Class Exam 3 Questions

Question 1

Which of the following of the is not part of the Rennin Angiotensin Aldosterone response to hemorrhagic shock?

a. Sodium retention
b. Tachycardia
c. Fluid Retention
d. Vasoconstriction

Answer 1

b. Tachycardia

Question 2

Which of the following lists the 4 compensatory stages of shock?

a. Hypotension, Tachycardia, Vasoconstriction, Hyperventilation
b. Tachycardia, Vasoconstriction, Apnea, Renin-Angiotesnin Hormone Release
c. Tachycardia, Vasoconstriction, Hyperventilation, Renin-Angiotesnin Hormone Release
d. Hypotension, Confusion, Unconsciousness, Apnea

Answer 2

c. Tachycardia, Vasoconstriction, Hyperventilation, Renin-Angiotesnin Hormone Release

Question 3

Which of the following produces an increase in blood glucose levels?

A. Glucagon
B. Epinephrine
C. Growth Hormone
D. Cortisol 
E. All of the above
F. None of the above

Answer 3

E. All of the above

Question 4

When formulating an anesthetic plan for your diabetic patient, you consider all of the following EXCEPT?

A. Difficult intubation
B. Increased gastric content
C. Checking glucose levels periodically through the case
D. Hypothermia

Answer 4

D. Hypothermia

Question 5

Autonomic neuropathy can have an effect on which of the following:

A. Cardiovascular system
B. Gastrointestinal system
C. Neuroendocrine system
D. A & C
E. All of the above

Answer 5

E. All of the above

Question 6

Which of the following classifications are possible?
A. NIDDM / Type 1
B. IDDM / Type 2
C. Diet-controlled / Type 1
D. All of the above
E. None of the above

Answer 6

B. IDDM / Type 2

Question 7

1. Which of the following progressions is in the correct order in reaching type II diabetes?
   A. Predisposing factors, imparied glucose tolerance, insulin resistance, beta cell exhaustion, type II DM
   B. Predisposing factors, beta cell exhaustion, imparied glucose tolerance, insulin resistance, type II DM
   C.Predisposing factors, insulin resistance, beta cell exhaustion, impaired glucose tolerance, type II DM
   D. Predisposing factors, insulin resistance, impaired glucose tolerance, beta cell exhaustion, type II DM
   E.None of these lead to type II DM

Answer 7

D. Predisposing factors, insulin resistance, impaired glucose tolerance, beta cell exhaustion, type II DM

Question 8

Which of the following is NOT an effect of hyperthyroidism on the heart?

A. Congestive heart failure
B. Atrial fibrillation
C. Decreased conduction through the AV node
D. Tachycardia
E. All of the above are associated with hyperthroidism

Answer 8

C. decreased conduction through the AV node

Question 9

What happens when potassium efflux is blocked (inhibited) in the beta pancreatic cells?

A. It causes depolarization of the cell that will lead to increased release of insulin
B. It results in hyperpolarization of the cells
C. It down regulates (inhibits) calmodulin (an intracellular calcium receptor) activity
D. It increases the binding of the insulinotropic peptides
E. It causes depolarization of the cell that will inhibit the release of insulin

Answer 9

A. It causes depolarization of the cell that will lead to increased release of insulin

Question 10

A woman has hirsutism, hyperglycemia, obesity, muscle wasting, and increased circulating levels on adrenocorticotropic hormone (ACTH). The most likely cause of her symptoms is?

A. Primary adrenocortical insufficiency (Addison’s disease)
B. Pheochromocytoma
C. Primary overproduction of ACTH (Cushing’s disease)
D. Treatment with exogenous glucocorticoids
E. Hypophysectomy

Answer 10

C. Primary overproduction of ACTH (Cushing’s disease)