Endocrine Content Flashcards
If a gland is removed due to illness what are the treatment options?
A. The body will compensate naturally
B. Synthetic hormones must be given for a short time and then weaned off
C. Synthetic hormones must be given for the remainder of their life
D. The gland will grow back
Answer: C
If a hormone has “stimulating” in it’s name what is the main function?
A. To stimulate growth
B. To stimulate the release of a different hormone
C. To inhibit the release of other hormones
D. To inhibit growth of tissues
Answer: B
Which hormones are released by the Posterior lobe of the Pituitary Gland? SATA
A. Antidiuretic Hormone
B. Thyroid Stimulating Hormone
C. Growth Hormone
D. Oxytocin
Answer: A, D
What is the action of ADH?
Answer: Retain Water
Anti
Diuretic - to put off water
Hormone
Which disorder will you see if you have an uncontrolled increase of ADH?
A. Diabetes Insipidus
B. Diabetes Mellitus
C. Addison’s Disease
D. SIADH
Answer: D
“Soaked Inside”
How will sodium be affected with this disorder?
Urine Osmolality?
Which disorder will you see if you have too little ADH?
Answer: Diabetes Insipidus
“Dry Inside”
What are the CM of Diabetes Insipidus? SATA
A. Oliguria
B. Polyuria
C. Polydipsia
D. Dehydration
E. Urinary Retention
Answer: B, C, D
How will Sodium be affected with this disorder?
Urine Osmolality?
Which of the following disorders would you expect to see a decreased metabolism, cold intolerance, and low heart rate?
A. Grave’s Disease
B. Thyroid Storm
C. Hypoparathyroidism
D. Hashimoto’s Disease
Answer: D
Is this hypo or hyper thyroidism?
What will T3/T4 levels look like?
TSH Levels?
If left untreated, what complication would you expect to see with hypothyroidism?
A. Thyroid Storm
B. Grave’s Disease
C. Hashimoto’s Disease
D. Myxedema
Answer: D
What is needed to synthesize Thyroid Hormones?
A. Sodium
B. Water
C. Iodine
D. Potassium
Answer: C
In which Thyroid disorder will you see CM that include exopthalmos, weight loss, and heat intolerance?
A. Hashimoto’s Disease
B. Myxedema
C. Grave’s Disease
D. Hyperparathyroidism
Answer: C
Is this Hyper or Hypo thyroidism?
What T3/T4 labs will you see?
TSH?
What is the life threatening complication associated with Hyperthyroidism?
A. Grave’s Disease
B. Thyroid Storm (thyroidtoxicosis)
C. Hashimoto’s Disease
D. Myxedema
Answer: B
What is the function of Aldosterone? SATA
A. Sodium Reabsorption
B. Sodium Excretion
C. Potassium Reabsorption
D. Potassium Excretion
Answer: A, D
What are the effects of Cortisol on the body? SATA
A. Impacts Glucose, Fat, and Protein Metabolism
B. Increases Sodium Reabsorption
C. Increases amount of circulating Glucose
D. Decreases amount of circulating Glucose
Answer: A, C
What is the disease associated with Adrenal Insufficiency?
A. Addison’s Disease
B. Cushing’s Disease
C. Grave’s Disease
D. Hashimoto’s Disease
Answer: A
We need to ADD more in ADDison’s
What is a hallmark integumentary manifestation seen with this disorder?
What labs will you see with Addison’s Disease? SATA
A. Hyperglycemia
B. Hyponatremia
C. Hypokalemia
D. Low AM Cortisol
Answer: B, D
• LOW cortisol
• Hypoglycemia
• Hyponatremia
• Hyperkalemia
What CM will you see with Cushing’s Disease? SATA
A. Central Obesity
B. Hypoglycemia
C. Moon Face/Buffalo Hump
D. HTN
E. Hyperpigmentation
Answer: A, C, D
What labs will be seen in Cushing’s Syndrome? SATA
A. Hypoglycemia
B. Hypernatremia
C. Hyperkalemia
D. Elevated AM Cortisol
E. Hyponatremia
Answer: B, D
HIGH cortisol
• Hyperglycemia
• Hypernatremia
• Hypokalemia
What is the function of insulin
A. To release glucose from the cells
B. Facilitates uptake of glucose into the cells
C. Inhibits glycolysis
D. Breaks down adipose tissue
Answer: B
What is the cause of Type 1 Diabetes Mellitus?
Destruction of insulin secreting beta cells in the pancreas
What does this mean for treatment?
What does the HgA1C lab tell us?
How well managed blood glucose is over 3 months
Describe the three most common CM seen in T1DM.
Polyuria
Polydipsia
Polyphagia
If you find your diabetic patient unconscious, cold, and tachycardic which complication would you suspect?
A. Hypoglycemia
B. Diabetic Ketoacidosis
C. Hyperosmolar hyperglycemic state
D. Hyperglycemia
Answer: A
“Cool and Clammy, Need Some Candy”
Which acute hyperglycemic complication is typically seen in type 1 diabetics?
A. Retinopathy
B. Hyperosmolar hyperglycemic state
C. Diabetic Ketoacidosis
D. Nephropathy
Answer: C
Which of the following are caused by long term damage to the small vessels (MICROVASCULAR) of the body RT viscous blood? SATA
A. Retinopathy
B. CVA
C. Neuropathy
D. Nephropathy
E. Hypoglycemic coma
Answer: A, C, D
Because the blood glucose is so high and blood is so viscous what fatal complication are we concerned about with HHS?
A. Damage to Kidney
B. Increased ketones in the blood
C. Metabolic acidosis
D. Thrombus formation
Answer: D
T/F: A hospitalized patient may experience a spike in BG even if they are not diabetic?
True
Stress hormones (Cortisol Release) elevates blood glucose levels. A well controlled T2 diabetic may require insulin while hospitalized even if they don’t use it regularly
*This should also be considered during times of illness or infection. Increased stress on the body will increase blood glucose levels
The nurse admitting a patient newly diagnosed with type 2 DM should expect the following symptoms upon assessment, EXCEPT:
A. Fatigue
B. Paresthesia
C. Hypoglycemia
D. Possible fungal infections
Answer: C
A client with a diagnosis of DKA is being treated in the ER. What would a nurse expect to find with this diagnosis? SATA
A. Decreased blood pH
B. BG <50
C. Positive Ketones in urine
D. Rapid deep breathing
E. Fruity odor to the breath
Answer: A, C, D, E