FNP Review Dunphy Chapter 17 Endocrine and Metabolic Problems with 100% Correct Answers Latest 2024 Version Which of the following medications can impact the functioning of the thyroid gland? A. Amiodarone, lithium, and interferon -alpha B. Labetolol, lisinopril, and losarta n C. HCTZ, chlorthalidone, and losartan D. Omeprazole, atorvastatin, and lisinopril - ✔A. Amiodarone can cause hyperthyroidism or hypothyroidism. Lithium and interferon -alpha can cause thyroid dysfunction. Should have thyroid assessed periodically. Early -morning increases in blood glucose concentration that occur with no corresponding hypoglycemia during the night are referred to as: a. the Somogyi phenomenon b. insulin shock c. diabetic ketoacidosis d. the dawn phenomenon. - ✔D Diabetes and coronary artery disease (CAD) have a close interrelationship. Which of the following statements about the relationship between diabetes and CAD is true? A. Hyperinsulinemia decreases sympathetic tone and cardiac contractility by increasing plasma catecholamines, ep inephrine, and norepinephrine B. An increase of glucose causes the distal nephrons of the kidneys to absorb less sodium, resulting in more fluid, expanding the intravascular volume, and increasing the blood pressure C. Hyperinsulinemia causes a large numbe r of vascular smooth muscle cells to be formed and deposited on the walls of vessels, eventually decreasing space for blood flow D. An increase in glucose stimulates more secretion of epinephrine, thus raising the blood pressure - ✔C Hyperinsulinemia cause s a large number of vascular smooth muscle cells to be formed and deposited on the walls of vessels, causing buildup and eventual blockage, reducing blood flow; hyperinsulinemia increases (not decreases) sympathetic tone and cardiac contractility by increa sing plasma catecholamine, epinephrine, and norepinephrine levels; and an increase in the glucose level causes the distal nephrons of the kidneys to absorb more (not less) sodium, resulting in more fluid, expanding the intravascular volume and increasing b lood pressure What is the medication of choice for an initial acute attack of gout? A. An NSAID B. Colchicine C. A corticosteroid D. Allopurinol (Zyloprim) - ✔A Indomethacin (Indocin) is more commonly prescribed. An initial dose of 50 -75mg is given, followed by 25-50mg every 8 hours for 5 -10 days. Naproxen is 750 mg, followed by 250 mg every 8 hours for 5 -10 days. Marsha, age 24, is preparing for radioactive iodi ne therapy for her Graves' disease. Which test must she undergo first? A. Beta human chorionic gonadotropin B. Basal metabolism rate C. Lithium level D. Serum calcium - ✔A Contraindicated during pregnancy When teaching Marcy how to use her new insulin pum p, you tell her that she needs to monitor her blood glucose level A. at least once a day B. only occasionally because glycemic levels are maintained very steadily C. at least four times a day D. on an as -needed basis when she feels she needs to give hersel f an extra dose of insulin - ✔C Joan has severe asthma and has been on high doses of oral corticosteroids for 2 years. She has been reading some home remedy books and stops all of her medications. What condition may she develop? a. myxedema crisis b. di abetes insipidus c. hypoparathyroidism d. addisonian crisis - ✔D If a client has hepatitis, abdominal pain in the right upper quadrant is a result of what patho -
physiological basis? A. Reduced prothrombin synthesis by injured hepatic cells B. Bile salt accumulation C. Release of pyrogens D. Stretching of Glisson's capsule - ✔D How long after the acute illness of hepatitis A do immunoglobulin M anti -hepatitis A virus titers disappear? A. 1 week B. 3 to 6 months C. 1 year D. 2 years - ✔B Which of the following individuals would not be a candidate for a thiazolidinedione such as pioglitazone (Actos)? A. A client with a history of hyperuricemia B. A client with asthma C. A client with heart failure D. A client with sulfa allergy - ✔C Can exa cerbate heart failure (Black Box warning) An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following manifestations are commonly seen in the elderly with hyperthyroidism? A. Adrenergic findings such as tachycardia B. Weight gain, depression, and heat intolerance C. Atrial fibrillation, depression, and weight loss D. Heat intolerance, hyperreflexia, and anorexia - ✔C
physiological basis? A. Reduced prothrombin synthesis by injured hepatic cells B. Bile salt accumulation C. Release of pyrogens D. Stretching of Glisson's capsule - ✔D How long after the acute illness of hepatitis A do immunoglobulin M anti -hepatitis A virus titers disappear? A. 1 week B. 3 to 6 months C. 1 year D. 2 years - ✔B Which of the following individuals would not be a candidate for a thiazolidinedione such as pioglitazone (Actos)? A. A client with a history of hyperuricemia B. A client with asthma C. A client with heart failure D. A client with sulfa allergy - ✔C Can exa cerbate heart failure (Black Box warning) An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following manifestations are commonly seen in the elderly with hyperthyroidism? A. Adrenergic findings such as tachycardia B. Weight gain, depression, and heat intolerance C. Atrial fibrillation, depression, and weight loss D. Heat intolerance, hyperreflexia, and anorexia - ✔C
