Sadie, age 40, has just been given a diagnosis of Graves disease. She has recently lost
25 lb, has palpitations, is very irritable, feels very warm, and has a noticeable bulge on
her neck. The most likely cause of her increased thyroid function is:
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An autoimmune response.
Jenny, age 46, has hypertension that has been controlled with hydrochlorothiazide 50
mg every day for the past 3 years. She is 5 ft 8 in tall and weighs 220 lb. Her fasting
blood sugar (FBS) is 300 mg/dL, serum cholesterol level is 250 mg/dL, serum
potassium level is 3.4 mEq, and she has 4+ glucosuria. Your next course of action
would be to:
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, Repeat her FBS and do a glycated hemoglobin (HbA1c).
Which of the following would not confirm a diagnosis of diabetes?
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Random glucose of 198.
Which is the only curative treatment option for primary hyperparathyroidism (PHPT)?
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Parathyroidectomy.
You suspect that Sharon has hypoparathyroidism because, in addition to her other
signs and symptoms, she has:
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Elevated serum phosphate levels.
An elderly client presents with atrial fibrillation. Which of the following lab tests is
important in forming the diagnosis?
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, Thyroid-stimulating hormone (TSH).
A 35-year-old male presents to your office complaining of fatigue, weight loss,
nausea, and abdominal pain. On physical exam, you notice he has orthostatic
hypotension and hyperpigmented skin. You do a morning cortisol level, which is low.
The plasma adrenocorticotropic hormone (ACTH) is elevated. How would you treat
this patient?
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Hydrocortisone.
Jennifer has diabetes mellitus (DM) and is injecting 30 units of Novolin 70/30 with
breakfast and 18 units at bedtime. She is complaining that she woke up once in the
middle of the night with palpitations and sweating. Based on this information, what do
you recommend?
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Changing the time of the nighttime insulin injection.
Marsha, age 24, is preparing for radioactive iodine therapy for her Graves disease.
Which test must she undergo first?
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25 lb, has palpitations, is very irritable, feels very warm, and has a noticeable bulge on
her neck. The most likely cause of her increased thyroid function is:
Give this one a try later!
An autoimmune response.
Jenny, age 46, has hypertension that has been controlled with hydrochlorothiazide 50
mg every day for the past 3 years. She is 5 ft 8 in tall and weighs 220 lb. Her fasting
blood sugar (FBS) is 300 mg/dL, serum cholesterol level is 250 mg/dL, serum
potassium level is 3.4 mEq, and she has 4+ glucosuria. Your next course of action
would be to:
Give this one a try later!
, Repeat her FBS and do a glycated hemoglobin (HbA1c).
Which of the following would not confirm a diagnosis of diabetes?
Give this one a try later!
Random glucose of 198.
Which is the only curative treatment option for primary hyperparathyroidism (PHPT)?
Give this one a try later!
Parathyroidectomy.
You suspect that Sharon has hypoparathyroidism because, in addition to her other
signs and symptoms, she has:
Give this one a try later!
Elevated serum phosphate levels.
An elderly client presents with atrial fibrillation. Which of the following lab tests is
important in forming the diagnosis?
Give this one a try later!
, Thyroid-stimulating hormone (TSH).
A 35-year-old male presents to your office complaining of fatigue, weight loss,
nausea, and abdominal pain. On physical exam, you notice he has orthostatic
hypotension and hyperpigmented skin. You do a morning cortisol level, which is low.
The plasma adrenocorticotropic hormone (ACTH) is elevated. How would you treat
this patient?
Give this one a try later!
Hydrocortisone.
Jennifer has diabetes mellitus (DM) and is injecting 30 units of Novolin 70/30 with
breakfast and 18 units at bedtime. She is complaining that she woke up once in the
middle of the night with palpitations and sweating. Based on this information, what do
you recommend?
Give this one a try later!
Changing the time of the nighttime insulin injection.
Marsha, age 24, is preparing for radioactive iodine therapy for her Graves disease.
Which test must she undergo first?
Give this one a try later!
