1114 Test 2

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1114 Test 2
2012-10-06 22:23:31
Caring Adult

Chapters 44 & 45
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  1. disease of middle-age adults resulting from overproduction of growth hormone by the anterior pituitary
  2. deviation resulting from a deficiency of adrenocortocotropic hormone caused by a destruction or dysfunction of the adrenal glands
    Addison disease
  3. epinephrine; a powerful vasoactive substance produced by the adrenal medulla in times of stress
  4. hormones produced by the adrenal cortex, testes, and ovaries that stimulate the development of male characteristics
  5. chemiclas eleased by sympathetic nerve endings in response to stress
  6. caused by the hypersecretion of glucocorticoids as a result of the excessive release of adrenocorticotropic hormone by the pituitary
    Cushing disease
  7. resulting from excessive glucocorticoids in the body as a result of a tumor or the hypersecretion of the pituitary gland or by the prolonged administration of large doses of exogenous steroids
    Cushing syndrome
  8. disease caused by the inadequate secretion of the antidiuretic hormone by the posterior portion of the pituitary gland
    diabetes insipidus
  9. inadequate secretion of GH that occurs during pre-adolescence
  10. gland that secretes a substance directly into the blood
    endocrine glands
  11. hormone produced by the ovaries, adrenal glands, and fetoplacental unit in women; it is responsible for the sexual development and maturation of women
  12. disease caused by excessive growth hormone in children and young adolescents resulting in excessive proportional growth
  13. class of adrenocortical hormones that affect protein and carbohydrate metabolism and help protect the body against stress
  14. surgical removal of all or part of the pituitary gland
  15. typr of hormone secreted by the adrenal cortex and involved in the regulation of fluid and electrolyte levels in the body
  16. disorder caused by excess antidiuretic hormone production; symptoms include decreased urination, edema, and lfuid overload
    Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
  17. spasm of the facial muscleswhen the facial nerve is tapped. It is indicative of hypocalcemia
    Chvostek sign
  18. permanent mental andphysical retardation caused by congenital deficiency of thyroid hormones
  19. protrusion of the eyeballs;is associated with hyperthyroidism
  20. enlargement of the thyroidgland
  21. substances that suppressesthyroid function
  22. spasmodic closure of the larynx
  23. facial edema that develops with severe, long-term hypothyroidism; sometimes used as a synonym for hypothyroidism
  24. small mass of tissue that can be palpated
  25. inflammation of the parotid (salivary) gland; most commonly called parotitis
  26. steady muscle contraction caused by hypocalcemia
  27. inflammation of the thyroid gland
  28. excessive metabolic stimulation caused by an elevated level of the thyroid hormone
  29. carpopedal spasm after compression of the nerves in the upper arm; is a sign of hypocalcemia
    Trousseau sign
  30. What hormones are produced in the anterior pituitary?
    GH, ACTH, TSH, FSH, LH, Prolactin, MSH
  31. GH (growth hormone) or somatotropic hormone
    stimulates the growth and development of bones, muscles, and organs
  32. ACTH (adrenocorticotropic hormone)
    • controls the growth, development, and function of the cortex of the adrenal glands
    • controls release of glucocorticids and adrena androgens
    • necessary for secretion of aldosterone but does not control rate of aldosterone secretion
  33. TSH (thyroid-stimulating hormone) or thyrotropic hormone
    controls the secretory activities of the thyroid gland
  34. FSH (follicle-stimulating hormone)
    stimulates the development of the eggs in the ovary of the woman and sperm production in the man
  35. LH (luteinizing hormone)
    controls ovulation or egg release in the woman and testosterone production in the man
  36. Prolactin, or lactogenic hormone
    stimulated breask milk production in the woman
  37. MSH (melanocyte-stimulating hormone)
    promotes pigmentation
  38. What hormones are ptoduced in the posterior pituitary?
    ADH, oxytocin
  39. ADH (antidiuretic hormone) or vasopressin
    • causes the reabsorption of water from the renal tubules of the kidney
    • by doing so, water excretion from the body in the form of urine is decreased
  40. oxytocin
    causes contractions of the uterus in labor and the release of breast milk
  41. uses radiographs to create images of internal structures; detects tumors, edema, and structural abnormalities
    cerebral CY scan
  42. Gadolinium is a contrast medium that is used to enhance brain imaging
    MRI scan with gadolinium infusion
  43. radiographs are taken to study cerebral blood flow and blood vessels
    cerebral angiogram
  44. evaluates response to glucose dose to detect diabetes mellitus and hyperpituitarism
    glucose tolerance test
  45. measures cortisol, which increases with adrenal hyperplasia, Cushing's syndrome, oat cell carcinoma; decreases with histoplasmosis and tuberculosis
    dexamethasone suppression test
  46. serum levels are measured to detect elevations or deficiencies of pituitary hormones
    pituitary hormone levels
  47. an infusion of hypertonic saline is given to stimulate release of ADH; used to detect DI
    hypertonic saline test
  48. detects changes in specific gravity and osmolality after aqueous vasopressin is given subcutanetously
    specific gravity and osmolality decrease with primary and secondary DI
    no response with nephrogenic DI
    fluid deprivation
  49. s/s of hypothyroidism on the integumentary system
    course, dry skin and hair; thick nails
  50. s/s of hypothyroidism on the musculoskeletal system
    muscle aches and pains, weakness, slow movements
  51. s/s of  hypothyroidism on the cardiovascular system
    bradycardia, dysrhythmias, hypotension, anemia, capillary fragility
  52. s/s of hypothyroidism on the respiratory system
    hypoventilation, dyspnea
  53. s/s of hypothyroidism on the GI system
    anorexia, nausea and vomiting, constipation, weight gain
  54. s/s of hypothyroidism on the neurologic system
    apathy, lethargy, slowed mental function, depression, slow speech, parasthesias, decreased tendon reflexes
  55. s/s of hypothyroidism on the reproductive system
    • women - amenorrhea or prolonged menses, infertility, decreased libido
    • men - decreased libido, erectile dysfunction
  56. s/s of hypothyroidism on other systems
    cold intolerance, decreased body temperature, facial puffiness or coarseness, thick tongue, nonpitting edema of hands and feet, sensitivity to CNS depressant agents
  57. s/s of hyperthyroidism on the integumentary system
    smooth, moist skin; silky hair, diaphoresis
  58. s/s of hyperthyroidism on the musculoskeletal system
  59. s/s of hyperthyroidism on the cardiovascular system
    tachycardia, dysrhythmias, palpitations, systolic hypertension, angina
  60. s/s of hyperthyroidism on the respiratory system
    increased respiraotry rate, dyspnea
  61. s/s of hyperthyroidism on the GI system
    increased appetite increased bowel sounds, diarrhea, weight loss
  62. s/s of hyperthyroidism on the neurologic system
    nervousness and irritability, insomnia, personality change, agitation, inability to concentrate, fine tremor of fingers and tongue, hyperreflexia
  63. s/s of hyperthyroidism on the reproductive system
    • women - menstrual irregularities, decreased libido
    • men - decreased libido, erectile dysfunction, gynecomastia
  64. s/s of hypoparathyroidism on the musculoskeletal system
    fatigue, weakness, cramps, twitching
  65. s/s of hypoparathyroidism on the urinary system
  66. s/s of hypoparathyroidism on the cardiovascular system
    decreased cardiac output, dysrhythmias
  67. s/s of hypoparathyroidism on the neurologic system
    hyperactive reflexes, memory impairment, depression, anxiety, irritability, personality changes, confusion, numbness and tingling of hands and feet and around mouth, muscle spasms
  68. s/s of hypoparathyroidism on the GI system
    abdominal cramps
  69. s/s of hypoparathyroidism on the integumentary system
    brittle nails, dry skin
  70. s/s of hypoparathyroidism on temperature tolerance
    cold intolerance
  71. s/s of hyperparathyroidism on the muscuolskeletal system
    poor muscle tone, weakness, bone pain, demineralization, fractures
  72. s/s of hyperparathyroidism on the urinary system
    polyuria, renal calculi
  73. s/s of hyperparathyroidism on the cardiovascular system
    hypertension, dysrhythmias
  74. s/s of hyperparathyroidism on the neurologic system
    depressed reglexes, decreased mental function, depression, mood swings, confusion, coma, poor coordination
  75. s/s of hyperparathyroidism on the GI system
    anorexia, nausea and vomiting, constipation
  76. s/s of hyperparathyroidism on the integumentary system
    moist skin
  77. s/s of hyperparathyroidism on temperature tolerance
    heat intolerance