NUR631: Week 5 Endocrine Questions With
Complete Solutions
A person is admitted to the unit with a diagnosis of
lung cancer and SIADH. You expects the person to
have:
1.Dilute urine
2.A hypoosmolar state
3.Hypernatremia
4.Reduced extracellular volume Correct Answers
2. A hypoosmolar state
Acromegaly Correct Answers occurs when pt is
adult and has too much GH and growth plates are
closed causing malformations
Calcintonin Needed to Correct Answers regulate
levels of calcium and phosphate in the blood,
opposing the action of parathyroid hormone
Causes of DM2 Correct Answers -Familial
predisposition
-Lifestyle
-Metabolic Syndrome/Insulin Resistance (incr. risk
with obesity)
-Abnormal insulin secretion/action due to beta cell
dysfunction
,Causes of Graves Disease Correct Answers -
Increased Females>20yo
-Familyhistory
-Tobacco
Causes of Hyperpituitarism Correct Answers -
Pituitary Adenomas
-Mostly benign tumors
-Causes:DNA mutation
Causes of Hypoglycemia Correct Answers -
Decreased blood glucose <70 mg/dL
-not eating
-DM
-Alcoholism (pancreas secretes extra insulin)
-Hepatitis (liver disease causes insulin resistance,
50% of -Hep C have insulin resistance)
-Endocrine tumor
Causes of Hypopituitarism Correct Answers -
Inadequate supply of hypothalamic-releasing
hormones (Can involve one hormone or all
(panhypopituitarism)
-Damage to the pituitary stalk - head injury
-Inability of the gland to produce hormones
-Pituitary infarction
-Tumor or surgical removal
Causes of Hypothyroidism Correct Answers -
Autoimmune disorders
, -Iodine Deficiency
-Congenital
-TSH or TRH failure
-Surgery (Ablation, Thyroidectomy)
-Other types of thyroiditis: Iatrogenic thyroiditis,
Postpartum thyroiditis
Characteristics of Hyperthyroidism Correct
Answers •↑Energy
•↑Cardiovascular (tachycardia)
•CNS (hyperreflexia on DTRs, hyperarousable state
, insomnia)
•GI (freq BMs)
•Temp (hot)
•GYN (irregular menses)
•MS/Joints (irritability, achiness, excitability)
•unintentional weight loss despite eating more
calories
Characteristics of Hypothyroidism Correct Answers
•↓Energy
•↓Cardiovascular
•Lipids (gaining weight)
•CNS (slower to respond)
•GI (constipation)
•Derm/Hair/Temp (cold, hair loss, dry skin)
•GYN (amenorrhea)
•MS/Joints (achy and weak)
•Hoarseness of voice, puffy face
Complete Solutions
A person is admitted to the unit with a diagnosis of
lung cancer and SIADH. You expects the person to
have:
1.Dilute urine
2.A hypoosmolar state
3.Hypernatremia
4.Reduced extracellular volume Correct Answers
2. A hypoosmolar state
Acromegaly Correct Answers occurs when pt is
adult and has too much GH and growth plates are
closed causing malformations
Calcintonin Needed to Correct Answers regulate
levels of calcium and phosphate in the blood,
opposing the action of parathyroid hormone
Causes of DM2 Correct Answers -Familial
predisposition
-Lifestyle
-Metabolic Syndrome/Insulin Resistance (incr. risk
with obesity)
-Abnormal insulin secretion/action due to beta cell
dysfunction
,Causes of Graves Disease Correct Answers -
Increased Females>20yo
-Familyhistory
-Tobacco
Causes of Hyperpituitarism Correct Answers -
Pituitary Adenomas
-Mostly benign tumors
-Causes:DNA mutation
Causes of Hypoglycemia Correct Answers -
Decreased blood glucose <70 mg/dL
-not eating
-DM
-Alcoholism (pancreas secretes extra insulin)
-Hepatitis (liver disease causes insulin resistance,
50% of -Hep C have insulin resistance)
-Endocrine tumor
Causes of Hypopituitarism Correct Answers -
Inadequate supply of hypothalamic-releasing
hormones (Can involve one hormone or all
(panhypopituitarism)
-Damage to the pituitary stalk - head injury
-Inability of the gland to produce hormones
-Pituitary infarction
-Tumor or surgical removal
Causes of Hypothyroidism Correct Answers -
Autoimmune disorders
, -Iodine Deficiency
-Congenital
-TSH or TRH failure
-Surgery (Ablation, Thyroidectomy)
-Other types of thyroiditis: Iatrogenic thyroiditis,
Postpartum thyroiditis
Characteristics of Hyperthyroidism Correct
Answers •↑Energy
•↑Cardiovascular (tachycardia)
•CNS (hyperreflexia on DTRs, hyperarousable state
, insomnia)
•GI (freq BMs)
•Temp (hot)
•GYN (irregular menses)
•MS/Joints (irritability, achiness, excitability)
•unintentional weight loss despite eating more
calories
Characteristics of Hypothyroidism Correct Answers
•↓Energy
•↓Cardiovascular
•Lipids (gaining weight)
•CNS (slower to respond)
•GI (constipation)
•Derm/Hair/Temp (cold, hair loss, dry skin)
•GYN (amenorrhea)
•MS/Joints (achy and weak)
•Hoarseness of voice, puffy face
