DUNPHY ENDOCRINE AND METABOLIC PROBLEMS EXAM
WITH CORRECT QUESTIONS AND ACTUAL ANSWERS
FROM A VERIFIED SOURCE GRADED A+.
After a subtotal thyroidectomy it is cucial to assess - ANSWERS-a. heart
tones
b. for peripheral edema
c. speaking ability
d. skin turgor
Diane has had Cushings diseaese for years and has been taking
hydrocortisone since then. Todya she appears witha thick trunk and thin
extremities. She has a " moon face" , a buffallo hump, thin skin with visable
capillaries and a number of bruises that appear to be slow in healing. To
what do you attribute these symptoms - ANSWERS-a. decreased adrenal
androgen levels
b. malfunctioning of the adrenal cortex
c. excessive levels of circulating cortisol
d. ectopic secretion of adrenocorticotropic hormone
You suspect myexedama in your client because she exhibits -
ANSWERS-a. smooth, moist skin
b. pitting edema
c. abnormal deposits of mucin in the skin
d. abnormal boatng
What is the most common cause of chronic hypocalcemia - ANSWERS-a.
alkalosis
b. burn trauma
c. hypoalbuminemia
d. renal failure
,Which of the following statements is true about nsulin lispro - ANSWERS-
a. it works faster than eglar insulin because its an amino acid composition
has been sligtly modified
b. when taken 30 minutes before a meal, it reduces after meal
hyperglycemia
c. its duration os action in about 4-5 hours
d. it is taken with the first bite of food
Sara has diabetes and is now experiencing anhidrosis on the hands and
feet, incraesed sweating on theface and trunk, dysphagia, anorexia and
heartburn. Which complication of diabetes do you suspect - ANSWERS-a.
macrocrculation changes
b. microcirculation changes
c. somatic neuropathies
d. visceral neuropathies
A clent with diabetes complains of paresthesias. Which of the following
medications can cause sensory changes - ANSWERS-a. Glipizide
b.sitagliptin ( januvia)
c. metformin
d. exenatide (byetta)
Morton has type 2 DM. His treatment which includes diet excercise and oral
antidiabetic agents is insufficient to achieve acceptable glycemic control.
Your next coure of action is to - ANSWERS-a. increase the dosage of the
oral antidiabetic agents
b. add a dosage of long acting insulin at bedtime to the regimine
c. discontnue te orl antidiabetic agents and start insulin theraphy
d. suggest treatment using an insulin pump
Alice age 48 has a enign thyroid nodule. The most common treatment
involves - ANSWERS-a. surgery
b. administration of levothyroxine theraphy
c. watchful ewaiting and annual follow up
d. radioactive iodine theraphy
Sadie age 40 has just beengiven a diagnossi of graves disease. She has
recently lost 25 lbs , has palpatations, is very irritable feels very warm and
, has a noticable bu;ge on her neck. The most likely cause of he rincreased
thyroid function is - ANSWERS-a. hyperplasia of the thyroid
b. an anterior pituitary tunor
c. a thyroid carcinoma
d. an autoimmune response
Why is parathyroid hormone secretion increased during pregnancy -
ANSWERS-
The major risk factor for the development of thyroid cancer is -
ANSWERS-a. inadequate iodine intake
b. presence of goiter
c. exposure to radiation
d. smoking
The following is a self monitoring blood sugar log on a client recieving 20
units novolin 70/30 in the am and 20 units Novolin 70/30 in the evening:
fasting am pre-dinner: 90, 150,105, 144, 101, 172, 98, 201. What changes
would you make? - ANSWERS-a. increase the pm insulin
b. incraese the am insulin
c. add novolog at bedtime
d. incraese the am and pm insulin
Trousseaus sign assesses for - ANSWERS-a. hypocalcemia
b. hyponatreia
c. hypercalcemia
d. hypermagnesia
An elderly client presents with atrial fibrillation. WHich of the following lab
tests wuld be inportant in forming a diagnosis - ANSWERS-a. CBC
b. CRP
c. CMP
d. TSH
Which is the only treatment options that is curative for primary
hyperparathyroidism - ANSWERS-a. Type II calcimetric cinacalcet
b. hormone theraphy
c. parathyroidectomy
WITH CORRECT QUESTIONS AND ACTUAL ANSWERS
FROM A VERIFIED SOURCE GRADED A+.
After a subtotal thyroidectomy it is cucial to assess - ANSWERS-a. heart
tones
b. for peripheral edema
c. speaking ability
d. skin turgor
Diane has had Cushings diseaese for years and has been taking
hydrocortisone since then. Todya she appears witha thick trunk and thin
extremities. She has a " moon face" , a buffallo hump, thin skin with visable
capillaries and a number of bruises that appear to be slow in healing. To
what do you attribute these symptoms - ANSWERS-a. decreased adrenal
androgen levels
b. malfunctioning of the adrenal cortex
c. excessive levels of circulating cortisol
d. ectopic secretion of adrenocorticotropic hormone
You suspect myexedama in your client because she exhibits -
ANSWERS-a. smooth, moist skin
b. pitting edema
c. abnormal deposits of mucin in the skin
d. abnormal boatng
What is the most common cause of chronic hypocalcemia - ANSWERS-a.
alkalosis
b. burn trauma
c. hypoalbuminemia
d. renal failure
,Which of the following statements is true about nsulin lispro - ANSWERS-
a. it works faster than eglar insulin because its an amino acid composition
has been sligtly modified
b. when taken 30 minutes before a meal, it reduces after meal
hyperglycemia
c. its duration os action in about 4-5 hours
d. it is taken with the first bite of food
Sara has diabetes and is now experiencing anhidrosis on the hands and
feet, incraesed sweating on theface and trunk, dysphagia, anorexia and
heartburn. Which complication of diabetes do you suspect - ANSWERS-a.
macrocrculation changes
b. microcirculation changes
c. somatic neuropathies
d. visceral neuropathies
A clent with diabetes complains of paresthesias. Which of the following
medications can cause sensory changes - ANSWERS-a. Glipizide
b.sitagliptin ( januvia)
c. metformin
d. exenatide (byetta)
Morton has type 2 DM. His treatment which includes diet excercise and oral
antidiabetic agents is insufficient to achieve acceptable glycemic control.
Your next coure of action is to - ANSWERS-a. increase the dosage of the
oral antidiabetic agents
b. add a dosage of long acting insulin at bedtime to the regimine
c. discontnue te orl antidiabetic agents and start insulin theraphy
d. suggest treatment using an insulin pump
Alice age 48 has a enign thyroid nodule. The most common treatment
involves - ANSWERS-a. surgery
b. administration of levothyroxine theraphy
c. watchful ewaiting and annual follow up
d. radioactive iodine theraphy
Sadie age 40 has just beengiven a diagnossi of graves disease. She has
recently lost 25 lbs , has palpatations, is very irritable feels very warm and
, has a noticable bu;ge on her neck. The most likely cause of he rincreased
thyroid function is - ANSWERS-a. hyperplasia of the thyroid
b. an anterior pituitary tunor
c. a thyroid carcinoma
d. an autoimmune response
Why is parathyroid hormone secretion increased during pregnancy -
ANSWERS-
The major risk factor for the development of thyroid cancer is -
ANSWERS-a. inadequate iodine intake
b. presence of goiter
c. exposure to radiation
d. smoking
The following is a self monitoring blood sugar log on a client recieving 20
units novolin 70/30 in the am and 20 units Novolin 70/30 in the evening:
fasting am pre-dinner: 90, 150,105, 144, 101, 172, 98, 201. What changes
would you make? - ANSWERS-a. increase the pm insulin
b. incraese the am insulin
c. add novolog at bedtime
d. incraese the am and pm insulin
Trousseaus sign assesses for - ANSWERS-a. hypocalcemia
b. hyponatreia
c. hypercalcemia
d. hypermagnesia
An elderly client presents with atrial fibrillation. WHich of the following lab
tests wuld be inportant in forming a diagnosis - ANSWERS-a. CBC
b. CRP
c. CMP
d. TSH
Which is the only treatment options that is curative for primary
hyperparathyroidism - ANSWERS-a. Type II calcimetric cinacalcet
b. hormone theraphy
c. parathyroidectomy
