NR 325 EXAM 1
Whatoodisorderoocausesoolowooserumooosmolality?
A.ooSIADH
B.ooDIoo-ooans--A.ooSIADH
Whatoodisorderoocausesoohemoconcentrationooofooelectrolytes?
A.ooSIADH
B.ooDIoo-ooans--B.ooDIoo(becauseooyouooareoopeeingoooutooallooofootheooH2O)
Whatoosoundooisooindicativeooofooaoopost-opoothyroidectomyooptoodecliningoorapidly?oo-
ooans--Stridoroo(upperooairwayooobstruction)
Whatoowouldooaooptooexperienceoowithooaoothyroidectomy?
ooWhatoomedicationoowouldootheyoobeooon?oo-ooans--
Ptoowouldooexperienceoohypothyroidism.
PtoowouldoobeooonooSynthroidoo(levothyroxine)ooforoolife.
Ptooisooflushed,ootachycardic,oocan'toosleep,oohasoobrittleoohair,ooandooisooexperiencingoow
eightooloss;oowhatoodoootheyoohave?oo-ooans--Hyperthyroidism
Ptoohasooaoobelowoonormalootemperature,oohypotension,ooandoohypoventilation;oowhatooi
sootheooptooexperiencing?oo-ooans--Myxedemaoocoma
WhatooconditionsoowouldoocauseootheooptootooohaveoohighooBP?oo-ooans--SIADH
Hyperthyroidism
Whatooconditionoowouldoocauseooaoolowoourineoospecificoogravity?oo-ooans--DIoo(<1.005)
WhatoocausesoolowoolevelsooofooT3,ooT4,ooandoohighoolevelsooofooTSH?oo-ooans--
Hypothyroidism
Aooptooisoourinatingoo19Looaoodayooandooconstantlyoodrinking;oowhatooconditionoodoootheyo
ohave?oo-ooans--DI
Whatooconditionoodoooyouootreatoowithoodesmopressin?oo-ooans--DI
DesmopressinooisooaoosyntheticooADHoo(DIooyouooareoolackingooADH)
WhatooconditionoodoooyouootreatoowithooIVoodiuretics?oo-ooans--
SIADHoo(becauseooofoofluidooretention)
, WhatooisootheooantidoteooforooCToodyeooandooTylenol?oo-ooans--
Mucomystoo(acetylcysteine)
Whatooisootheooantidoteooforooheparin?oo-ooans--Protamineoosulphate
Whatoodisordersoocauseooanooincreaseooinooadverseooeffectsoowhenootakingoosynthroid?
oo-ooans--
Cardiovascularoodisordersoo(becauseoosynthroidooincreasesoometabolismoowhichooincrea
sesooriskooforooMI,ooetc)
Doesoobloodoopressureoodecreaseooorooincreaseooduringooaoothyroidoostorm?oo-ooans--
BPooincreasesoo(becauseooofooaoospikeooinoometabolism)
Whatoodiseaseoocausesooexophthalmos?oo-ooans--
Hyperthyroidismoo(becauseooit'soor/tooGrave'soodisease)
WhatooisooaooclinicaloomanifestationooofooexcessooADH?
A.ooHyperkalemia
B.ooHypernatremia
C.ooHyponatremia
D.ooHypermagnesemiaoo-ooans--C.ooHyponatremia.
Whatoohormonesooareoosecretedoobyootheooposterioroopituitary?oo-ooans--ADH
Oxytocin
Whatooelectrolyteooimbalanceooisood/
tootheooremovalooofootheooparathyroidooglandooduringooaoothyroidectomy?oo-ooans--
Hypocalcemiaoo(lowooPTHoo=oolowoocalcium)
WhatooconditionoodoooyouootreatoowithooIVoothyroidoohormone?oo-ooans--
Myxedemaoocoma
Inoohyperthyroidism,oowhatoocausesoogoiter?oo-ooans--HighoolevelsooofooT3ooandooT4
WhatoodoesooHHDooandooPDooincreaseootheooriskoofor?oo-ooans--Infection
Ifooaoopatientooisooonoodiureticoomedications,oowhatooareootheyooatooriskoofor?oo-ooans--
Hyper-ooandoohypokalemia
Whatooelectrolyteooisoolowooinooaoopatientoowithoochronicoorenaloofailure?oo-ooans--
Calciumoo(becauseooitoodoesn'toogetoourinatedooout).
Whatoosymptomooisoospecificootooopyelonephritis?oo-ooans--Fever
Whatoodisorderoocausesoolowooserumooosmolality?
A.ooSIADH
B.ooDIoo-ooans--A.ooSIADH
Whatoodisorderoocausesoohemoconcentrationooofooelectrolytes?
A.ooSIADH
B.ooDIoo-ooans--B.ooDIoo(becauseooyouooareoopeeingoooutooallooofootheooH2O)
Whatoosoundooisooindicativeooofooaoopost-opoothyroidectomyooptoodecliningoorapidly?oo-
ooans--Stridoroo(upperooairwayooobstruction)
Whatoowouldooaooptooexperienceoowithooaoothyroidectomy?
ooWhatoomedicationoowouldootheyoobeooon?oo-ooans--
Ptoowouldooexperienceoohypothyroidism.
PtoowouldoobeooonooSynthroidoo(levothyroxine)ooforoolife.
Ptooisooflushed,ootachycardic,oocan'toosleep,oohasoobrittleoohair,ooandooisooexperiencingoow
eightooloss;oowhatoodoootheyoohave?oo-ooans--Hyperthyroidism
Ptoohasooaoobelowoonormalootemperature,oohypotension,ooandoohypoventilation;oowhatooi
sootheooptooexperiencing?oo-ooans--Myxedemaoocoma
WhatooconditionsoowouldoocauseootheooptootooohaveoohighooBP?oo-ooans--SIADH
Hyperthyroidism
Whatooconditionoowouldoocauseooaoolowoourineoospecificoogravity?oo-ooans--DIoo(<1.005)
WhatoocausesoolowoolevelsooofooT3,ooT4,ooandoohighoolevelsooofooTSH?oo-ooans--
Hypothyroidism
Aooptooisoourinatingoo19Looaoodayooandooconstantlyoodrinking;oowhatooconditionoodoootheyo
ohave?oo-ooans--DI
Whatooconditionoodoooyouootreatoowithoodesmopressin?oo-ooans--DI
DesmopressinooisooaoosyntheticooADHoo(DIooyouooareoolackingooADH)
WhatooconditionoodoooyouootreatoowithooIVoodiuretics?oo-ooans--
SIADHoo(becauseooofoofluidooretention)
, WhatooisootheooantidoteooforooCToodyeooandooTylenol?oo-ooans--
Mucomystoo(acetylcysteine)
Whatooisootheooantidoteooforooheparin?oo-ooans--Protamineoosulphate
Whatoodisordersoocauseooanooincreaseooinooadverseooeffectsoowhenootakingoosynthroid?
oo-ooans--
Cardiovascularoodisordersoo(becauseoosynthroidooincreasesoometabolismoowhichooincrea
sesooriskooforooMI,ooetc)
Doesoobloodoopressureoodecreaseooorooincreaseooduringooaoothyroidoostorm?oo-ooans--
BPooincreasesoo(becauseooofooaoospikeooinoometabolism)
Whatoodiseaseoocausesooexophthalmos?oo-ooans--
Hyperthyroidismoo(becauseooit'soor/tooGrave'soodisease)
WhatooisooaooclinicaloomanifestationooofooexcessooADH?
A.ooHyperkalemia
B.ooHypernatremia
C.ooHyponatremia
D.ooHypermagnesemiaoo-ooans--C.ooHyponatremia.
Whatoohormonesooareoosecretedoobyootheooposterioroopituitary?oo-ooans--ADH
Oxytocin
Whatooelectrolyteooimbalanceooisood/
tootheooremovalooofootheooparathyroidooglandooduringooaoothyroidectomy?oo-ooans--
Hypocalcemiaoo(lowooPTHoo=oolowoocalcium)
WhatooconditionoodoooyouootreatoowithooIVoothyroidoohormone?oo-ooans--
Myxedemaoocoma
Inoohyperthyroidism,oowhatoocausesoogoiter?oo-ooans--HighoolevelsooofooT3ooandooT4
WhatoodoesooHHDooandooPDooincreaseootheooriskoofor?oo-ooans--Infection
Ifooaoopatientooisooonoodiureticoomedications,oowhatooareootheyooatooriskoofor?oo-ooans--
Hyper-ooandoohypokalemia
Whatooelectrolyteooisoolowooinooaoopatientoowithoochronicoorenaloofailure?oo-ooans--
Calciumoo(becauseooitoodoesn'toogetoourinatedooout).
Whatoosymptomooisoospecificootooopyelonephritis?oo-ooans--Fever