Endocrine, metabolic, nutritional

Question 1

complete pituitary hypofunction in the adult

Answer 1

Simmonds’ disease

Question 2

results from damage to the posterior pituitary

Answer 2

diabetes insipidus

Question 3

blood loss to the pituitary during pregnancy

Answer 3

Sheehan’s syndrome

Question 4

congenital form of pituitary hypofunction

Answer 4

pituitary dwarfism

Question 5

Acromegaly in the adult. Gigantism in the child

Answer 5

hyperpituitarism

Question 6

Thyroid disease that causes…

• obesity
• fatigue
• depression
• bradycardia

Answer 6

hypothyroidism

Question 7

hypothyroidism PT (2)

Answer 7

1. endurance

2. strength

Question 8

Thyroid disease that causes…

• weight loss
• mood swings
• sweating
• tachycardia

Answer 8

hyperthyroidism

Question 9

T3 and T4 levels in hyper vs hypothyroidism

Answer 9

hyper- high

hypo- low

Question 10

Hypofunction of the adrenal cortex. adrenocortical hypofunction, hypocortisolism

Answer 10

Addison’s disease

Question 11

• mm weakness
• fatigue
• Hypotension
• Nausea

Answer 11

Addison’s disease

Question 12

Adrenal cortex disease that occurs in children

Answer 12

type I

Question 13

Adrenal cortex disease that occurs in young adults

Answer 13

type II

Question 14

Hyperfuction of adrenal glands. hypercortisolism. adrenal cortex tumor, excessive ACTH

Answer 14

Cushing’s disease/syndrome

Question 15

• obesity in abs and face
• HTN
• osteoporosis
• thinning hair/skin

Answer 15

Cushing’s disease

Question 16

Hyperaldosteronism. hypersecretion of aldosterone. caused by adenomas of the cortex

Answer 16

Conn’s syndrome

Question 17

• retention of sodium
• HTN
• reduced K
• polyuria

Answer 17

Conn’s syndrome

Question 18

21-hydroxylase deficiency. Causes early maturity in boys and mixed genitalia in girls

Answer 18

congenital adrenal hyperplasia

Question 19

tumors of neuroblasts that are malignant and occur in children

Answer 19

neuroblastoma

Question 20

large tumors of the adrenal medulla that are benign and occur in adults

Answer 20

pheochromocytoma

Question 21

insulin dependent DM that is most often seen in children

Answer 21

Type I (high glucose)

Question 22

DM that results in the inability of the body to utilize insulin. Seen mostly in adults

Answer 22

Type II (low glucose)

Question 23

DM s/s (3)

Answer 23

1. sugar urine
2. thirst
3. nausea

Question 24

what is the primary risk factor for a patient with DM

Answer 24

infection

Question 25

DM: glucose below 70mg, weakness, shaking, sweating, hunger

Answer 25

hypoglycemia

Question 26

DM: glucose above 300mg, lethargy, thirst, excessive urination

Answer 26

hyperglycemia

Question 27

DM PT (4)

Answer 27

1. low-mod aerobic 2. education 3. wound care 4. mobility

Question 28

advice for DM pts (4)

Answer 28

1. no tight socks 2. deep shoe box 3. check feet daily 4. exercise regularly

Question 29

DM precautions

Answer 29

1. do not fatigue 2. check vitals 3. extra layers w/ thermotherapy

Question 30

may cause mental retardation. screened at birth. no tyrosine

Answer 30

Phenylketonuria PKU

Question 31

affects metabolism of copper by the liver. Impaired liver and kidneys

Answer 31

Wilson's disease

Question 32

obesity PT (3)

Answer 32

1. behavior modification 2. prevention 3. education

Question 33

Normal BMI

Answer 33

18.5-24.9

Question 34

Overweight BMI

Answer 34

25-29.9

Question 35

class I obese

Answer 35

30-34.9

Question 36

class II obese

Answer 36

35-39.9

Question 37

Class III obese

Answer 37

>40

Question 38

occurs in 1 in every 100 girls. 50% recover completely

Answer 38

anorexia nervosa

Question 39

normally reoccurs throughout life. Not as life threatening

Answer 39

bulimia nervosa

Question 40

master gland. controls and releases trophic hormones which have an effect on other endocrine glands

Answer 40

pituitary glands

Question 41

releases neuroendocrine releasing factors into pituitary, which in turn controls the functional release of the hormones produced

Answer 41

hypothalamus

Question 42

involved with calcium homeostasis in the blood

Answer 42

thyroid and parathyroid

Question 43

three zones which release aldosterone, corticoids and sex steroids

Answer 43

adrenal cortex

Question 44

releases epinephrine and norepinephrine

Answer 44

adrenal medulla

Question 45

produced by pituitary. stimulates adrenal cortex to produce cortical hormones

Answer 45

ACTH

Question 46

part of the pancreas that produces insulin, glucagon, somatostatin

Answer 46

Islets of Langerhans

Question 47

involved in the production of T cells

Answer 47

Thymus