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Exam (elaborations)

Chapter 16 Endocrine System Disorders

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January 26, 2025
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Chapter 16: Endocrine System Disorders
Test Bank


MULTIPLE CHOICE

1. What kind of control mechanism is indicated when increased blood glucose levels stimulate
increased secretion of insulin?
a. Control by releasing hormones
b. Control by tropic hormones
c. Negative feedback control
d. Hypothalamus/hypophysis coordination
ANS: C REF: 403-404

2. What is the most common cause of endocrine disorders?
a. Malignant neoplasm
b. Infection
c. Congenital defect
d. Benign tumor
ANS: D REF: 406

3. Choose the statement that applies to type 1 diabetes mellitus.
a. Onset often occurs during childhood.
b. Relative insufficiency of insulin or insulin resistance develops.
c. It can be treated by diet, weight control and exercise, or oral hypoglycemics.
d. Complications rarely occur.

ANS: A REF: 406


4. Why does polyuria develop with diabetes mellitus?
a. Increased thirst and hypoglycemia
b. Ketoacidosis
c. Osmotic pressure due to glucose
d. Diabetic nephropathy
ANS: C REF: 407

5. What is the cause of diabetic ketoacidosis?
a. Excess insulin in the body
b. Loss of glucose in the urine
c. Failure of the kidney to excrete sufficient acids
d. Increased catabolism of fats and proteins
ANS: D REF: 408

6. What is a precipitating factor for diabetic ketoacidosis?
a. Skipping a meal
b. Anorexia
c. Serious infection
d. Insulin overdose

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ANS: C REF: 410

7. Which of the following may cause insulin shock to develop?
a. Strenuous exercise
b. Missing an insulin dose
c. Eating excessively large meals
d. Sedentary lifestyle
ANS: A REF: 409

8. Which of the following indicates hypoglycemia in a diabetic?
a. Deep, rapid respirations
b. Flushed dry skin and mucosa
c. Thirst and oliguria
d. Staggering gait, disorientation, and confusion
ANS: D REF: 409

9. Which of the following are signs of diabetic ketoacidosis in an unconscious person?
a. Pale moist skin
b. Thirst and poor skin turgor
c. Deep rapid respirations and fruity breath odor
d. Tremors and strong rapid pulse
ANS: C REF: 410

10. Immediate treatment for insulin shock may include:
a. administration of bicarbonatesN. URSINGTB.COM
b. consumption of fruit juice or candy.
c. induced vomiting.
d. consumption of large amounts of water.
ANS: B REF: 409

11. What causes loss of consciousness in a person with diabetic ketoacidosis?
a. Toxic effects of excessive insulin
b. Excessive glucose in the blood
c. Metabolic acidosis
d. Lack of glucose in brain cells
ANS: C REF: 411

12. Which of the following does NOT usually develop as a complication of diabetes?
a. Osteoporosis
b. Nephropathy
c. Impotence
d. Peripheral neuropathy
ANS: A REF: 412-413

13. How do many oral hypoglycemic drugs act?
a. To replace insulin in patients with insulin-dependent diabetes mellitus (IDDM)

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