CHAPTER 6 TEST QUESTIONS AND
CORRECT ANSWERS
WhichA2ofA2theA2followingA2isA2anA2organA2ofA2theA2lymphaticA2systemA2thatA2liesA2inA2leftA2
upperA2abdomenA2andA2helpsA2inA2destroyingA2RBCsA2thatA2areA2noA2longerA2effective?A2-
A2Ans--Spleen
WhatA2isA2theA2diagnosisA2whenA2adrenalA2glandsA2doA2notA2produceA2enoughA2cortisolA2
andA2aldosterone?A2-A2Ans--Addison'sA2disease
WhichA2isA2theA2largestA2lymphoidA2organA2inA2theA2body?A2-A2Ans--Spleen
WhatA2isA2theA2meaningA2ofA2theA2termA2-tropicA2inA2theA2endocrineA2system?A2-A2Ans--
ActA2upon
WhichA2ofA2theA2followingA2isA2theA2rootA2wordA2forA2lymphaticA2vessel?A2-A2Ans--
lymphangi/o
AnA2excessA2ofA2cortisol,A2causedA2eitherA2byA2anA2overactiveA2adrenalA2glandA2orA2gluco
corticoidA2medicationsA2causesA2whichA2ofA2theA2following?A2-A2Ans--
Cushing'sA2Syndrome
WhatA2isA2theA2meaningA2ofA2theA2termA2Euthyroid?A2-A2Ans--
NormalA2thyroidA2glandA2activity
WhichA2ofA2theA2followingA2statementsA2isA2FALSEA2regardingA2theA2pituitaryA2gland?A2-
A2Ans--PosteriorA2pituitaryA2producesA2growthA2hormoneA2andA2luteinizingA2hormone
WhichA2ofA2theA2followingA2zonesA2isA2notA2aA2partA2ofA2theA2adrenalA2cortex?A2-A2Ans--
ZonaA2muscularis
AA29-year-
oldA2diabeticA2patientA2wasA2takenA2toA2theA2physician'sA2officeA2byA2hisA2momA2forA2aA23-
monthA2follow-
upA2visit.A2AfterA2aA2medicallyA2appropriateA2examination,A2theA2physicianA2documentsA2i
nA2theA2medicalA2record,A2"typeA21A2diabetesA2wellA2controlledA2withA2insulin.A2TheA2patie
ntA2willA2continueA2withA2sameA2dosage,A2monitorA2glucoseA2levels,A2andA2returnA2inA23A2
monthsA2forA2recheck".DependingA2onA2theA2aboveA2documentation,A2theA2patientA2isA2lik
elyA2toA2haveA2whichA2typeA2ofA2diabetes?A2-A2Ans--JuvenileA2Diabetes
WhatA2isA2knownA2asA2hyperplasia?A2-A2Ans--EnlargementA2ofA2anA2organ
, WhichA2ofA2theA2followingA2diseasesA2isA2diagnosedA2usingA2testsA2thatA2showA2bloodA2lev
elsA2ofA2calciumA2andA2parathyroidA2hormonesA2areA2tooA2high?A2-A2Ans--
Hyperparathyroidism
WhatA2isA2theA2testA2usedA2forA2diagnosingA2Addison'sA2disease?A2-A2Ans--
ACTHA2stimulationA2test
WhichA2ofA2theA2followingA2hormonesA2isA2NOTA2secretedA2byA2adrenalA2medulla?A2-
A2Ans--Cortisol
AA245-year-
oldA2maleA2presentsA2toA2theA2physicianA2withA2increasedA2urination,A2extremeA2thirst,A2an
dA2unexplainedA2weightA2loss.A2PhysicianA2determinedA2theA2patientA2isA2sufferingA2fromA2
diabetesA2dueA2toA2neoplasmA2ofA2pancreas.A2TheA2patientA2isA2mostA2likelyA2toA2haveA2w
hichA2typeA2ofA2Diabetes?A2-A2Ans--SecondaryA2Diabetes
Glucagon:A2-A2Ans--acceleratesA2liverA2glycogenolysis
TheA2externalA2ringA2wasA2identifiedA2asA2wasA2theA2ilioinguinalA2ligament.A2TheA2ringA2wa
sA2openedA2forA2aA2shortA2distance.A2TheA2testisA2wasA2highA2inA2theA2scrotumA2andA2was
A2broughtA2through.A2TheA2testisA2wasA2pinkA2andA2viable.A2AA2dartosA2pouchA2wasA2creat
edA2andA2theA2testisA2broughtA2throughA2it.A2TheA2neckA2ofA2theA2pouchA2wasA2tightenedA2
withA2aA2fewA2interruptedA2suturesA2ofA23-
0A2Vicryl.A2CareA2wasA2takenA2toA2makeA2sureA2itA2didA2notA2twistA2theA2testicleA2thatA2theA
2testisA2layA2inA2aA2normalA2anatomicalA2position.A2TheA2scrotalA2incisionA2wasA2thenA2clos
edA2withA25-
0A2plainA2gut.A2TheA2externalA2ringA2wasA2recreatedA2byA2approximatingA2theA2aponeurosi
sA2ofA2theA2externalA2oblique.A2TheA2underlyingA2ilioinguinalA2nerveA2wasA2identifiedA2andA
2spared.A2-A2Ans--BilateralA2Orchiopexy
TheA2patientA2isA2aA251-year-
oldA2femaleA2whoA2wasA2admittedA2toA2theA2hospitalA2forA2treatmentA2ofA2anA2unknownA2in
sectA2biteA2whichA2causedA2herA2leftA2armA2toA2swellA2considerably.A2TheA2physicianA2ad
ministeredA2dexamethasoneA2toA2alleviateA2theA2swelling.A2HerA2physicalA2examinationA2s
howedA2herA2bodyweightA2ofA2250A2lbs.A2SheA2complainedA2ofA2muscleA2cramps,A2genera
lA2fatigue,A2weaknessA2andA2hairA2loss.A2TheA2physicianA2orderedA2bloodA2toA2beA2takenA2
toA2runA2aA2hormoneA2panel.A2TheA2labA2reportA2notedA2abnormallyA2lowA2thyroidA2levels.A
2WhatA2isA2theA2possibleA2diagnosisA2ofA2aA2patientA2inA2thisA2visit?A2-A2Ans--
Hypothyroidism
ReasonA2forA2Visit:A2TheA2patientA2isA2aA266-year-
oldA2maleA2hereA2todayA2forA2followA2upA2ofA2hisA2diabetes.Meds:GlipiZIDEA210A2MGA2PO
A2tabletDiagnosis:Type A22A2DMA2fairlyA2wellA2controlledPlan:Reviewed A2recentA2labsA2don
e,A2A1cA2remainsA2belowA28,A2goalA2toA2getA2underA27.5.A2DiscussedA2improvedA2focusA2o
nA2dietaryA2andA2exercise.A2HeA2wouldA2preferA2toA2avoidA2medA2changesA2ifA2heA2canA2h
oldA2A1cA2steadyA2and/
CORRECT ANSWERS
WhichA2ofA2theA2followingA2isA2anA2organA2ofA2theA2lymphaticA2systemA2thatA2liesA2inA2leftA2
upperA2abdomenA2andA2helpsA2inA2destroyingA2RBCsA2thatA2areA2noA2longerA2effective?A2-
A2Ans--Spleen
WhatA2isA2theA2diagnosisA2whenA2adrenalA2glandsA2doA2notA2produceA2enoughA2cortisolA2
andA2aldosterone?A2-A2Ans--Addison'sA2disease
WhichA2isA2theA2largestA2lymphoidA2organA2inA2theA2body?A2-A2Ans--Spleen
WhatA2isA2theA2meaningA2ofA2theA2termA2-tropicA2inA2theA2endocrineA2system?A2-A2Ans--
ActA2upon
WhichA2ofA2theA2followingA2isA2theA2rootA2wordA2forA2lymphaticA2vessel?A2-A2Ans--
lymphangi/o
AnA2excessA2ofA2cortisol,A2causedA2eitherA2byA2anA2overactiveA2adrenalA2glandA2orA2gluco
corticoidA2medicationsA2causesA2whichA2ofA2theA2following?A2-A2Ans--
Cushing'sA2Syndrome
WhatA2isA2theA2meaningA2ofA2theA2termA2Euthyroid?A2-A2Ans--
NormalA2thyroidA2glandA2activity
WhichA2ofA2theA2followingA2statementsA2isA2FALSEA2regardingA2theA2pituitaryA2gland?A2-
A2Ans--PosteriorA2pituitaryA2producesA2growthA2hormoneA2andA2luteinizingA2hormone
WhichA2ofA2theA2followingA2zonesA2isA2notA2aA2partA2ofA2theA2adrenalA2cortex?A2-A2Ans--
ZonaA2muscularis
AA29-year-
oldA2diabeticA2patientA2wasA2takenA2toA2theA2physician'sA2officeA2byA2hisA2momA2forA2aA23-
monthA2follow-
upA2visit.A2AfterA2aA2medicallyA2appropriateA2examination,A2theA2physicianA2documentsA2i
nA2theA2medicalA2record,A2"typeA21A2diabetesA2wellA2controlledA2withA2insulin.A2TheA2patie
ntA2willA2continueA2withA2sameA2dosage,A2monitorA2glucoseA2levels,A2andA2returnA2inA23A2
monthsA2forA2recheck".DependingA2onA2theA2aboveA2documentation,A2theA2patientA2isA2lik
elyA2toA2haveA2whichA2typeA2ofA2diabetes?A2-A2Ans--JuvenileA2Diabetes
WhatA2isA2knownA2asA2hyperplasia?A2-A2Ans--EnlargementA2ofA2anA2organ
, WhichA2ofA2theA2followingA2diseasesA2isA2diagnosedA2usingA2testsA2thatA2showA2bloodA2lev
elsA2ofA2calciumA2andA2parathyroidA2hormonesA2areA2tooA2high?A2-A2Ans--
Hyperparathyroidism
WhatA2isA2theA2testA2usedA2forA2diagnosingA2Addison'sA2disease?A2-A2Ans--
ACTHA2stimulationA2test
WhichA2ofA2theA2followingA2hormonesA2isA2NOTA2secretedA2byA2adrenalA2medulla?A2-
A2Ans--Cortisol
AA245-year-
oldA2maleA2presentsA2toA2theA2physicianA2withA2increasedA2urination,A2extremeA2thirst,A2an
dA2unexplainedA2weightA2loss.A2PhysicianA2determinedA2theA2patientA2isA2sufferingA2fromA2
diabetesA2dueA2toA2neoplasmA2ofA2pancreas.A2TheA2patientA2isA2mostA2likelyA2toA2haveA2w
hichA2typeA2ofA2Diabetes?A2-A2Ans--SecondaryA2Diabetes
Glucagon:A2-A2Ans--acceleratesA2liverA2glycogenolysis
TheA2externalA2ringA2wasA2identifiedA2asA2wasA2theA2ilioinguinalA2ligament.A2TheA2ringA2wa
sA2openedA2forA2aA2shortA2distance.A2TheA2testisA2wasA2highA2inA2theA2scrotumA2andA2was
A2broughtA2through.A2TheA2testisA2wasA2pinkA2andA2viable.A2AA2dartosA2pouchA2wasA2creat
edA2andA2theA2testisA2broughtA2throughA2it.A2TheA2neckA2ofA2theA2pouchA2wasA2tightenedA2
withA2aA2fewA2interruptedA2suturesA2ofA23-
0A2Vicryl.A2CareA2wasA2takenA2toA2makeA2sureA2itA2didA2notA2twistA2theA2testicleA2thatA2theA
2testisA2layA2inA2aA2normalA2anatomicalA2position.A2TheA2scrotalA2incisionA2wasA2thenA2clos
edA2withA25-
0A2plainA2gut.A2TheA2externalA2ringA2wasA2recreatedA2byA2approximatingA2theA2aponeurosi
sA2ofA2theA2externalA2oblique.A2TheA2underlyingA2ilioinguinalA2nerveA2wasA2identifiedA2andA
2spared.A2-A2Ans--BilateralA2Orchiopexy
TheA2patientA2isA2aA251-year-
oldA2femaleA2whoA2wasA2admittedA2toA2theA2hospitalA2forA2treatmentA2ofA2anA2unknownA2in
sectA2biteA2whichA2causedA2herA2leftA2armA2toA2swellA2considerably.A2TheA2physicianA2ad
ministeredA2dexamethasoneA2toA2alleviateA2theA2swelling.A2HerA2physicalA2examinationA2s
howedA2herA2bodyweightA2ofA2250A2lbs.A2SheA2complainedA2ofA2muscleA2cramps,A2genera
lA2fatigue,A2weaknessA2andA2hairA2loss.A2TheA2physicianA2orderedA2bloodA2toA2beA2takenA2
toA2runA2aA2hormoneA2panel.A2TheA2labA2reportA2notedA2abnormallyA2lowA2thyroidA2levels.A
2WhatA2isA2theA2possibleA2diagnosisA2ofA2aA2patientA2inA2thisA2visit?A2-A2Ans--
Hypothyroidism
ReasonA2forA2Visit:A2TheA2patientA2isA2aA266-year-
oldA2maleA2hereA2todayA2forA2followA2upA2ofA2hisA2diabetes.Meds:GlipiZIDEA210A2MGA2PO
A2tabletDiagnosis:Type A22A2DMA2fairlyA2wellA2controlledPlan:Reviewed A2recentA2labsA2don
e,A2A1cA2remainsA2belowA28,A2goalA2toA2getA2underA27.5.A2DiscussedA2improvedA2focusA2o
nA2dietaryA2andA2exercise.A2HeA2wouldA2preferA2toA2avoidA2medA2changesA2ifA2heA2canA2h
oldA2A1cA2steadyA2and/