Endocrine 2 Flashcards

1
Q

All pituitary activities controlled by what

A

hypothalamus

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2
Q

what hormone promotes growth indirectly, control of protein, lipid, carbohydrate metabolism, found in liver and adipose tissue

A

growth hormone

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3
Q

what hormone stimulates secretion of thyroid hormones and is found in thyroid gland

A

thyroid stimulating hormone

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4
Q

what hormone stimulates the secretion of corticosteroids, found in adrenal gland and cortex

A

adrenocorticotropic hormone

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5
Q

what hormone stimulates milk production, lactogenic hormones, found in mammary gland

A

prolactin hormone

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6
Q

what hornome controls reproduction function, found in ovary and testes

A

gonadotropic hormones

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7
Q

what hormone stimulates target organs to release hormones, growth and development

A

B-lipotropin hormone

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8
Q

what hormone is a major participant in several physiologic processes including growth and metabolism

A

Growth hormone (somatotropin)

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9
Q

the thyroid stimulating hormone is controlled by _____ which secretes ________

A

hypothalamus

TRH (thyrotropin releasing hormone)

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10
Q

the growth hormones most intense release in children and young adults is when

A

after onset of deep sleep

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11
Q

normal IQ, stunted growth, delayed puberty, excessive sub Q fat, poor muscle development, hyposecretion of growth hormone during childhood

A

hypopitutarism

(pititary dwarfism)

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12
Q

oversecretion of one or more of the pituitary horomes, growth hormone or prolactin

A

hyperpituitarism

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13
Q

what stimulates sgowth in bones and soft tissue and normally signals anterior pituitary to reduce growth hormone production

A

insulin growth factors

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14
Q

tumor compresses normaltissue, secretion decreases

A

pituitary tumors (most common)

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15
Q

testosterone secretion by interstitial cells testes

A

cales- leydig cells of testes

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16
Q

in childhood gigantism happens because what

A

there is an excess of growth hormone before the closure of the epiphyseal plate

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17
Q

when does acromegaly develop

A

after epiphyseal closure, so bones and soft tissue thicken

18
Q

patients with acromegaly need what kind of diet to avoid heart failure

A

low sodium diet

19
Q

what are complications of acromegaly

A

arthrosclerosis, DM, cardiomegaly

20
Q

what signs and symptoms would you find with a patient who has acromegaly

A

c/o changes in dentures, hat, glove, rins, shoe size

21
Q

in patients with acromegaly can bone growth stop, soft tissue, and hypertrophy be reversed

A

yes

22
Q

what nursing management would you do for acromegaly

A

increased calcium diet, good skin care, and psycological support

23
Q

ADH is regulated by what

A

plasma osmolality & blood volume

24
Q

stimulates uterine smooth muscle contraction to facilitate birth, milk ejection

A

oxytocin

25
Q

ADH is released depsite normal or low plasma osmolarity, results from abnormal production or sustained secretion of ADH

A

SIADH

(syndrome of inappropriate ADH)

26
Q

in SIADH there is decreased NA which leads to what

A

muscle cramps, weakness, anorexia, nausea, diarrhea, HA, confustion, irritability

27
Q

in SIADH, water retention leads to what

A

water intoxication, brain swells leading to neuro issues (lethargy, seizures, and coma)

28
Q

what are SIADH pts given diuretics

A

they may develop heart failure

29
Q

excrete large amounts of dilute urine with glucose (no glucosuria)

A

diabetes insipidus

30
Q

what assessments would you do with a diabetes insipidus patient

A

assess:

B/P, skin turgor, I & O, daily weight

31
Q

butterfly shaped fland located anterior portion of neck in front of trachea

A

thyroid gland

32
Q

what is necesssary for synthesis of thyroid hormones

A

iodine

33
Q

the tyroids function is for production, storage, realease of three hormones that regulate metabolic processes, they are?

A

T-4, T-3, calcitonin

34
Q

inhibits resorption from bone, incrases bone storage & renal excretion of Ca & phosphorus

A

calcitonin

35
Q

what is the first diagnostic test for hormone dysfunction of the thyroid gland

A

TSH serum study, most sensitive

36
Q

sustained increase of synthesis and release of thyroid hormone by thyroid gland

A

hyperthyroidism

37
Q

autoimmune disease, diffuse thyroid enlargement & excessive thyroid hormone secretion

A

graves disease

38
Q

a condition of neuromuscular hyperexcitability associated with sudden decrease in calcium levels,

A

tetany

39
Q

characterized by unpleaseent tingling of the hands and aound the mouth

A

tetany

40
Q

can toxic nodular goiters be multinodar goiter or single nodule

A

both

41
Q

what are clinical manifestations of hyperthyroidism

A