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 losartan 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, epinephrine, 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 number 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 causes 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 increasing 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 blood pressure