MDC II TEST 2 ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Grave's disease. Answer: an autoimmune disorder that is caused
by hyperthyroidism and is characterized by *goiter and/or
exophthalmos*
◉ *Treatments*
▪ Rx: methimazole, atenolol, and *iodine-131*
▪ radiation therapy
*Nursing Interventions*
▪ provide a calm environment
▪ keep patients room cool
▪ assess pain
▪ prepare patient for surgery
▪ post-operative care
▪ maintain a patent airway
-------- same as hypothyroidism ---------
▪ provide periods of rest
▪ continuous cardiac monitoring
▪ monitor vital signs
,▪ daily weight
▪ monitor I&O
▪ monitor laboratory tests
▪ apply antiembolism stockings to prevent DVT
▪ provide skin care. Answer: *HYPERthyroidism aka Grave's
disease*
▪ Treatments
◉ pituitary gland. Answer: _________ is considered to be the "master
gland" as it secretes hormones that control other parts of the
endocrine system.
◉ ▪ ACTH
▪ TSH
▪ are the most life threatening because they cause a decrease in the
secretion of vital hormones from the adrenal and thyroid glands..
Answer: *Anterior HYPOpituitarism*
▪ Deficiencies of which two hormones are the most life threatening?
◉ Bloodwork (*all are DECREASED*)
,▪ T3
▪ T4
▪ Prolactin
▪ Testosterone
▪ Estradiol
Scans (you'll always draw blood work first for diagnostics though)
▪ CT/MRI - detect bone or soft tissue lesions
▪ Skull X-ray - detect enlargement, erosions, and calcification of the
sella turcica. Answer: *Anterior HYPOpituitarism*
▪ Laboratory & Diagnostic Tests
◉ TRUE! We have very small amounts of testosterone or estradiol no
matter if we are men or women.. Answer: T/F: do both men and
women have testosterone and estradiol?
◉ *INCREASED:*
▪ Prolactin - this might be the answer to the Q
▪ Cortisol
▪ TSH
▪ LH (men)
, ▪ FSH (men)
▪ Glucose
*DECREASED:*
▪ Gonadotropin. Answer: *Anterior HYPERpituitarism*
(SATA Q?)
▪ Laboratory Tests
◉ ▪ Prevent infection because they are immunosuppressed
▪ handwashing. Answer: HYPERcortisolism (aka Cushing's Disease)
*Priority Intervention*
◉ diabetes insipidus. Answer: ▪ *Deficiency of ADH* resulting in
large volumes of dilute urine
▪ A disorder of the posterior pituitary gland
◉ *They are losing a lot of water:*
• polyuria
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Grave's disease. Answer: an autoimmune disorder that is caused
by hyperthyroidism and is characterized by *goiter and/or
exophthalmos*
◉ *Treatments*
▪ Rx: methimazole, atenolol, and *iodine-131*
▪ radiation therapy
*Nursing Interventions*
▪ provide a calm environment
▪ keep patients room cool
▪ assess pain
▪ prepare patient for surgery
▪ post-operative care
▪ maintain a patent airway
-------- same as hypothyroidism ---------
▪ provide periods of rest
▪ continuous cardiac monitoring
▪ monitor vital signs
,▪ daily weight
▪ monitor I&O
▪ monitor laboratory tests
▪ apply antiembolism stockings to prevent DVT
▪ provide skin care. Answer: *HYPERthyroidism aka Grave's
disease*
▪ Treatments
◉ pituitary gland. Answer: _________ is considered to be the "master
gland" as it secretes hormones that control other parts of the
endocrine system.
◉ ▪ ACTH
▪ TSH
▪ are the most life threatening because they cause a decrease in the
secretion of vital hormones from the adrenal and thyroid glands..
Answer: *Anterior HYPOpituitarism*
▪ Deficiencies of which two hormones are the most life threatening?
◉ Bloodwork (*all are DECREASED*)
,▪ T3
▪ T4
▪ Prolactin
▪ Testosterone
▪ Estradiol
Scans (you'll always draw blood work first for diagnostics though)
▪ CT/MRI - detect bone or soft tissue lesions
▪ Skull X-ray - detect enlargement, erosions, and calcification of the
sella turcica. Answer: *Anterior HYPOpituitarism*
▪ Laboratory & Diagnostic Tests
◉ TRUE! We have very small amounts of testosterone or estradiol no
matter if we are men or women.. Answer: T/F: do both men and
women have testosterone and estradiol?
◉ *INCREASED:*
▪ Prolactin - this might be the answer to the Q
▪ Cortisol
▪ TSH
▪ LH (men)
, ▪ FSH (men)
▪ Glucose
*DECREASED:*
▪ Gonadotropin. Answer: *Anterior HYPERpituitarism*
(SATA Q?)
▪ Laboratory Tests
◉ ▪ Prevent infection because they are immunosuppressed
▪ handwashing. Answer: HYPERcortisolism (aka Cushing's Disease)
*Priority Intervention*
◉ diabetes insipidus. Answer: ▪ *Deficiency of ADH* resulting in
large volumes of dilute urine
▪ A disorder of the posterior pituitary gland
◉ *They are losing a lot of water:*
• polyuria
