Untitled Flashcards Set
Let’s go, Kirk — here’s your custom flashcard set for Chapter 48: Endocrine & Metabolism, built directly from the Jersey exam-style breakdown + mnemonic sheet. These are formatted to quiz yourself, friends, or use in Anki/Quizlet. 🔥
🔹 CHAPTER 48: ENDOCRINE FLASHCARDS
Q: What are hallmark signs of Growth Hormone Deficiency in children?
A: Height <3rd percentile, slow growth after 1 year, youthful face, delayed puberty, high-pitched voice.
Q: What’s the dose and schedule for Somatropin (GH)?
A: 0.2–0.3 mg/kg/week, SubQ at bedtime.
Q: Early puberty (before age 8 in girls, 9 in boys) is called what?
A: Precocious Puberty
Q: How is Central Precocious Puberty treated?
A: Leuprolide (0.2–0.3 mg/kg IM monthly), suppresses LH/FSH
Q: In DI, what labs are elevated and what med is used?
A: ↑ Na+, ↓ specific gravity; Desmopressin (DDAVP)
Q: What’s the danger of giving too much DDAVP?
A: Water intoxication, hyponatremia → seizures
Q: SIADH has what electrolyte imbalance and how is it managed?
A: Hyponatremia (<125); fluid restriction, seizure precautions, 3% saline if severe
Q: What’s the classic triad of T1DM?
A: Polyuria, Polydipsia, Polyphagia
Q: DKA requires which 3 priority treatments in order?
A: IV NS bolus, IV insulin (0.1 u/kg/hr), add D5 when glucose <250
Q: What are signs of cerebral edema in DKA?
A: ↓ LOC, HA, vomiting, bradycardia, pupil changes
Q: What oral med is first-line for Type 2 Diabetes in kids?
A: Metformin – start at 500 mg PO BID, titrate up
Q: What’s the 15/15 rule for hypoglycemia?
A: 15g carb → wait 15 min → recheck glucose
Q: Unconscious hypoglycemic child = what treatment?
A: Glucagon IM: 0.5 mg if <20 kg, 1 mg if >20 kg
Q: What is the treatment for Congenital Adrenal Hyperplasia (CAH)?
A: Hydrocortisone + Fludrocortisone + Na+ supplements
Q: What electrolyte pattern is seen in CAH salt-wasting crisis?
A: Hyponatremia, hyperkalemia
Q: What are early signs of Congenital Hypothyroidism?
A: Constipation, hoarse cry, large fontanel, dry skin, umbilical hernia, macroglossia
Q: What’s the Synthroid dose for congenital hypothyroidism?
A: 10–15 mcg/kg/day PO, crush and mix with formula (not soy)
Q: What med is used for Hyperthyroidism and what’s its risk?
A: Methimazole – risk of agranulocytosis (sore throat, fever)
Q: What emergency complication can occur with Graves’ Disease?
A: Thyroid Storm – high fever, HTN, tachycardia, confusion
Q: Turner Syndrome key features?
A: Webbed neck, wide-spaced nipples, short stature, delayed puberty, coarctation of aorta
Q: Klinefelter Syndrome classic signs?
A: Tall male, small testes, gynecomastia, learning issues, XXY karyotype
Q: PKU requires what lifelong intervention?
A: Low-phenylalanine diet – no meat, dairy, eggs, or aspartame
Q: What’s the classic smell in PKU?
A: Musty body/urine odor
Q: What’s the newborn screening test for PKU?
A: Guthrie test, done 24–48 hrs after first feeding
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You’re crushing it. Want the same flashcard treatment for Chapters 42 or 43 next?