Patho Chapter 18

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Patho Chapter 18
2011-12-05 19:48:30
Alterations Hormonal Regulation

CD and WB
Show Answers:

  1. Which laboratory values would be expected in an individual with SIADH?
    serum sodium=120mEq/L and urine hyperosmolality
  2. Hypopituitarism in an adult male liklely includes all of the following except:
  3. Excessive secretion of GH in an adult may cause:
  4. The manifestation of hyperthyroidism include all of the following except:
  5. Hypothyroidism crisis is:
    myxedema coma
  6. Graves disease is:
    • all of the above are correct
    • hyperthyroidism, associated with autoimmunity, manifested by opthalmopathy
  7. Inadequate levels of thyroid hormones at birth may cause:
    mental retardation
  8. Hyperparathyroidism causes:
    increased osteoclastic activity
  9. A manifestation of hypocalcemia is:
  10. What is the most common cause of acromegaly?
    anterior pituitary adenoma
  11. If a 19 year old woman were suffering from shortness of breath, weight loss, excessive sweating, exophthalmos, and irritability, which hormone would you expect to find elevated in her serum?
  12. A 24 year old female with a history of "juvenile onset" diabetes is found in a stuporous state. She is hypotensive and has cold, clammy skin. What is the likely etiology of her condition?
    insulin shock
  13. A manifestation shared by both diabetes mellitus and diabetes insipidus is:
  14. A 10 year old male was brought into the emergency room comatose, suffering from metabolic acidosis with a blood glucose level of 800 mg/dl. The most probable disease causing this condition is:
    type 1 diabetes mellitus
  15. Your neighbor, not previously diagnosed as a diabetic, has gained 80 pounds in the past year and is able to produce some insulin. Her fasting blood sugar is always elevated. She is being treated with oral insulin stimulating drugs. Your neighbor is most likely suffering from:
    Type 2 diabetes mellitus
  16. Common symptoms and signs of diabetes mellitus include all of the following except:
    Increased muscle anabolism
  17. Which laboratory finding is inconsistent with a diagnosis of absolute insulin deficiency?
    FBS (fasting blood sugar) of 90 mg/dl
  18. Common complications of diabetes mellitus include all of the following except:
    • All of the above are common
    • retinopathy, peripheral neuropathy, nephropathy (kidney disease)
  19. An individual with type 1 diabetes mellitus experiences hunger, lightheadedness, headache, confusion, and tachycardia while cross-country running. The likely cause of these manifestations is:
    hypoglycemia because of running
  20. Which is/are expected during hyperinsulinism?
    • Both a and c are correct
    • excess insulin and epinephrine release
  21. Which electrolyte alteration occurs in addison disease?
  22. A benign tumor of adrenal glands that causes hypersecretion of aldosterone is:
    Conn disease
  23. Which of the following is not a typical symptom of new-onset diabetes?
  24. A patient experiences visual changes that begin in one eye, then begins to involve the second eye. Which of the following conditions does this patient most likely have?
    Pituitary adenoma
  25. A patient is diagnosed with thyroid carcinoma. Which of the following statements is true?
    Thyroid carcinoma is the most common endocrine malignancy
  26. Which of the following is not a type of receptor disorder in regard to hormone regulation?
    Absence of antibodies against specific receptors
  27. A patient is diagnosed with a thyroid disorder as a result of destruction of thyroid tissue by lymphocytes and circulating thyroid autoantibodies. A relative also has this disease. Which of the following diseases does this patient have?
    Hashimoto disease
  28. Which of the following is not associated with SIADH?
    Not caused by any known medications or drugs
  29. A patient develops severe dehydration and hyperglycemia. There is an absence of ketosis. Which of the following conditions does this patient have?
    Hyperosmolar hyperglycemic nonketotic syndrome
  30. Which of the following is true regarding pituitary adenomas?
    Arise from anterior pituitary
  31. A patient experience retinopathy as a result of diabetes. There is venous dilation, microaneurysm formation, and blot hemorrhages. Which of the following stages of retinopathy is this patient experiencing?
    Stage I
  32. Which of the following contributes to insulin resistance?
  33. Which of the following is a symptom of SIADH?
  34. Which of the following is a true statement regarding diabetes insipidus?
    The neurogenic form occurs with organic lesion of the hypothalamus or pituitary
  35. Which of the following is true regarding acromegaly?
    Most commonly caused by GH-secreting pituitary adenoma
  36. Which of the following is a symptom of prolactinoma?
  37. A complication not likely to be experienced by a patient with chronic uncontrolled type 2 diabetes is:
    Increased glomerular filtration rate
  38. A patient experiences nausea, vomiting, loss of body hair, fatigue, weakness, and hypoglycemia. Which of the following hormone deficiencies does this patient most likley have?
  39. Which of the following is a true statement regarding myxedema coma?
    Associated with lactic acidosis
  40. Which of the following is a true statement regarding diabetic ketoacidosis?
    Increased fat mobilization
  41. Which of the following is a medication used to treat thyrotoxic crisis?
  42. A patient is diagnosed with pheochromocytoma. Which of the following would be expected to accompany this diagnosis?
  43. Which of the following is a symptom of Graves' disease?
  44. Which of the following is true regarding congenital hypothyroidism?
    It is the result of absent thyroid tissue