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Date Completed: 07/03/2023
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- Endocrinology
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Hyperthyroidism: Thyroid Storm
A 45 year old man is brought to the Emergency Department by his wife. She describes worsening confusion and agitation over the last 2 days.
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Diabetes Mellitus: Clinical Features
A 17 year old girl presents to the Emergency Department with a history of polydipsia and weight loss. You suspect diabetes mellitus. Which o
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Diabetes Mellitus: Clinical Features
You have been asked to give a teaching session on diabetes to a group of medical students. Which of the following is typically used as the t
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Adrenal Disorders: Addison's Disease
A 36 year old woman is brought to the Emergency Department after collapsing at home. She is complaining of dizzy spells whenever she stands.
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Hyperthyroidism: Diagnosis
A 47 year old woman presents to the Emergency Department complaining of palpitations and heat intolerance. She has no past medical history.
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Paediatric Hypoglycaemia
A 12 month old is brought into ED by her mother with a 4 day history of diarrhoea and vomiting. On triage assessment, she appears alert and
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Hyperthyroidism: Thyroid Storm
A 45 year old woman presents to the Emergency Department with acute confusion. She has a past medical history of hyperthyroidism and has bee
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Diabetes Mellitus: Clinical Features
A 15 year old boy presents to the Emergency Department with a history of polydipsia and weight loss. You suspect diabetes mellitus. Which of
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Paediatric Diabetic Ketoacidosis: Management
A 3 year old child, who weighs 15 kg, is referred to ED by her GP with suspected diabetic ketoacidosis. You are attempting to calculate her
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Hyperthyroidism: Clinical Features
A 47 year old woman presents to the Emergency Department complaining of palpitations. On examination you note exophthalmos. You suspect hype
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Hyperosmolar Hyperglycaemic State: Management
A 78 year old man is brought into the Emergency Department by his carers. They describe 2 days of increased thirst and urination, alongside
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Paediatric Diabetic Ketoacidosis: Management
A 7 year child is brought to the Emergency Department after becoming increasingly unwell over the last day. He was recently diagnosed with t
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Diabetic Ketoacidosis: Management
A 37 year old woman presents to the Emergency Department with abdominal pain and vomiting. She has a past medical history of type 1 diabetes
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Hypothyroidism: Myxoedema Coma
A 46 year old woman is brought to the Emergency Department after being found unresponsive at home. Her blood glucose level is 8.7 mmol/L. He
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Adrenal Disorders: Primary Hyperaldosteronism
A 24 year old woman presents to the Emergency Department with frequent headaches. Her observations are recorded at triage: Heart rate:
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Diabetic Ketoacidosis: Management
A 21 year old woman with type 1 diabetes is brought to the Emergency Department by her mother, she is concerned she may be in diabetic ketoa
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Adrenal Disorders: Addisonian Crisis
A 34 year old woman, with a known history of Addison's disease, is brought to the Emergency Department by paramedics after collapsing at hom
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Clinical Features
You have been asked to give a teaching session to a group of medical students. The title of the session is "Pituitary Disorders". Which of t
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Hypothyroidism: Investigations
A 56 year old woman presents to the Emergency Department complaining of feeling "cold all the time" and gaining weight despite a poor appeti
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Adrenal Disorders: Phaeochromocytoma
A 54 year old woman presents to the Emergency Department with a headache and palpitations. On examination you find she is hypertensive and d
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Paediatric Diabetic Ketoacidosis: Management
A 7 year old boy is brought to the Emergency Department by his parents. They describe weight loss over the last month, associated with incre
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Paediatric Diabetic Ketoacidosis: Management
An 8 year old boy, with known diabetes mellitus, presents to ED with abdominal pain and vomiting. His obs are: HR 100 bpm, RR 22 breaths/min
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Adrenal Disorders: Primary Hyperaldosteronism
A 24 year old woman presents to the Emergency Department with a headache and increased thirst. She describes a "pins and needles" feeling in
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Diabetes Insipidus: Diagnosis
A 34 year old man presents to the Emergency Department with polyuria and polydipsia. Biochemistry results demonstrate a raised plasma osmo
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Hypothyroidism: Causes
A 64 year old woman presents to the Emergency Department with weakness and bilateral leg swelling. On examination she has slow-relaxing elbo
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Diabetic Ketoacidosis: Management
A 27 year old man is brought to the Emergency Department after being found unresponsive in a local park. Whilst examining him you note a med
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Diabetic Ketoacidosis: Management
A 32 year old woman is brought to the Emergency Department after being found unresponsive at home by her partner. Whilst examining her you n
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Hyperthyroidism: Investigations
A 45 year old woman presents to the Emergency Department with a 3 day history of palpitations. On examination you note an irregularly irregu
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Adrenal Disorders: Addison's Disease
A 45 year old man presents to the Emergency Department following a syncopal episode at home. He is nauseous and lethargic. On examination yo
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Diabetes Insipidus: Investigations
A 23 year old woman presents to the Emergency Department with a 2 day history of polyuria and polydipsia. She underwent a resection of a pit
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Diabetes Mellitus: Hypoglycaemia
The triage nurse calls for a doctor to attend the triage room. He explains that the adult patient currently in the room has presented follow
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Diabetes Insipidus: Diagnosis
A 32 year old man presents to the Emergency Department with a history of excessive drinking and urination. His wife was concerned and advise
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Hyperthyroidism: Management
A 35 year old woman, with a known history of hyperthyroidism, presents to ED complaining of tremor, palpitations and restlessness. She admit
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Paediatric Diabetic Ketoacidosis: Management
A 12 year old boy is brought to the Emergency Department by his parents. They describe weight loss over the last month, associated with incr
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Cushing’s Syndrome: Clinical Features
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The topic of the session
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Paediatric Diabetic Ketoacidosis: Management
A 13 year old girl, with known diabetes mellitus, presents to ED with abdominal pain, nausea and vomiting, and lethargy. Her observations ar
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Hyperthyroidism: Causes
A 54 year old woman presents to the Emergency Department with a 3 day history of palpitations. She has a past medical history of hyperthyroi
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Hyperosmolar Hyperglycaemic State: Management
An 88 year old woman is brought into the Emergency Department by her husband. He describes her becoming increasingly confused over the last
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Paediatric Diabetic Ketoacidosis: Complications
A 7 year old boy is brought to the Emergency Department by his parents. They describe weight loss over the last month, associated with incre
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Diabetic Ketoacidosis: Management
A 23 year old woman presents to the Emergency Department with a reduced GCS following 2 days of abdominal pain and vomiting. She is well kno
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Cushing’s Syndrome: Investigations
A 49 year old woman presents to the Emergency Department with a wound to her hand that is not healing. She has a past medical history of rhe
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Diagnosis
A 76 year old presents to the Emergency Department with acute confusion and vomiting. His blood results show a hyponatraemia (121 mmol/L) an
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Hyperthyroidism: Clinical Features
A 47 year old woman presents to the Emergency Department complaining of palpitations. On examination you note exophthalmos. You suspect hype
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Hyperthyroidism: Diagnosis
A 45 year old woman presents to the Emergency Department complaining of palpitations and anxiety. She describes feeling hot and flushed. Wha
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Adrenal Disorders: Phaeochromocytoma
A 46 year old man presents to the Emergency Department with a headache and palpitations. He describes multiple similar episodes over the las
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Adrenal Disorders: Addison's Disease
A 45 year old woman presents to the Emergency Department with abdominal pain. She is hypotensive and hypoglycaemic. She has a past medical h
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Diabetic Ketoacidosis: Management
A 37 year old man presents to the Emergency Department with abdominal pain and drowsiness. He has a past medical history of type 1 diabetes.
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Management
A 68 year old man is brought to the hospital following a seizure. He had a 2-week history of confusion before this. You note his plasma sodi
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Paediatric Diabetic Ketoacidosis: Management
A 12 year old boy is brought to the Emergency Department by his parents. They describe weight loss over the last month, associated with incr
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Hyperosmolar Hyperglycaemic State: Clinical Features
A 78 year old man is brought into the Emergency Department by his carers. They describe 2 days of increased thirst and urination, alongside
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Management
A 57 year old man with history of small cell lung cancer is brought to the Emergency Department with weakness, nausea and vomiting. He is al
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Diabetic Ketoacidosis: Management
A 27 year old man is brought to the Emergency Department after being found unresponsive in a local park. Whilst examining him you note a med
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Diagnosis
You have been asked for advice by one of your junior colleagues. They have assessed a patient and their lab results show hyponatraemia, low
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Diabetes Insipidus: Clinical Features
A 43 year old woman presents to the Emergency Department with a 1 day history of polyuria and polydipsia. She underwent a resection of a pit
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Adrenal Disorders: Addison's Disease
A 46 year old woman is brought to the Emergency Department after collapsing at home. She is complaining of dizzy spells whenever she stands
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Hypothyroidism: Clinical Features
A 56 year old woman presents to the Emergency Department due to fatigue and worsening confusion. Her blood tests show an elevated TSH and yo
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Diabetic Ketoacidosis: Clinical Features
A 34 year old man presents to the Emergency Department after being found unresponsive by his partner. He has a past medical history of type
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Clinical Features
A 67 year old man with small cell lung cancer is brought to the Emergency Department acutely confused and vomiting. You consider the associa
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Diabetic Ketoacidosis: Management
A 27 year old woman presents to the Emergency Department with abdominal pain and vomiting. Her partner is concerned because she is drowsy an
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Adrenal Disorders: Addison's Disease
A 55 year old woman presents to the Emergency Department following a syncopal episode at home. She describes 3 days of worsening fatigue and
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Causes
An 82 year old man presents to the Emergency Department with muscle weakness, fatigue and nausea. His urea and electrolyte results show:
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Hypothyroidism: Causes
A 56 year old woman presents to the Emergency Department complaining of feeling "cold all the time" and gaining weight despite a poor appeti
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Adrenal Disorders: Addisonian Crisis
A 39 year old man presents to ED complaining of sudden onset abdominal pain and vomiting. His observations are: BP 90/55, HR 110, RR 18, tem
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Cushing’s Syndrome: Diagnosis
A 27 year old woman presents to the Emergency Department with a severe headache and is found to be hypertensive. She has no past medical his
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Diabetic Ketoacidosis: Clinical Features
You have been asked to give a teaching session to junior colleagues on the topic of diabetic complications. You are discussing diabetic keto
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Hypothyroidism: Diagnosis
A 42 year old woman presents to the Emergency Department complaining of feeling tired and cold all the time, and putting on weight despite h
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Cushing’s Syndrome: Diagnosis
A 70 year old woman presents to the Emergency Department with fatigue and loss of muscle strength. She has a past medical history of rheumat
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