Section 9

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  1. Endocrine Glands
    • -produce 1 or more hormones
    • -ductless
    • -secrete their hormones directly into capillaries to circulate in the blood throughout the body
    • -widespread effect
    • -typically act on distant tissues
    • -some hormones, such as insulin, have many target organs. other hormones have only a few target organs
    • -through the release of hormones, plays an important role in regulating body function
  2. Exocrine Glands
    • -majority of glands in the body
    • -release their hormones(chemical products) through ducts to a local site - tend to have local effect
  3. Major Endocrine Glands
    • 1. hypothalamus
    • 2. pituitary
    • 3. thyroid
    • 4. parathyroid
    • 5. thymus
    • 6. pancreas
    • 7. adrenals
    • 8. gonads
  4. Endocrine glands secrete hormones or chemical substances (2)
    A) directly into surrounding tissue capillaries, and tend to have a systemic (total body) effect
    B) into the gastrointestinal system only
    C) directly into the surrounding tissue capillaries, and tend to have only a local effect
    D) via ducts, and tend to have only a local effect
    E) via ducts, and tend to have a systemic (total body) effect
    A) directly into surrounding tissue capillaries, and tend to have a systemic (total body) effect
    (this multiple choice question has been scrambled)
  5. Which of the following are examples of exocrine glands? (3)
    1 adrenal, 2 ovaries, 3 pituitary, 4 salivary, 5 sebaceous, 6 sudoriferous, 7 testes, 8 thyroid
    A) 1, 2, 3, 7, and 8
    B) 4, 5, and 6
    C) 2 and 7
    D) 2, 4, 5, 6, and 7
    B) 4, 5, and 6
    (this multiple choice question has been scrambled)
  6. Increased blood calcium levels are stimulated by a hormone secreted by the pea-sized (7)
    A) thyroid gland
    B) parathyroid glands
    C) ovaries or testes
    D) posterior pituitary gland
    E) adult thalamus
    D) posterior pituitary gland
    (this multiple choice question has been scrambled)
  7. The antidiuretic hormone (ADH) stimulates increased reabsorption of water into the body's blood volume and is secreted by the (13)
    A) kidneys
    B) adrenal glands
    C) pituitary gland
    D) parathyroid glands
    E) thyroid gland
    C) pituitary glands
    (this multiple choice question has been scrambled)
  8. Follicle-stimulating hormone (FSH) affects the function of the (14)
    A) pituitary gland
    B) thyroid gland
    C) ovaries or testes
    D) parathyroid glands
    E) adrenal gland
    C) ovaries or testes
    (this multiple choice question has been scrambled)
  9. FSH is secreted by the (15)
    A) pituitary gland
    B) thyroid gland
    C) parathyroid glands
    D) ovaries or testes
    E) adrenal glands
    A) pitutary gland
    (this multiple choice question has been scrambled)
  10. The pituitary gland is located (19)
    A) within the cerebrum
    B) within the triencephalon of the brainstem
    C) on top of each kidney
    D) below each kidney
    E) anterior and lateral to the trachea
    A) within the cerebrum
    (this multiple choice question has been scrambled)
  11. The process  by which a stored carbohydrate form is broken down, so as to create the carbohydrate form normally released into the blood, is called (27)
    A) glycogenolysis
    B) glycogenosis
    C) glycogenasis
    D) gluconeogenesis
    E) glutinasis
    A) glycogenolysis
    (this multiple choice question has been scrambled)
  12. The process by which new carbohydrate molecules are synthesized from noncarbohydrate sources is called (28)
    A) glycogenasis
    B) gluconeogenesis
    C) glycogenolysis
    D) glycogenosis
    E) glutinasis
    B) gluconeogenesis
    (this multiple choice question has been scrambled)
  13. Which of the following statements regarding a hyperglycemic hyperosmolar nonketotic (HHNK) diabetic emergency is false? (34)
    A) orthostatic hypotension is significantly indicative of a patient suffering from a HHNK diabetic emergency
    B) osmotic diuresis causes serious dehydration in patients suffering from a HHNK diabetic emergency
    C) the mortality rate for diabetic ketoacidosis is much higher than that for HHNK diabetic emergencies
    D) insulin activity typically remains present during a HHNK diabetic emergency
    E) glucagon activity typically remains present during a HHNK diabetic
    C) the mortality rate for diabetic ketoacidosis is much higher than that for HHNK diabetic emergencies
    (this multiple choice question has been scrambled)
  14. Diabetic emergency signs and symptoms developing over a period of 12-24 hours most likely indicate that the patient is suffering from 1 diabetic ketoacidosis, 2 hypoglycemia, 3 a hyperglycemic hyperosmolar nonketotic diabetic emergency (37)
    A) 2
    B) 1
    C) 1, 2, or 3
    D) 3
    E) 1 or 3
    B) 1
    (this multiple choice question has been scrambled)
  15. Very clow onset of diabetic emergency signs and symptoms, requiring several days to manifest, is most commonly associated with 1 diabetic ketoacidosis, 2 hypoglycemia, 3 a hyperglycemic hyperosmolar nonketotic diabetic emergency (38)
    A) 1, 2, and 3
    B) 3
    C) 1
    D) 1 and 3
    E) 2
    B) 3
    (this multiple choice question has been scrambled)
  16. The medical terms for excessive fluid intake, excessive urine output, and abnormally large food intake are (41)
    A) hyperimbibo, hyperliquidus, and hyperamplus
    B) megaimbibo, multiliquidus, and multiamplus
    C) polydipsia, polyuria, and polyphagia
    D) hyperdipsia, multiuria, and polyamplus
    E) polyimbibo, polyuria, and polydipsia
    C) polydipsia, polyuria, and polyphagia
    (this multiple choice question has been scrambled)
  17. Mallory-Weiss syndrome is a (52)
    A) tear in the lining of the stomach, caused by explosive coughing
    B) tear in the esophagus, usually caused by vomiting
    C) rupture of the small intestine, caused by severe overeating
    D) disease of the pancreas
    E) disease of the liver
    B) tear in the esophagus, usually caused by vomiting
    (this multiple choice question has been scrambled)
  18. Acutely ruptured esophageal varices may produce any of the following signs or symptoms, except (54)
    A) melena and "rebound" abdominal pain
    B) signs and symptoms of hypovolemic shock
    C) complaints of a "burning" or "tearing" sensation in the chest or throat
    D) complaints of dysphagia
    E) bright red, bloody emesis (sometimes explosive, and in copious amounts)
    A) melena and "rebound" abdominal pain
    (this multiple choice question has been scrambled)
  19. Which of the following statements regarding treatment of a patient suspected to be suffering from ruptured esophageal varices is false? (55)
    A) establish two IVs, using large-bore (14 to 16 gauge) angiocaths
    B) if "blood tubing" (an IV administration tubing that contains a filter) is available, use this for at least one of the two IVs
    C) if hypotensive, place the atraumatic patient in the left laterally recumbent position
    D) place the atraumatic patient in a high semi-Fowler's position, if he remains normotensive in that position
    E) prehospital placement of a nasogastric tube is of high priority, and may precede advanced airway placement, so as to improve the subsequent success of (or entirely avoid the need for) endotracheal intubation
    E) prehospital placement of a nasogastric tube is of high priority, and may precede advanced airway placement, so as to improve the subsequent success of (or entirely avoid the need for) endotracheal intubation
    (this multiple choice question has been scrambled)
  20. The medical term for a kidney infection is (65)
    A) diverticulitis
    B) pyelonephritis
    C) appendicitis
    D) renal calculi
    E) cholecystitis
    B) pyelonephritis
    (this multiple choice question has been scrambled)
  21. Periumbilical pain that radiates or migrates to the right lower quadrant of the abdomen is most frequently associated with (67)
    A) diverticulitis
    B) appendicitis
    C) pyelonephritis
    D) cholecystitis
    E) renal calculi
    B) appendicitis
    (this multiple choice question has been scrambled)
  22. Fever accompanied by complaint of lower back pain, with urinary burning and frequency, is often associated with (69)
    A) appendicitis
    B) pyelonephritis
    C) diverticulitis
    D) cholecystitis
    E) renal calculi
    B) pyelonephritis
    (this multiple choice question has been scrambled)
  23. Upper right quadrant abdominal pain that occurs after a meal high in fat content and that may or may not radiate to the right shoulder is often associated with (70)
    A) renal calculi
    B) cholecystitis
    C) appendicitis
    D) diverticulitis
    E) pyelonephritis
    B) cholecystitis
    (this multiple choice question has been scrambled)
  24. Your patient is lying very still, with knees flexed and drawn close to the chest. This posture is classically suggestive of (71)
    A) peritonitis
    B) pyelonephritis
    C) renal calculi
    D) meningitis
    E) pyrexia
    A) peritonitis
    (this multiple choice question has been scrambled)
  25. Your patient is grimacing and will not sit down, preferring to pace. This behavior is classically suggestive of (72)
    A) pyrexia
    B) renal calculi
    C) peritonitis
    D) meningitis
    E) pyelonephritis
    B) renal calculi
    (this multiple choice question has been scrambled)
  26. After opening the door to let you in, your patient slowly walks back to sit on the couch. You notice that she walks with her back hunched up, leaning slightly to one side. She appears febrile and is complaining of back pain. This behavior is classically suggestive of (73)
    A) meningitis
    B) pyrexia
    C) renal calculi
    D) pyelonephritis
    E) peritonitis
    D) pyelonephritis
    (this multiple choice question has been scrambled)
  27. The medical term for the decreased production or elimination of urine is (78)
    A) hematuria
    B) polyuria
    C) oliguria
    D) anuria
    E) hypouria
    C) oliguria
    (this multiple choice question has been scrambled)
  28. The medical term for the entire lack or absence of urine production or elimination is (80)
    A) polyuria
    B) anuria
    C) hematuria
    D) oliguria
    E) hypouria
    B) anuria
    (this multiple choice question has been scrambled)
  29. When a person w/ Rh- blood is 1st exposed to Rh+ blood...
    • no adverse reaction occurs
    • the person becomes sensitised and is there-after able to produce Rh antibodies
  30. Blood type AB contains...
    antigen A, antigen B, and no antibody
  31. Blood type B contains...
    antigen B and antibody A
  32. The venom of the ____ contains a neurotoxin that can produce respiratory and skeletal muscle paralysis.
    Coral Snake
  33. Pyelonephritis
    infection/inflammation of the kidney
  34. Ascites
    accumulation of serous fluid(edema) w/in the abdomen
  35. Peritonitis
    inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs. Peritonitis may be localized or generalized, and may result from infection (often due to rupture of a hollow abdominal organ as may occur in abdominal trauma orinflamed appendix) or from a non-infectious process.
  36. Organophosphate Poisoning
    • stimulates the parasympathetic nervous system
    • S/Sx
    • 1. excessive salavation, nausea, & vomiting
    • 2. diarrhea & diaphoresis
    • 3. tachycardia
    • 4. dilated pupils
  37. Organophosphate Poisoning Mgt
    • 1. wearing protective clothing/respiratory protection
    • 2. removal of pt clothing
    • 3. pt decontamination w/ soap/water
    • 4. 2-4mg atropine IV, repeated as ordered, up to 40mg or more
  38. Acetaminophen OD Antidote
    N-Acetylcysteine
  39. acute acetylsalicylic acid OD S/Sx (ASA)
    • 1. hyperventilation
    • 2. hyperthermia
    • 3. dysrhythmias and cardiac failure
    • 4. lethargy, altered LOC, & unconsciousness
  40. Hymenoptera
    wasps, bees, hornets, ants
  41. Observation of a violin-shaped marking
    brown rescluse spider
  42. Observation of a yellow or red hour glass shaped marking.
    black widow spider
  43. Analgesic admin may increase venom toxicity of...
    scorpion sting
  44. Black widow spider bite treatments...
    consider admin of diazepam or calcium gluconate for treatments of severe muscle spasm secondary to bite.
  45. Complications related to renal dialysis include all of the following, except (88)
    A) peritonitis
    B) local infection at the site of an arteriovenous fistula
    C) antigen-antibody reactions to chronic dialysate introduction
    D) thrombosis production and thrombosis-related emergencies
    E) seizures
    C) antigen-antibody reactions to chronic dialysate introduction
    (this multiple choice question has been scrambled)
  46. When managing the victim of a toxic inhalation, your highest priority should be to (94)
    A) remove contaminated clothing
    B) intubate and hyperventilate the unconscious patient
    C) ensure personal safety prior to accessing the unconscious patient
    D) remove the patient from the toxic environment
    E) perform the usual primary and secondary exam
    C) ensure personal safety prior to accessing the unconscious patient
    (this multiple choice question has been scrambled)
  47. Managing victim of a toxic inhalation - After ensuring personal safety prior to accessing the unconscious patient, your next highest priority should be to (95)
    A) remove the patient from the toxic environment
    B) perform the usual primary and secondary exam
    C) remove contaminated clothing
    D) intubate and hyperventilate the unconscious patient
    A) remove the patient from the toxic environment
    (this multiple choice question has been scrambled)
  48. Organophosphate poisoning stimulates the parasympathetic nervous system, causing signs and symptoms that include all of the following, except (96)
    A) dilated pupils
    B) hypotension
    C) tachycardia
    D) diarrhea and diaphoresis
    E) excessive salivation, nausea, and vomiting
    A) dilated pupils
    (this multiple choice question has been scrambled)
  49. A person who has blood type __ is called a "universal donor." (113)
    A) B
    B) D
    C) AB
    D) A
    E) O
    E) O
    (this multiple choice question has been scrambled)
  50. A person who has blood type __ is called a "universal recipient." (114)
    A) A
    B) AB
    C) B
    D) D
    E) O
    B) AB
    (this multiple choice question has been scrambled)
Author:
thom.mccusker@gmail.com
ID:
313564
Card Set:
Section 9
Updated:
2016-01-03 04:59:47
Tags:
Endocrine
Folders:
CanadaMedic
Description:
endocrine
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