MARYVILLE NURS 623 EXAM 2
RESOLVED QUESTIONS & TEST SET
SOLUTION BANK 2026.
⫸ What type of hypothyroidism does more than 95% of patients have
where there is dysfunction or atrophy of the thyroid gland due to
failure of pituitary and/or hypothalamus? Answer: CENTRAL
HYPOTHYROIDISM
⫸ What is an endocrine emergency with signs and symptoms of
slowed cognitive thinking, poor short-term memory, depression or
dementia, hypotension and hypothermia with a mortality rate of 30-
40%? Answer: MYXEDEMA (SEVERE HYPOTHYROIDISM)
⫸ What are the common causes of hypercalcemia? Answer:
PRIMARY HYPERPARATHYROIDISM AND MALIGNANCY
⫸ the twitching of the facial muscles in response to tapping over the
facial nerve 2 cm anterior to ear canal is considered a positive
_________ sign; what does it indicate? Answer: CHVOSTEK'S
SIGN; HYPOCALCEMIA
⫸ When should a referral be considered for patient with
HYPERparathyroidism? Answer: CALCIUM STARTS BECOMING
HIGH
, ⫸ may be caused by cortisol hypersecretion by the adrenal cortex due
to cortical hypertrophy from a tumor of the adrenal gland or heavy
use of glucosteriods Answer: CUSHING'S SYNDROME
⫸ refers specifically to pituitary adrenoCORTICtropic hormone
(ACTH) excess caused by a pituitary tumor (adenoma) Too much
cortisol! Answer: CUSHING'S DISEASE
⫸ What labs are done to screen for Cushing's? Answer: serum and
urine cortisol (two measurements), CMP (GLUCOSE,
HYPOKALEMIA
CBC (LEUKOCYTOSIS)
⫸ What is the clinical presentation of Cushing disease? Answer:
GENERALIZED OR CENTRAL OBESITY
MOON FACE
BUFFALO HUMP
red face, AND STRIAE, HYPERGLYCEMIA
⫸ What is ADDISON'S DISEASE? Answer: primary adrenal
insufficiency
Autoimmune; adrenal glands do not produce enough cortisol.
NEED TO "ADD" ADRENAL HORMONES/ CORTISOL
RESOLVED QUESTIONS & TEST SET
SOLUTION BANK 2026.
⫸ What type of hypothyroidism does more than 95% of patients have
where there is dysfunction or atrophy of the thyroid gland due to
failure of pituitary and/or hypothalamus? Answer: CENTRAL
HYPOTHYROIDISM
⫸ What is an endocrine emergency with signs and symptoms of
slowed cognitive thinking, poor short-term memory, depression or
dementia, hypotension and hypothermia with a mortality rate of 30-
40%? Answer: MYXEDEMA (SEVERE HYPOTHYROIDISM)
⫸ What are the common causes of hypercalcemia? Answer:
PRIMARY HYPERPARATHYROIDISM AND MALIGNANCY
⫸ the twitching of the facial muscles in response to tapping over the
facial nerve 2 cm anterior to ear canal is considered a positive
_________ sign; what does it indicate? Answer: CHVOSTEK'S
SIGN; HYPOCALCEMIA
⫸ When should a referral be considered for patient with
HYPERparathyroidism? Answer: CALCIUM STARTS BECOMING
HIGH
, ⫸ may be caused by cortisol hypersecretion by the adrenal cortex due
to cortical hypertrophy from a tumor of the adrenal gland or heavy
use of glucosteriods Answer: CUSHING'S SYNDROME
⫸ refers specifically to pituitary adrenoCORTICtropic hormone
(ACTH) excess caused by a pituitary tumor (adenoma) Too much
cortisol! Answer: CUSHING'S DISEASE
⫸ What labs are done to screen for Cushing's? Answer: serum and
urine cortisol (two measurements), CMP (GLUCOSE,
HYPOKALEMIA
CBC (LEUKOCYTOSIS)
⫸ What is the clinical presentation of Cushing disease? Answer:
GENERALIZED OR CENTRAL OBESITY
MOON FACE
BUFFALO HUMP
red face, AND STRIAE, HYPERGLYCEMIA
⫸ What is ADDISON'S DISEASE? Answer: primary adrenal
insufficiency
Autoimmune; adrenal glands do not produce enough cortisol.
NEED TO "ADD" ADRENAL HORMONES/ CORTISOL
