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Question 1

Which of the following is NOT a pituitary gland hormone?
A) Human growth hormone
B) Corticotropin
C) Corticosteroid
D) Antidiuretic hormone

Answer 1

C) Corticosteroid
GH, ACTH, and ADH are produced in the pituitary gland

Question 2

Which of the following is NOT a sign of excessive ADH?
A) Hypovolemia
B) Diabetes
C) Altered urinary output
D) Altered fluid status

Answer 2

A) Hypovolemia
Antidiuretic hormone can cause hyervolemia, not hypovolemia. However, having too little ADH can cause hypovolemia

Question 3

What could be caused by too little anti-diuretic hormone?
A) Diabetes mellitus
B) Tachycardia
C) Diabetes insipidus
D) Constipation

Answer 3

C) Diabetes insipidus can be caused by too little ADH

Question 4

Which lab value should you monitor when a patient is taking GH?
A) CBC
B) WBC
C) A1C

Answer 4

C) A1C
Human growth hormone can cause a fluctuation in blood sugar (hyperglycemia) AND electrolyte imbalance

Question 5

Levothyroxine, Synthroid, and Levothyroid are taken for which condition?
A) Pituitary gland tumors
B) Hypothyroidism
C) Insufficient growth hormone production in teens
D) Myxedema

Answer 5

B) Hypothyroidism
Myxedema is a potention side effect of these medications. Lethargy, weight gain, tough skin, and memory problems are also side effects of these medications

Question 6

What is hyperthyroidism often called?
A) Graves disease
B) Cushing’s disease
C) Addison’s disease
D) Yamato Terasaki disease

Answer 6

A) Graves disease is when the patient has hyperthyroidism.
Cushing’s is too much cortisol, and Addison’s is too little cortisol

Question 7

What causes exophthalmos?
A) Graves disease
B) Cushing’s disease
C) Addison’s disease
D) Yamato Terasaki disease

Answer 7

A) Graves disease (AKA hyperthyroidism) can cause bulging of the eyes, called exophthalmos

Question 8

Which of the following are signs/symptoms of hyperthyroidism?
(Select all that apply)
A) Weight gain
B) Bulging eyes
C) Strong smelling urine
D) Crystals in urine
E) Extreme heat intolerance
F) Slow pulse
G) Irritability
H) Nervousness

Answer 8

B, E, G, H
Exophthalmos (bulging eyes), heat intolerance, irritability, and nervousness. You do not have a slow pulse with this condition, you have a racing pulse. It does not affect your urine. Also, you tend to lose weight with hyperthyroidism.

Question 9

How do you treat hyperthyroidism?
A) Chemo
B) Iodine
C) Lithium
D) Antibiotics

Answer 9

B) Iodine
Iodine prep, as well as surgical removal of the thyroid can be used as treatment for hyperthyroidism

Question 10

What does the parathyroid control?
A) Sodium
B) Potassium
C) Calcium
D) Phosphate

Answer 10

C) Calcium
The parathyroid controls calcium levels within the blood

Question 11

How do you treat hyperparathyroidism?
A) Iodine radiation
B) Calcium supplementation
C) Calcitonin
D) Calcitriol

Answer 11

C) Calcitonin
Iodine is used for hyperthyroidism, not hyperparathyroidism. Calcium supplementation and calcitriol are used for hypoparathyroidism

Question 12

Marie Bennett was prescribed Prednisone PO for post operative control of swelling. Her swelling continued and she was prescribed Methylprednisone for two weeks after d/c of Prednisone. Mrs. Bennett decided to stop her medication in the middle of her prescription. Which of the following conditions should she be monitored for?
A) Addisons disease
B) Graves disease
C) Cushings disease
D) Hyperlipidemia

Answer 12

A) Addisons disease
Sudden discontinuation of steroids can lead to Addisons disease

Question 13

Too much cortisol can lead to too much of the electrolyte:
A) Potassium
B) Calcium
C) Iron
D) Sodium

Answer 13

D) Sodium
Potassium is decreased with too much cortisol (Cushings)

Question 14

Too little cortisol can lead to too much of the electrolyte:
A) Potassium
B) Calcium
C) Iron
D) Sodium

Answer 14

A) Potassium
Sodium is decreased with too little cortisol (Addisons)

Question 15

Iodine prep can increase the effectiveness of which drugs?
A) Corticosteroids
B) Glucocorticoids
C) Antidiarrheals
D) Antimalarials
E) Blood thinners

Answer 15

E) Blood thinners
Blood thinners such as coumadin could increase in action potential when taken with iodine prep for hyperthyroidism

Question 16

Patient John Malone presented to the ER with heat intolerance following a long day mowing the lawn. He presented with a pulse of 125, BP of 121/80, and RR of 18. He is not drenched in sweat, and does not present with increased thirst. Which of the following conditions does John potentially have? (Select all that apply)
A) Heat stroke
B) Dehydration
C) Hyperthyroidism
D) Graves disease

Answer 16

ALL OF THE ABOVE! Heat intolerance can be caused by hyperthyroidism, also called Graves disease. His long day in the sun could cause excessive sweating, leading to dehydration.