YourName: Mary Fung

YourIdentifier: fung wai

Theme: Endocrine Disease

 

OPTION LIST

 

A	10 Hyperparathyroidism	I	MEN 2B
B	20 Hyperparathyroidism	J	Osteomalacia
C	30 Hyperparathyroidism	K	Phaeochromocytoma
D	Depression	L	Pituitary adenoma
E	Hyperthyroidism	M	Sheehan's syndrome
F	Hypothyroidism	N	SIADH
G	Idiopathic	O	Simmond's disease
H	MEN 1	P	Sipple syndrome

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 6 year old boy is brought to the GP clinic by his mother, who expresses her concerns over complaints from school that his physical appearance is scaring the other little children. She also mentions that he has become unusually clumsy recently. Further investigation after referral reveals a mass on brain imaging.

 

 

2. A 32 year old accountant complains of weakness, nausea, and inability to concentrate at work for the past few days. He was recently started on an antidepressant. Routine tests show p[Na⁺] < 120 mM and an abnormally high urine osmolality.

 

 

3. A 51 year old woman presents for the first time to her GP with a 2 month history of sudden attacks of palpitations and headaches. She appears well on examination and there is no significant family medical history.

 

 

4. A 78 year old diabetic woman is admitted to A&E with a fractured hip. Bone radiograph shows multiple cysts filled with fibrous tissue in the surrounding area. Her past medical records show longstanding poor renal function.

 

 

5. A 40 year old man presents with tiredness, general malaise, dry skin, loss of body hair, cold intolerance, and loss of libido. He had an operation just over 3 weeks ago for RTA-induced head injury and had since lost 5 kg of weight.

 

 

ANSWERS

1. L

2. N

3. K

4. B

5. O