Endo Practice questions Flashcards
Hypo/hyperpituitarism, diabetes (24 cards)
What is hypopituitarism?
A. Pituitary gland secretes excessive amounts of one or all the pituitary hormones
B. Pituitary gland secretes inadequate amounts of parathyroid hormone causing low SCLs
C. Pituitary gland secretes inadequeate amount of some/all its hormones
C. Pituitary gland secretes inadequeate amount of some/all its hormones
What causes hypopituitarism?
A. Tumors secreting hormone or hormone like substances
B. Congenital defects or cerebral/ pituitary trauma
C. Hyperprolactinemia
B. Congenital defects or cerebral/ pituitary trauma
What is diabetes insipidus?
A. Hypermetabolic states caused by excessive thyroid hormones from increase TSH
B. Increased renal water retention caused by excessive ADH
C. Excessive fluid excretion in the kidneys caused by low ADH
C. Excessive fluid excretion in the kidneys caused by low ADH
Fatigue, headache, amenorrhea, short stature, infertility are manifestations of which endocrine condition?
A. Hyperpituitarism
B. Hyperthyroidism
C. Diabetes insipidus
D. Hypopituitarism
D. Hypopituitarism
A patient diagnosed with hyperpituitarism is admitted. The nurse understands hyperpituitarism to be which of the following?
A. Excessive prolactin that results in galactorrhea
B. Excessive secretion of one or all pituitary hormones from the pituitary gland
C. Panhypopituitarism
B. Excessive secretion of one or all pituitary hormones from the pituitary gland
A patient with excessive sweating, double vision, and glactorrhea is admitted. Which of the following interventions should the nurse recommend and why?
A. An X-ray or MRI to identify tumors that may be secreting hormones
B. A CT scan to identify pituitary or cerebral trauma
C. HgbA1C test to identify blood sugar level
A. An X-ray or MRI to identify tumors that may be secreting hormones
A 13 year old boy is admitted with abnormally tall stature. The nurse reflects on previous knowledge and identifies which of the following conditions?
A. Acromegaly
B. SIAH
C. Cushing’s syndrome
D. Gigantism
D. Gigantism
A client with increased bone size due to excessive GH in adulthood.
A. Gigantism
B. SIADH
C. Cerebral palsy
D. Acromegaly
D. Acromegaly
A patient is admitted with swollen feet, legs, and ankles. She shows signs of hyponatremia and urinary bladder distention. Which of the following should the nurse identify as the culprit?
A. Hyperprolactinemia
B. Cushing’s syndrome
C. Hyperthyroidism
D. SIADH
D. SIADH
A patient with menstrual dysfunction and galactorrhea is admitted. She has recently been diagnosed with hypothyroidism. Which of the following explains her symptoms?
A. Cushing’s syndrome
B. Hypoprolactinemia
C. Hyperprolactinemia
D. SIADH
C. Hyperprolactinemia
A patient’s MRI scan indicates pituitary tumors. She tells the nurse she’s been under a lot of stress. Which condition explains these findings?
A. Cushing’s syndrome
B. Addison’s syndrome
C. Hyperthyroidism
A. Cushing’s syndrome
A patient presenting with goiter is admitted. Their chart shows a diagnosis of hyperpituitarism. Which of the following conditions explains these symptoms?
A. Cushing’s syndrome
B. Addison’s syndrome
C. Hyperthyroidism
C. Hyperthyroidism
A patient with impaired insulin production and/or action resulting in abnormal metabolism could be broadly diagnosed with which of the following?
A. Type 1 diabetes
B. Type 2 diabetes
C. Diabetes mellitus
D. Syndrome X
C. Diabetes mellitus
Which of the following conditions causes an HgbA1c of greater than 6.5, is seen more in children and young adults, and results from an autoimmune reaction causing pancreatic beta cells to be destroyed?
A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes
D. Prediabetes
A. Type 1 diabetes
A patient with fruity-scented breath and Kussmaul respirations is admitted. What could this indicate?
A. Type 1 diabetes
B. Prediabetes
C. DKA
D. Type 2 diabetes
C. DKA
Which of the following is a life threatening condition?
A. Hyperglycemia
B. Hypoglycemia
C. GDM
D. DKA
D. DKA
A pH imbalance characterized by increased ketones in the urine caused by insufficient insulin is which condition?
A. DKA
B. GDM
C. Syndrome X
D. An HgbA1c of 6.5
A. DKA
An HgbA1C level of 5.7 to 6.4 is indicative of which type of diabetes?
A. Type 1
B. Prediabetes
C. Diabetic ketoacidosis
D. GDM
B. Prediabetes
What causes glucose levels in the blood to increase?
A. Insulin resistance
B. The pancreatic beta-cells are being destroyed
C. Hyperglycemia
A. Insulin resistance
What causes hyperglycemia?
A. Adipose cells secrete inflammatory substances that impair insulin sensitivity and glucose metabolism
B. When the pancreas gradually loses its ability to produce insulin
C. Glucose intolerance that generally happens during pregnancy
A. Adipose cells secrete inflammatory substances that impair insulin sensitivity and glucose metabolism
What can cause glucose toxicity?
A. Hyperglycemia
B. Hypoglycemia
C. Prediabetes
D. Type 2 diabetes
A. Hyperglycemia
Which condition usually begins as insulin resistance and the pancreas gradually loses its ability to produce insulin?
A. Type 1 diabetes
B. Type 2 diabetes
C. GDM
D. Prediabetes
B. Type 2 diabetes
What is the percentage of women who will be diagnosed with diabetes immediately following pregnancy?
A. 20%
B. 1-5%
C. 10-15%
D. 5-10%
D. 5-10%
Women who have had gestational diabetes have what percentage of developing diabetes within 5-10 years of delivery?
A. 5-10%
B. 30-50%
C. 40-60%
D. 20-30%
C. 40-60%
