Ch21 Quiz Flashcards
0
Q
- Which of the following is NOT a type of receptor disorder in regard to hormone regulation?
a. Decrease in number of receptors
b. Impaired receptor function
c. Absence of antibodies against specific receptors
d. Unusual expression of receptor function
A
c. Absence of antibodies against specific receptors
1
Q
- Which of the following is a condition associated with the absence of hypothalamic releasing or inhibiting hormones?
a. hypotension
b. cessation of menses
c. increased spermatogenesis
d. excessive ht
A
b. cessation of menses
2
Q
- Which of the following is a symptom of SIADH?
a. hyponatremia
b. hypernatremia
c. hyperosm (serum)
d. hypoosm (urine)
A
a. hyponatremia
3
Q
- Which of the following is a TRUE statement regarding diabetes insipidus?
a. It is always cause by low levels of ADH
b. The neurogenic form occurs with organic lesion of the hypothalamus/pituitary
c. It is demonstrated by excessively concentrated urine
d. The nephrogenic form is caused by low levels of ADH
A
b. The neurogenic form occurs with organic lesion of the hypothalamus/pituitary
4
Q
- A woman experiences n/v, loss of body hair, fatigue, weakness, & hypoglycemia. Which of the following hormone deficiencies DOES she MOST likely have?
a. TSH
b. ACTH
c. FSH
d. LH
A
b. ACTH
5
Q
- Which of the following is TRUE regarding pituitary adenomas?
a. rapid growth
b. metastatic
c. arise from anterior pituitary
d. pathogenesis d/t infarction
A
c. arise from anterior pituitary
6
Q
- A person experiences visual changes that begin in one eye & then begin to involve the second eye. Which of the following conditions DOES this person MOST likely have?
a. pituitary infarct
b. ACTH insufficiency
c. GH insufficiency
d. pituitary adenoma
A
d. pituitary adenoma
7
Q
- Which of the following is TRUE regarding acromegaly?
a. Occurs d/t excessive levels of ACTH
b. Most commonly caused by GH-secreting pituitary adenoma
c. Occurs more frequently in men
d. Relatively common condition
A
b. Most commonly caused by GH-secreting pituitary adenoma
8
Q
- Which of the following is a symptom of a prolactinoma?
a. Galactorrhea
b. loss of body hair
c. excessive menses
d. pregnancy
A
a. Galactorrhea
9
Q
- Which of the following is a symptom of Graves dz?
a. hypothyroid
b. goiter
c. absence of skin findings
d. decreased sympathetic response
A
b. goiter
10
Q
- Which of the following is a medication used to Tx thyrotoxic crisis?
a. beta-blocker
b. epinephrine
c. thyroid hormone
d. synthroid
A
a. beta-blocker
also PTU, iodine, & supportive care
11
Q
- A person is diagnosed with thyroid disorder. There has been destruction of thyroid tissue by lymphocytes & circulating thyroid autoantibodies. A relative also has this dz. Which of the following dz does this person have?
a. subacute thyroiditis
b. Hashimoto dz
c. painless thyroiditis
d. postpartum thyroidits
A
b. Hashimoto dz
12
Q
- Which of the following is TRUE statement regarding myxedema coma?
a. Associated w/ hyperthyroid
b. Associated w/ hyperthermia
c. Associated w/ lactic acidosis
d. Associated w/ hyperglycemia
A
c. Associated w/ lactic acidosis
13
Q
- Which of the following is TRUE regarding congenital hypothyroidism?
a. It is a common form of primary hypothyroidism
b It occurs in children ages 5-10 yrs
c. It is the result of absent thyroid tissue
d. Thyroid agenesis occurs more frequently in male infants
A
c. It is the result of absent thyroid tissue
14
Q
- An individual is Dx w/ thyroid carcinoma. Which of the following statements is TRUE?
a. Thyroid carcinoma is the most common endocrine malignancy
b. Individuals w/ thyroid carcinoma have elevated T3 & T4 levels
c. Heredity appears to be the most common risk factor
d. Most tumors are undifferentiated
A
a. Thyroid carcinoma is the most common endocrine malignancy
15
Q
- Which of the following is TRUE regarding accurate Dx of DM?
a. more than one fasting plasma glucose level of 200mg/dl or greater
b. a 2hr postload plasma glucose of greater than 200mg/dl 2hr postload
c. Random plasma glucose level greater than 126mg/dl
d. Impaired fasting glucose of 100mg/dl or less
A
b. a 2hr postload plasma glucose of greater than 200mg/dl 2hr postload
16
Q
- A 12yo boy develops pancreatic atrophy w/ loss of his beta cells. Which of the following conditions does this body LIKELY have?
a. impaired glucose intolerance (IGT)
b. impaired fasting intolerance (IFT)
c. DM1
d. DM2
A
c. DM1
17
Q
- Which of the following is NOT a typical symptom of new-onset DM?
a. polydipsia
b. anuria
c. polyphagia
d. wt loss
A
b. anuria
18
Q
- Which of the following contributes to insulin resistance?
a. a thin body habitus
b. illness
c. active lifestyle
d. young age
A
b. illness
19
Q
- Which of the following is TRUE statement regarding diabetic ketoacidosis (DKA)?
a. increase in insulin
b. decrease in catecholamines
c. peak in older adult
d. accelerated gluconeogenesis & ketogenesis
A
d. accelerated gluconeogenesis & ketogenesis
20
Q
- A person develops severe dehydration & hyperglycemia. There is an absence of ketosis. Which of the following conditions DOES this person have?
a. hyperosmolar hyperglycemic nonketotic syndrome (HHNKS)
b. DKA
c. hypoglycemia
d. Somogyi effect
A
a. hyperosmolar hyperglycemic nonketotic syndrome (HHNKS)
21
Q
- Which of the following BEST describes the Somogyi effect?
a. hyperglycemia followed by hypoglycemia
b. hypoglycemia followed by rebound hyperglycemia
c. early morning rise in blood glucose w/ no hypoglycemia
d. early morning rise hypoglycemia w/ rebound hyperglycemia
A
b. hypoglycemia followed by rebound hyperglycemia
22
Q
- A man experiences retinopathy d/t DM. There is venous dilation, microaneurysm formation, & blot hemorrhages. Which of the following stages of retinopathy is he experiencing?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
A
a. Stage 1
