18 Study Guide

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NursyDaisy
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137385
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18 Study Guide
Updated:
2012-04-30 20:20:07
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Pathophysiology
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Description:
Alterations of Hormonal Regulation
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  1. Which laboratory values would be expected in an individual with SIADH?
    A. serum sodium = 150 mEq/L and urine hypoosmolality
    B. serum sodium = 120 mEq/L and urine hypoosmolality
    C. serum potassium = 3 mEq/L and serum hyperosmolality
    D. serum potassium = 5 mEq/L and serum hypoosmolality
    B. serum sodium = 120 mEq/L and urine hypoosmolality
    (this multiple choice question has been scrambled)
  2. Hypopituitarism in an adult male likely includes all of the following except:
    A. dwarfism.
    B. impotence.
    C. muscular mass decrease.
    D. skin pallor.
    A. dwarfism.
    (this multiple choice question has been scrambled)
  3. Excessive secretion of GH in an adult may cause:
    A. decreased metabolic rate.
    B. hypoglycemia.
    C. acromegaly.
    D. giantism.
    C. acromegaly.
    (this multiple choice question has been scrambled)
  4. A manifestation shared by both diabetes mellitus and diabetes insipidus is:
    A. elevated blood urine and ketone body levels.
    B. inability to produce ADH.
    C. inability to produce insulin.
    D. polyuria.
    E. elevated blood and urine glucose levels.
    D. polyuria.
    (this multiple choice question has been scrambled)
  5. The manifestations of hyperthyroidism include all of the following except:
    A. wakefulness.
    B. constipation.
    C. weight loss.
    D. heat intolerance.
    E. diarrhea.
    B. constipation.
    (this multiple choice question has been scrambled)
  6. Hypothyroidism crisis is:
    A. Cushing disease.
    B. Graves disease.
    C. cretinism.
    D. myxedema coma.
    E. Addison disease.
    D. myxedema coma.
    (this multiple choice question has been scrambled)
  7. Graves disease is:
    a. hyperthyroidism.
    b. associated with autoimmunity.
    c. manifested by ophthalmopathy.
    d. All of the above are correct.
    d. All of the above are correct.
  8. Inadequate levels of thyroid hormones at birth may cause:
    A. mental retardation.
    B. immediate death.
    C. myxedema.
    D. dwarfism.
    E. thyroid crisis.
    A. mental retardation.
    (this multiple choice question has been scrambled)
  9. Hyperparathyroidism causes:
    A. increased osteoclastic activity.
    B. increased phosphorus absorption from GI tract.
    C. decreased plasma calcium.
    D. hypocalcemia.
    A. increased osteoclastic activity.
    (this multiple choice question has been scrambled)
  10. A manifestation of hypocalcemia is:
    A. bone cysts.
    B. lethargy.
    C. myopathy.
    D. hypertension.
    E. tetany.
    E. tetany.
    (this multiple choice question has been scrambled)
  11. What is the most common cause of acromegaly?
    A. overproduction of TSH
    B. pituitary atrophy
    C. anterior pituitary adenoma
    D. overproduction of ACTH
    C. anterior pituitary adenoma
    (this multiple choice question has been scrambled)
  12. 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?
    A. 17-kerosteroid
    B. cortisol
    C. thyroxine
    D. ACTH
    C. thyroxine
    (this multiple choice question has been scrambled)
  13. 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?
    A. renal failure
    B. peripheral neuropathy
    C. hyperglycemia
    D. insulin shock
    D. insulin shock
    (this multiple choice question has been scrambled)
  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 probably disease causing his condition is:
    A. cretinism.
    B. GDM.
    C. type 2 diabetes mellitus.
    D. type 1 diabetes mellitus.
    E. IGT.
    D. type 1 diabetes mellitus.
    (this multiple choice question has been scrambled)
  15. Your neighbor, not previously diagnosed as a diabetic, has gained 80 pounds in the last 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:
    A. type 1 diabetes mellitus.
    B. diabetes insipidus.
    C. GDM.
    D. type 2 diabetes mellitus.
    E. IGT.
    D. type 2 diabetes mellitus
    (this multiple choice question has been scrambled)
  16. Common symptoms and signs of diabetes mellitus include all of the following except:
    A. increased muscle anabolism.
    B. persistent infection
    C. polyuria.
    D. hyperglycemia.
    E. blurred vision.
    A. incresed muscle anabolism.
    (this multiple choice question has been scrambled)
  17. Which laboratory finding is inconsistent with a diagnosis of absolute insulin deficiency?
    A. FBS (fasting blood sugar) of 90 mg/dl
    B. ketonuria
    C. decreased serum insulin level.
    D. blood glucose of 210 mg/dl after 1 hour following ingestion of 100 g glucose.
    e. All of the above are consistent with type 1 diabetes mellitus.
    A. FBS (fasting blood sugar) of 90 mg/dl
    (this multiple choice question has been scrambled)
  18. Common complications of diabetes mellitus include all of the following except:
    a. retinopathy.
    b. peripheral neuropathy.
    c. nephopathy (kidney disease).
    d. None of the above is common.
    e. All of the above are common.
    e. All of the above are common.
  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:
    A. hypoglycemia because of running.
    B. eating a snack before running.
    C. Both a and b are correct.
    D. hyperglycemia.
    e. None of the above is correct.
    A. hypoglycemia because of running.
    (this multiple choice question has been scrambled)
  20. Which is/are expected during hyperinsulinism?
    a. excess insulin
    b. high serum glucose
    c. epinephrine release
    d. All of the above are correct.
    e. Both a and c are correct.
    e. Both a and c are correct. (a. excess insulin. c. epinephrine release.)
  21. Long-term corticosteroid therapy may cause (more than one answer may be correct):
    a. delayed wound healing.
    b. osteoporosis.
    c. peptic ulcers.
    d. hyperkalemia.
    • a. delayed wound healing.
    • b. osteoporosis.
    • c. peptic ulcers.
  22. Which electrolyte alteration occurs in Addison disease?
    A. hypocalcemia
    B. hypernatremia
    C. hyponatremia
    D. hypokalemia
    C. hyponatremia
    (this multiple choice question has been scrambled)
  23. A benign tumor of adrenal glands that causes hypersecretion of aldosterone is:
    A. Gushing disease.
    B. Cushing syndrome.
    C. Addison disease.
    D. a pheochromocytoma.
    E. Conn disease.
    E. Conn disease
    (this multiple choice question has been scrambled)
  24. Hypersecretion of aldosterone
    A. hyponatremia
    B. hyperglycemia or osteoporosis
    C. BMR (basal metabolic rate) increases
    D. decreased cardiac output
    E. hypernatremia
    E. hypernatremia
    (this multiple choice question has been scrambled)
  25. Hypersecretion of glucocorticoids
    A. BMR (basal metabolic rate) increases
    B. hypernatremia
    C. hyponatremia
    D. decreased cardiac output
    E. hyperglycemia or osteoporosis
    E. hyperglycemia or osteoporosis
    (this multiple choice question has been scrambled)

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