Endocrine - TCM Seminars Tests Flashcards

1
Q

A patient presents to you with elevated blood glucose, hypertension, hypercholesterolemia, and weight gain. What is the most likely diagnosis for this cluster of signs?

Cushing’s Disease
Metabolic Syndrome (Syndrome X)
Addison’s Disease
Hypothyroidism

A

Metabolic Syndrome (Syndrome X)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Calcitonin is a hormone associated with the:

Anterior pituitary
Posterior pituitary
Thymus
Thyroid

A

Thyroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

During which phase of the female reproductive cycle does a surge of LH and FSH take place?

Luteal phase
Follicular phase
Ovulatory
Corpus luteum secretion

A

Ovulatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

If TH (Thyroid Hormone) levels are low, how will this affect the levels of TSH (Thyroid Stimulating Hormone)?

TSH will also be low.
TH does not have an affect on TSH.
TSH will remain the same.
TSH will rise.

A

TSH will rise.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A male patient, 38 years old, calls your office stating that he believes that he may have Addison’s disease. Which of the following signs should you expect to see when he arrives at the office?

Moon face
Acne
Buffalo hump
Darkly pigmented skin

A

Darkly pigmented skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which hormone increases levels of Calcium in the blood?

Calcitonin
Parathyroid hormone
Calcitrianine
Thyroxine ((T3)

A

Parathyroid hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which of the following phases of sleep usually occurs 90 minutes after falling asleep? (Note: during this phase dreaming and penile/clitoral tumescence occur and this phase may serve a role in memory processing)

REM
Non-REM N2
Non-REM N1
Non-REM N3

A

REM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which of the following hormones are produced by the Anterior Pituitary gland?

ACTH, LH, FSH, TSH
ACTH, ADH, LH, FSH
ACTH, LH, FSH, Melatonin
ADH, LH, FSH, TSH

A

ACTH, LH, FSH, TSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which of the following hormones influences human Circadian Rhythms and when taken orally can treat sleep-wake disorders (often secondary to jet lag or shift work)?

Melatonin
Hops
Valerian
T3

A

Melatonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A regular patient of yours with a history of Hyperthyroidism comes to your clinic for weekly appointments. This week, she appears to be agitated and slightly confused about how she got to your office. You notice that she is having difficulty breathing. When you check her heart rate, it is 175 beats per minute. How do you proceed?

Give her the treatment you had planned for her and recommend that she see her doctor within the next week.

Tell her you cannot treat her today because of an increased risk of needle shock but send her home with an herbal formula.

Call 911.

Have her lie down and press on KID 1 until she feels better.

A

Call 911.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which hormone triggers ovulation?

LH
TSH
FSH
GH

A

LH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

You have a patient that is requesting you to advise them on improving their SSRI effectiveness. They state that they had bought 5 HTP and was going to ask if you would advise if they could safely take them. Your response is:

Yes, it can reduce the side effects of your SSRIs
Yes, it will work synergistically with no negative repercussion.
No, This supplement reduces the effects of SSRI
No, This supplement can increase the risks of a Serotonin Syndrome

A

No, This supplement can increase the risks of a Serotonin Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A 26-year-old female enters your office complaining of fatigue. She remembers that her doctor told her that her waxy face look was due to a condition called Myxedema. This condition is related to which gland?

Kidneys
Pancreas
Adrenals
Thyroid

A

Thyroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which of the following is not a symptom of Type 2 Diabetes?

Increased thirst
Lack of appetite
Increased urination
Paresthesia

A

Lack of appetite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A 22-year-old female walks into the office complaining about facial hair. You measure her BMI to be 29 and notice excessive hair growth in other parts of the body. Upon questioning you discover that she has irregular menstruation. What is the best option for further evaluation?

Check Blood Pressure
Check white blood cell count
Check Cholesterol
Check blood glucose level

A

Check blood glucose level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which of the following is not associated with Addison’s Disease?

hyperpigmentation
Hypersecretion of glucocoticoids
weight loss
Decrease in blood glucose levels

A

Hypersecretion of glucocoticoids

17
Q

The role of the anterior pituitary gland is to produce and release hormones?

False
True

A

True

18
Q

The role of the posterior pituitary gland is to store and release hormones?

False
True

A

True

19
Q

Myxedema is the presentation of a patient as a result of an underactive:

Adrenals
Pancreas
Kidneys
Thyroid

A

Thyroid

20
Q

LH (luteinizing hormone) is secreted by the:

Ovaries
Hippocampus
Anterior pituitary gland
Hypothalamus

A

Anterior pituitary gland

21
Q

Which of the following is not a symptom of Hyperthyroidism?

Tachycardia
Nervousness
Weight gain
Increased appetite

A

Weight gain

22
Q

In which of the following cell types is insulin produced?

Hepatocytes
Beta cells in the pancreas
Alpha cells in the pancreas
Delta cells in the pancreas

A

Beta cells in the pancreas

23
Q

Elevated T4 levels may indicate all of the following except:

Use of oral contraceptives
Hypothyroidism
Pregnancy
Hyperthyroidism

A

Hypothyroidism

24
Q

Which of the following hormones are synthesized by the hypothalamus and are released from Posterior Pituitary?

ADH & Oxytocin
TSH & ACTH
LH & FSH
GH & Prolactin

A

ADH & Oxytocin