APEA- Endocrine Patho
1. A 42-year-old woman complains of palpitations, anxiety and weight loss. Which two lab
tests would be most helpful in diagnosing this patient?
2.
3. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
4. Cortisol and ACTH levels
5. Insulin-like growth factor and prolactin levels
6. Free T3 and T4 - ANS-Free T3 & T4
7.
8. Thyrotoxicosis (hyperthyroidism) is hypermetabolic state caused by elevated circulating
levels of free T3 & T4
9. A 54-year-old patient with diabetes presents with fatigue and the nurse practitioner
suspects diabetic ketoacidosis (DKA). Other symptoms related to DKA include:
10.
11. dysuria.
12. metallic taste in the mouth.
13. fruity breath.
14. bradycardia. - ANS-fruity breath
15. A common characteristic of a person with Graves disease is:
16. ophthalmopathy.
17. humped back.
18. moon face.
19. peripheral neuropathy. - ANS-ophthalmopathy
20. A negative feedback system regulates the endocrine system by:
21. stimulating hormone production.
22. increasing the uptake of the target tissue.
23. increasing the hormone transport system.
24. inhibiting hormone overproduction. - ANS-inhibiting hormone overproduction
25. A patient with an elevated thyroid-stimulating hormone (TSH) level most likely has:
26. subacute thyroiditis.
27. toxic adenoma.
28. Graves' disease.
29. hypothyroidism. - ANS-hypothyroidism
30. A simple nontoxic goiter:
31. is caused by inflammation.
32. is likely secondary to a neoplasm.
33. may be enlarged secondary to a lack of iodine in the diet.
34. is an autoimmune disease process. - ANS-may be enlarged secondary to a lack of
iodine in the diet
35. Acute complications of untreated diabetes insipidus would NOT include:
, 36. hypovolemia.
37. hypervolemia.
38. circulatory collapse.
39. loss of consciousness. - ANS-hypervolemia
40.
41. Untreated diabetes insipidus (DI) can produce complications such as hypovolemia,
hyperosmolality, circulatory collapse, loss of consciousness, and central nervous system
damage
42. An acute metabolic complication that occurs in patients with diabetes is:
43. nephropathy.
44. retinopathy.
45. autonomic neuropathy.
46. ketoacidosis. - ANS-ketoacidosis
47. An autoimmune disorder characterized by abnormal stimulation of the thyroid gland by
antibodies that act through normal TSH receptors is:
48. celiac disease.
49. Graves' disease.
50. Multiple sclerosis.
51. Sjogren's syndrome. - ANS-Graves' disease, one of the autoimmune thyroid diseases, is
caused by the production of IgG autoantibodies directed against the thyrotropin receptor.
These antibodies bind to and activate the receptor, causing the autonomous production
of thyroid hormones.
52. An extreme and life-threatening form of thyrotoxicosis is called:
53. Graves' disease.
54. thyroid storm.
55. thyroiditis.
56. hypothyroidism. - ANS-thyroid storm
57. Antidiuretic hormone (ADH) and oxytocin are produced in the:
58. adrenal glands.
59. parathyroid gland.
60. thyroid gland.
61. hypothalamus. - ANS-hypothalamus
62. As a result of prolonged exposure to high levels of cortisol, the patient with Cushing's
syndrome is likely to develop:
63. gynecomastia.
64. moon facies.
65. protruding eyes.
66. fruity smell. - ANS-Moon facies
67. Cushing's disease is characterized by physical abnormalities that occur when the
adrenal glands secrete excess:
68.
69. triiodothyronine.
70. glucocorticoids.
71. oxytocin.
1. A 42-year-old woman complains of palpitations, anxiety and weight loss. Which two lab
tests would be most helpful in diagnosing this patient?
2.
3. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
4. Cortisol and ACTH levels
5. Insulin-like growth factor and prolactin levels
6. Free T3 and T4 - ANS-Free T3 & T4
7.
8. Thyrotoxicosis (hyperthyroidism) is hypermetabolic state caused by elevated circulating
levels of free T3 & T4
9. A 54-year-old patient with diabetes presents with fatigue and the nurse practitioner
suspects diabetic ketoacidosis (DKA). Other symptoms related to DKA include:
10.
11. dysuria.
12. metallic taste in the mouth.
13. fruity breath.
14. bradycardia. - ANS-fruity breath
15. A common characteristic of a person with Graves disease is:
16. ophthalmopathy.
17. humped back.
18. moon face.
19. peripheral neuropathy. - ANS-ophthalmopathy
20. A negative feedback system regulates the endocrine system by:
21. stimulating hormone production.
22. increasing the uptake of the target tissue.
23. increasing the hormone transport system.
24. inhibiting hormone overproduction. - ANS-inhibiting hormone overproduction
25. A patient with an elevated thyroid-stimulating hormone (TSH) level most likely has:
26. subacute thyroiditis.
27. toxic adenoma.
28. Graves' disease.
29. hypothyroidism. - ANS-hypothyroidism
30. A simple nontoxic goiter:
31. is caused by inflammation.
32. is likely secondary to a neoplasm.
33. may be enlarged secondary to a lack of iodine in the diet.
34. is an autoimmune disease process. - ANS-may be enlarged secondary to a lack of
iodine in the diet
35. Acute complications of untreated diabetes insipidus would NOT include:
, 36. hypovolemia.
37. hypervolemia.
38. circulatory collapse.
39. loss of consciousness. - ANS-hypervolemia
40.
41. Untreated diabetes insipidus (DI) can produce complications such as hypovolemia,
hyperosmolality, circulatory collapse, loss of consciousness, and central nervous system
damage
42. An acute metabolic complication that occurs in patients with diabetes is:
43. nephropathy.
44. retinopathy.
45. autonomic neuropathy.
46. ketoacidosis. - ANS-ketoacidosis
47. An autoimmune disorder characterized by abnormal stimulation of the thyroid gland by
antibodies that act through normal TSH receptors is:
48. celiac disease.
49. Graves' disease.
50. Multiple sclerosis.
51. Sjogren's syndrome. - ANS-Graves' disease, one of the autoimmune thyroid diseases, is
caused by the production of IgG autoantibodies directed against the thyrotropin receptor.
These antibodies bind to and activate the receptor, causing the autonomous production
of thyroid hormones.
52. An extreme and life-threatening form of thyrotoxicosis is called:
53. Graves' disease.
54. thyroid storm.
55. thyroiditis.
56. hypothyroidism. - ANS-thyroid storm
57. Antidiuretic hormone (ADH) and oxytocin are produced in the:
58. adrenal glands.
59. parathyroid gland.
60. thyroid gland.
61. hypothalamus. - ANS-hypothalamus
62. As a result of prolonged exposure to high levels of cortisol, the patient with Cushing's
syndrome is likely to develop:
63. gynecomastia.
64. moon facies.
65. protruding eyes.
66. fruity smell. - ANS-Moon facies
67. Cushing's disease is characterized by physical abnormalities that occur when the
adrenal glands secrete excess:
68.
69. triiodothyronine.
70. glucocorticoids.
71. oxytocin.
