Day 1,2
Pre-test |
Diabetes: Diagnosis and Classification
- What are the current criteria for the diagnosis of Diabetes Mellitus (ADA)?
- What are the clinical and pathophysiologic features that differentiate type 1 and type 2 Diabetes Mellitus?
- What are the criteria for diagnosing gestational diabetes mellitus?
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| Day 3,4 |
Diabetes: General Treatment Principles
- What are the different types of treatment formulations for Diabetes Mellitus?
- What are the goals of insulin therapy in patients with type 1 Diabetes?
- What are the determinants to adjustment of insulin doses and timing?
- What levels of glycemic control are ideal for patients with type 2 Diabetes?
- What are the criteria for the selection of an oral hypoglycemic agent?
- When should combination oral therapy be started in a patient with type 2 Diabetes?
- What are the criteria for initiating insulin therapy in type 2 Diabetes Mellitus?
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| Day 5,6 |
Diabetes: Complications of Diabetes
- What are the chronic complications of diabetes mellitus?
- What is the indications for referral of the diabetic patient to an ophthalmologist?
- What are the ophthalmologic emergencies for diabetic patients?
- What interventions prevent or slow the appearance of microalbuminuria in patients with diabetes?
- What are the indications for consultation by a nephrologist in patients with diabetes?
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| Day 7 |
Diabetic Emergencies
- What are the major precipitants of diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic coma?
- What is the primary therapy for diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic coma?
- What issues need to be address during the treatment of these two entities?
- What are the potential complications of treatment in both emergencies?
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| Day 8 |
Thyroid: Evaluations of TFT's
- What types of serologic tests can be drawn to test the thyroid function?
- What are the different thyroid indices and how are they used?
- What is the best test for thyroid function?
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| Day 9,10 |
Thyroid: Hyperthyroidism
- What is the differential of a hyperthyroid patient? List the causes.
- What tests are indicated in the initial evaluation of patients with hyperthyroidism?
- What tests are needed to differentiate the different causes of hyperthyroidism?
- Review antithyroid drug therapy, radioactive iodine, surgery indications for patients with hyperthyroidism
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| Day 11,12 |
Thyroid: Hypothyroidism
- What is the differential of a hypothyroid patient?
- What tests are needed or helpful in the evaluation of patients with hypothyroidism?
- When and how should treatment of hypothyroidism be treated?
- How should thyroid hormone therapy be monitored?
- Does the preparation of thyroid hormone matter?
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| Day 13 |
Thyroid: Thyroid Cancer
- What is the work-up of a thyroid nodule?
- What are the different types of thyroid cancer?
- When would you use ultrasound or thyroid scan?
- What is the difference between a cold nodule and a hot nodule?
- How is thyroid cancer treated and what is the follow-up of patients who underwent surgical removal of their cancer?
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| Day 14 |
Thyroid Emergencies
- What are the thyroid emergencies that needs prompt treatment?
- What are the precipitating factors for each of the thyroid emergency?
- What are the clinical manifestations of each?
- What are the treatment and what are the controversies?
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| Day 15 |
Hypothalamic-Pituitary-Adrenal Axis
- What is the physiology of the Hypothalamic-Pituitary-Adrenal Axis?
- What organs are involved in the individual axis and which hormones are secreted by the different axis?
- What are the functions of the hormones in each axis?
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| Day 16 |
Adrenal Insufficiency
- What are the difference between primary and secondary hypoadrenalism?
- What are the clinical signs and symptoms of adrenal insufficiency?
- Which patients who have been on long-term glucocorticoid therapy are at risk for Hypothalamic-Pituitary-Adrenal Axis suppression?
- What is the best test to exclude hypoadrenalism?
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| Day 17 |
Cushing's Syndrome
- What are the clinical manifestations of Cushing's Syndrome?
- What is the best screening test for Cushing's Syndrome?
- What is the optimal treatment for Cushing's Syndrome?
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| Day 18, 19, 20 |
Pituitary Tumors
- Review the hypothalamic-pituitary axis.
- What types of pituitary tumors are there?
- What signs and symptoms are worrisome in a patient suspected of a pituitary tumor?
- Which are medically treated and which are surgically treated?
- What are the treatments for each one?
- What are some of the common side effects post-op for these patients and how are they treated?
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| Day 21 |
Hypercalcemia
- What is the differential of hypercalcemia?
- What is the best approach to the differential diagnosis of hypercalcemia?
- What are the signs and symptoms of hypercalcemia?
- What is the treatment of acute hypercalcemia?
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| Day 22 |
Hyperparathyroidism
- How many types of hyperparathyroidism are there and what is the pathophysiology of each?
- When do you send a patient to surgery for primary hyperparathyroidism?
- Is there an effective medical treatment of primary hyperparathyroidism?
- What are the indications for surgery in primary hyperparathyroidism?
- What is the appropriate follow-up regimen for a patient with primary hyperparathyroidism for whom surgery is not chosen?
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| Day 23, 24 |
Osteoporosis
- Incidence and Prevalence?
- How do you prevent secondary and primary osteoporosis?
- How do you treat osteoporosis?
- Risk Factors for Osteoporosis?
- What is the best supplementary amount of calcium and vitamin D; does it differ for the young and old; for women and men?
- Who do you recommend HRT replacement?
- Does low-dose estrogen therapy have a place in the treatment of postmenopausal bone loss?
- What treatment regimens should be considered in women with contraindications or objections to post-menopausal estrogen replacement therapy?
- How should male osteoporosis be treated?
- Is there now an accepted therapy for glucocorticoid-induced osteoporosis?
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| Day 24, 25, 26 |
HRT: Testosterone and Estrogen
Lipids
- List the types of hypercholesterolemia and review.
- What are the NCEP guidelines for patients with hyperlipidemia?
- What guidelines are used to determine when and what pharmacologic agents should be prescribed for hypercholesterolemia?
- What are the common side effects of pharmacologic agents used to lower cholesterol?
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| Day 27 |
Obesity and Medical Nutrition
- Medical causes of Obesity Differential Diagnoses
- Calculation of Basal Metabolic Rate
- Daily Kcaloric intake requirements
- Energy Balance: intake and expenditure
- Kcal of protein, CHO and fat
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| Day 28 |
| Post Test |
