MEDSURG II ENDOCRINE EXAMS SCRIPT ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Every race but what is at higher risk for DM - ✔✔caucasians
✔✔Insulin resistance is which diabetes - ✔✔type II (make the insulin but cell does not
accept it)
✔✔Type II diabetic go to medication is - ✔✔metformin (PO med)
✔✔In type II diabetic how much BMI should be lost to make it easier for the body to use
insulin - ✔✔5-10%
✔✔What percent of DM II patients require insulin - ✔✔30%
✔✔Clinical manifestations of DM II - ✔✔polyuria, polyphagia, polydipsia, fatigue, poor
wound healing, visual disturbances, cardiac issues
✔✔Microvascular - ✔✔smaller vessels are affected
✔✔Macrovascular - ✔✔large vessels are affected
✔✔Example of organs that are affected by microvascular issues - ✔✔eyes, kidneys,
neuropathy
✔✔Example of organs that are affected by macrovascular issues - ✔✔brain, heart,
extremities
✔✔Treatment of DM II - ✔✔education, glycemic control, nutrition, exercise, monitor for
complications (micro/macrovascular, infection, neuropathy)
, ✔✔DM II has a risk for infection due to - ✔✔decreased perfusion and sensation in distal
extremities
✔✔ Hormone secretion does what when circulating levels drop? - ✔✔increase
✔✔Elevation of T3 T4 levels being released means - ✔✔TSH levels drop
✔✔How would you palpate and assess a tumor on the thyroid? - ✔✔ISTHMUS. Stand
behind the pt (posterior approach) and palpate anterior neck below chricoid cartilage
and have the patient swallow.
✔✔What is the best indication to determine if someone has hypothyroidism - ✔✔TSH
level (high)
✔✔What would be the difference between thyroid storm and hyperthyroidism -
✔✔thyroid storm will appear with fever, tremors, severe htn, tachycardia, CHANGE IN
LOC.
✔✔What clinical manifestations would we see with hyperthyroidism? - ✔✔tachycardia,
weight loss, thyroid bruits, hairloss, bulging eyes (exopthalmus), goiter, anxiety,
insomnia, increased appetite
✔✔Not all hormones need to be imbalanced to - ✔✔diagnose
✔✔Anytime we have a subtotal or total thyroidectomy pts are at risk for -
✔✔hypoparathyroidism and hypothyroidism
✔✔Postop complications for total or subtotal thyroidectomies - ✔✔airway (swelling),
laryngeal nerve damage (change in voice or tone, stridor), hypocalcemia
(hypoparathyroidism), hyperthyroid symptoms (thyroid storms), hyperthermic
✔✔For hypoparathyroidism we wanna check what type of calcium level - ✔✔ionized
calcium level
✔✔A1C levels should be less than what for diabetics? - ✔✔7
✔✔In A1C lower levels are always - ✔✔better
✔✔Grave's disease is asscoiated with - ✔✔hyperthyroidism
✔✔What is hashimotos associated with - ✔✔hypothyroidism
✔✔Pt education for transsphenoidal hypophysectomy - ✔✔keep low ICP
QUESTIONS AND ANSWERS SURE A+
✔✔Every race but what is at higher risk for DM - ✔✔caucasians
✔✔Insulin resistance is which diabetes - ✔✔type II (make the insulin but cell does not
accept it)
✔✔Type II diabetic go to medication is - ✔✔metformin (PO med)
✔✔In type II diabetic how much BMI should be lost to make it easier for the body to use
insulin - ✔✔5-10%
✔✔What percent of DM II patients require insulin - ✔✔30%
✔✔Clinical manifestations of DM II - ✔✔polyuria, polyphagia, polydipsia, fatigue, poor
wound healing, visual disturbances, cardiac issues
✔✔Microvascular - ✔✔smaller vessels are affected
✔✔Macrovascular - ✔✔large vessels are affected
✔✔Example of organs that are affected by microvascular issues - ✔✔eyes, kidneys,
neuropathy
✔✔Example of organs that are affected by macrovascular issues - ✔✔brain, heart,
extremities
✔✔Treatment of DM II - ✔✔education, glycemic control, nutrition, exercise, monitor for
complications (micro/macrovascular, infection, neuropathy)
, ✔✔DM II has a risk for infection due to - ✔✔decreased perfusion and sensation in distal
extremities
✔✔ Hormone secretion does what when circulating levels drop? - ✔✔increase
✔✔Elevation of T3 T4 levels being released means - ✔✔TSH levels drop
✔✔How would you palpate and assess a tumor on the thyroid? - ✔✔ISTHMUS. Stand
behind the pt (posterior approach) and palpate anterior neck below chricoid cartilage
and have the patient swallow.
✔✔What is the best indication to determine if someone has hypothyroidism - ✔✔TSH
level (high)
✔✔What would be the difference between thyroid storm and hyperthyroidism -
✔✔thyroid storm will appear with fever, tremors, severe htn, tachycardia, CHANGE IN
LOC.
✔✔What clinical manifestations would we see with hyperthyroidism? - ✔✔tachycardia,
weight loss, thyroid bruits, hairloss, bulging eyes (exopthalmus), goiter, anxiety,
insomnia, increased appetite
✔✔Not all hormones need to be imbalanced to - ✔✔diagnose
✔✔Anytime we have a subtotal or total thyroidectomy pts are at risk for -
✔✔hypoparathyroidism and hypothyroidism
✔✔Postop complications for total or subtotal thyroidectomies - ✔✔airway (swelling),
laryngeal nerve damage (change in voice or tone, stridor), hypocalcemia
(hypoparathyroidism), hyperthyroid symptoms (thyroid storms), hyperthermic
✔✔For hypoparathyroidism we wanna check what type of calcium level - ✔✔ionized
calcium level
✔✔A1C levels should be less than what for diabetics? - ✔✔7
✔✔In A1C lower levels are always - ✔✔better
✔✔Grave's disease is asscoiated with - ✔✔hyperthyroidism
✔✔What is hashimotos associated with - ✔✔hypothyroidism
✔✔Pt education for transsphenoidal hypophysectomy - ✔✔keep low ICP
