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Endocrine

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2 Complex Health Quiz on Endocrine, created by Omonike Nikki Ak on 07/07/2016.
Omonike Nikki Ak
Quiz by Omonike Nikki Ak, updated more than 1 year ago
Omonike Nikki Ak
Created by Omonike Nikki Ak about 8 years ago
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Resource summary

Question 1

Question
ADH (Anti diuretic hormone) is released in response to which stimuli? Select all that apply.
Answer
  • Increased serum osmolality
  • Decreased plasma volume
  • Increased peripheral vascular resistance
  • Decreased blood pressure

Question 2

Question
Which of these options in the main stimuli for ADH secretion?
Answer
  • Increased serum osmolality
  • Decreased plasma volume
  • Decreased blood pressure

Question 3

Question
The main function of ADH is to:
Answer
  • act on collecting ducts and tubules of the kidney to conserve water to maintain blood pressure
  • increase rate and strength of heart
  • increase excretion of water and Na+
  • decrease serum osmolality

Question 4

Question
Early clinical manifestations of Diabetes Insipidus are: (Select all that apply.)
Answer
  • Nocturia
  • Thirst
  • Serum Na of 135 mg/dL
  • Decreased specific gravity
  • Increased hematocrit

Question 5

Question
Management of patients with Diabetes Insipidus includes
Answer
  • Nitoprusside and Desmopressin
  • Loop diuretics and Pitressin therapy
  • Desmopressin and Pitressin therapy
  • Increase fluid intake

Question 6

Question
Actions of thyroid hormones include
Answer
  • increase metabolic activity
  • decrease oxygen demand
  • increase breakdown of fatty acids
  • increases rate and depth of respiration and heart
  • inhibits gluconeogenesis

Question 7

Question
Diagnosis of hypothyroidism is by which main clinical manifestation?
Answer
  • Decreased thyroid hormones T4 and T3
  • Myxedema
  • Weight loss of 5lbs in one week
  • Increased TSH production

Question 8

Question
Your patient's medication order for thyroid hormone replacement is prescribed to be taken in the morning after breakfast, you know that this is because
Answer
  • Thyroid hormone replacements medications cause frequent urination
  • Patients often report feeling hyper-excitable after taking their replacement therapy
  • Thyroid hormone replacement regimen should mimic natural circadian rhythm
  • Bagels taste good with hormone replacement meds

Question 9

Question
You notice that the new medical intern increased your patient's dose of Ambien (Zolpidem) to 10mg, PO 2x day since she was complaining of not being able to sleep as a result of her diagnosis of Hashimoto's disease. You question this order for your patient because?
Answer
  • decreased metabolism of drugs can cause dangerous adverse effects
  • your patient is narcoleptic
  • hypothyroidism can cause increased metabolism of drugs and the new order won't be enough to make any difference.
  • your patient has a history of narcotic abuse

Question 10

Question
Myxedema Coma is characterized by which clinical symptoms?
Answer
  • Hypoventilation
  • Hyperthermia
  • Bradycardia
  • Tachycardia
  • Hypoglycemia
  • Hypothermia
  • Hypocarbia
  • Hypercarbia

Question 11

Question
What is the priority treatment for your patient experiencing myxedema coma?
Answer
  • Thyroid Hormone Replacement
  • Supportive Treatment
  • Fluid Management
  • Beta-Blockers

Question 12

Question
Clinical manifestations of hyperthyroidism include:
Answer
  • Decreased gastric activity
  • Heat intolerance
  • Exopthalmos
  • Tachycardia
  • Increased heat production
  • Weight loss

Question 13

Question
Your patient is a 32 year old woman who is complaining of increased weight loss, diaphoresis, and menstrual irregularities. After reviewing her information with the physician you expect to prepare your patient for which treatment method?
Answer
  • Radioiodine therapy
  • Thyroidectomy
  • Iodine therapy
  • Birth control administration

Question 14

Question
Once you have explained to your patient that she will be having her thyroid removed for correction of her hyperthyroidism you explain to her that she will have to take medication prior to her surgery, these pre-op medications include
Answer
  • Iodine
  • Beta blockers
  • Tapazole
  • Benadryl

Question 15

Question
After your patient's successful thyroidectomy procedure she complains of tingling and itching around her mouth, you immediately call the Dr. More and ask that he order
Answer
  • Blistex
  • Herpes screening
  • Calcium supplement
  • Potassium supplement

Question 16

Question
What nursing interventions do you expect to implement for your patient who is post thyroidectomy?
Answer
  • Elevate the HOB
  • Restricting movement
  • Tracheostomy tray at bedside
  • Humidified oxygen

Question 17

Question
Post thyroidectomy your patient starts experiencing severe tachycardia, high fever, and is very irritable. You recognize these symptoms as that of a thyroid storm and expect to administer which priority treatment?
Answer
  • IV fluids and electrolyte replacement
  • Glucose
  • Beta blockers and anti-thyroid medications
  • Glucocorticoids

Question 18

Question
Clinical manifestations of acute adrenal insufficiency are
Answer
  • IV fluids
  • D50
  • Dexamethasone
  • Fludrocortisone

Question 19

Question
Mrs. M is a 45 year old woman who presents with a round face and bruises on her body. She complains of feeling emotional all the time and weight gain in strange places of her body. Her glucose level is 173 and he BP is 150/92 mmHg. When reviewing her HPI you are not surprised to discover that
Answer
  • She was diagnosed with clinical depression two months ago
  • She just recently stopped taking her Hydrocortisone two weeks ago when her prescription ran out
  • She has a history of CHF
  • She has begun hormone therapy and has been taking estrogen supplements

Question 20

Question
this clinical presentation is associated with which diagnosis?
Image:
5bab1c87-71a9-4c98-bd5e-2b730eed8c2a (image/jpeg)
Answer
  • Adrenal cortex hyperfunction
  • Excess thyroid hormone production
  • Inappropriate ADH function
  • Gastrointestinal tumor

Question 21

Question
This clinical presentation is associated with which diagnosis
Image:
fa351808-ec27-464f-982c-9a5a11e0ce83 (image/jpeg)
Answer
  • Autoimmune destruction of the thyroid gland
  • Hypersecretion of the thyroid gland
  • Increased production of glucocorticoids
  • result of staring at complex lecture for too long
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