to be the calcium and phosphorus levels? - ANSWER- Calcium level is going to be high and phosphorus level is going to be low

What is a major concern with elevated calcium levels? - ANSWER- Underlying malignancy

What is going on in Type 1 DM that isn't going on in type 2 DM? - ANSWER- There are antibodies in type 1- this is going to impact type 1 because these antibodies are destroying all of their beta cells and because of that they are going to be insulin dependent

• / 4

• | P a g e

In type 1 diabetes patients, we are worried about them developing what?

- ANSWER- DKA

When type 1 diabetic patients are sick, should they stop their insulin? - ANSWER- No- continue insulin as normal

What is Somogyi Effect? - ANSWER- There is a DIP in the middle of the night in their blood glucose, before it rise in the morning

What is Dawn Effect? - ANSWER- The blood glucose steadily rises all night

What is the typical cause of the Dawn Effect? - ANSWER- Due to an increase in growth hormone, just need to increase their insulin

At what HgbA1c are we going to initiate insulin? - ANSWER- > 9%

What physical exam finding may occur due to insulin resistance? - ANSWER- Acanthosis nigricans

Do type 2 diabetes patients need to take a daily aspirin? - ANSWER- Not necessarily, if they are at increased risk of heart disease then they can take a daily aspirin

What is Addison's disease? - ANSWER- Too little cortisol 2 / 4

• | P a g e

What is Cushing's disease? - ANSWER- Too much cortisol

What lab values would you expect in Addison's disease? - ANSWER- Everything is going to be low except their potassium level- hyperkalemia

What lab values would you expect in Cushing's disease? - ANSWER- Everything is going to be high except their potassium level- hypokalemia

What are some signs and symptoms of Cushing's disease? - ANSWER- Moon face Purple striae Truncal obesity

What anemias are alcoholics at biggest risk for? - ANSWER- Folate and B12 deficiency anemias

What is glossitis? - ANSWER- Beefy red tongue- common in B12 deficiency

What do we need to limit in children less than 12 months of age to help prevent iron deficiency anemia? - ANSWER- Whole milk

• / 4

• | P a g e

Beside thalassemia, what is another condition that can cause you to absorb too much iron? What is the treatment? - ANSWER- Hemochromatosis- treatment is regular phlebotomy

What is polycythemia vera? How is this treated? - ANSWER- When the body creates too many blood cells and this makes the blood very thick and viscous Treated with regular phlebotomy

Patient with polycythemia Vera are at an increased risk of what? - ANSWER- Clotting

What are examples of highest levels of evidence? - ANSWER- Meta- analysis and Systematic Reviews Pulling together a lot of research to review it

Key word: Review- they are pulling together several studies that have

already been done

What are examples of middle levels of evidence? - ANSWER- All the C's Randomized control trials, cohort studies, case control studies, and cross sectional studies Actual research is being performed

What are some examples of studies with the lowest level of evidence? - ANSWER- Editorials, opinions, observational

• / 4