Unit 12 Study Question Flashcards
which of the following is not a function of the hypothalamus
- monitoring temperature
- detecting blood nutrients
- pain
- producing erythropoietin
producing erythropoietin
which of the following is a correct statement
- up regulation is when cells make more receptors of a hormone
- hormones bind to receptors based upon receptor number and affinity
- all cells respond to a hormone being released
- all of the above
- 1st and 2nd choice
1st and 2nd choice
endocrine disorders originating from an issue with the target gland responsible for producing the hormone are called
primary disorders
which is not a manifestation of hyperthyroidism
- constipation
- increased BMR
- weight loss
- heat intolerant
a. constipation
which of the following is an acquired form of hypothyroidism
- graves disease
- thyroid tumors
- hashimotos thyroiditis
- congenital hypothyroidism
hashitmotos thyroiditis
which is not an action of cortisol
- muscle breakdown
- blood glucose increased
- SNS response decreased
- suppression of immune/inflammatory response
c. SNS response decreased
which of the following correctly describes Addisons disease?
- anorexia, weight loss, GI symptoms, hyperkalemia, orthostatic hypotension
- adrenal insufficiency
- excess adrenal function
- muscles weakness/wasting, osteoporosis, purple striae, hypertension, androgen response
- a &b
- all of the above
a and b
T/F: diabetes is in the top 10 for leading causes of death
T
T/F: A1C measures the amount of sugar in the blood from the last 7 days
F (A1C detects for 120 days)
T/F: gestational diabetes is glucose intolerance detected during pregnancy
T
T/F: an increased HR is not a manifestation of hypothyroidism
T
T/F: the most common cause of iatrogenic Cushings is prolonged stress
F
DKA patients may be hyperkalemic; tx should focus on treating K+ levels
F (focus on treating DKA)
describe the actions of insulin
promotes glucose uptake by target ells and glucose storage
as glycogen; prevents fat and glycogen breakdown; inhibits gluconeogenesis; increases
protein synthesis
differentiate between the two types of type 1 diabetes (1A and 1B)
Type 1A diabetes is much more common and is immune-mediated (beta cells are destroyed,
insulin deficient). Type 1B is the more rare form of type 1 DM where it is idiopathic
(unknown origin).
describe what symptoms appear with metabolic syndrome and who would develop this
Metabolic syndrome occurs from insulin resistance (T2 diabetics) and includes central
obesity with increased waist circumference, dyslipidemia, HTN, atherosclerosis,
Aacanthosis Nigricans, elevated fasting glucose, and systemic chronic inflammation.
differentiate between DKA and hypoglycemia
-DKA: slower onset, polyuria, polydipsia, NV, fatigue, abdominal tenderness, fruity
breath, hypotension, kussmaul breathing. Treat with insulin, IV fluid, electrolyte
replacement.
-Hypoglycemia: rapid onset, altered cerebral function, coma, seizures, first hunger then
tachycardia, anxiety, swerating, cool/clammy skin. Elderly may only display CNS signs.
Treat with carbs, glucagon treatment.
what is the difference between the dawn phenomenon and Somogyi effect
Somogyi effect is a hypoglycemia from insulin which then causes a compensatory
hyperglycemia. The Dawn phenomenon is a hyperglycemia during the hours of 5am to
9am without any compensatory hypoglycemia.
__________ __________ _________ or _____ is a syndrome experienced usually only by the type 2 diabetics and is characterized by dehydration, depression of CNS, absence of ketoacidosis and blood sugar over 600 mg/dL
hyperosmolar hyperglycemic state; HHS
______ ______ is caused by lesions or physiologic changes in the nervous system and is characterized by hypersensitivity with in damaged areas or the surrounding tissue
neuropathic pain
an A1C greater than 7% means that the patient
may need better managment
Kussmaul breathing is associated with _____
DKA
normal pH but the blood sugar is changed
HHS
