NU185 EXAM 4 REVIEW UPDATED
QUESTIONS AND CORRECT ANSWERS.
Hyperpituitary - ANS Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism - ANS Never fuses (elongated bones)
Acromegaly (enlarged bones) - ANS enlargement of the extremities
Hypopituitary - ANS Dehydration
Addison (secondary)
amenorrhea
Headaches
Visual disturbances - ANS S/S of hyperpituitary
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,Test to diagnose Cushing disease - ANS Dexamethasone suppression test
Steps for a dexamethasone test - ANS NPO
Blood specimen collected (1st thing)
Pheochromcytoma - ANS tumor of the adrenal medulla
S/S of pheochromcytoma - ANS Severe HTN & tachycardia
Catecholamine (EPI & NONEPI) - ANS What is secreted from a pheochromcytoma
SIADH (soaked inside) - ANS Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH - ANS JVD, crackles, ABD distention
Increased specific gravity - ANS Fluid overload
Drop in urine specific gravity - ANS Fluid overload
Treatment for SIADH - ANS Tolvaptan
DI (dry inside) (primary DI) - ANS Decreased production of ADH (dilute urine)
Secondary DI - ANS TBI
Neurosurgery
Trauma
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, Infection
Sx
Dipsogenic DI - ANS Excessive fluid intake
Nephrogenic DI - ANS kidneys don't respond properly to ADH
Drug related DI - ANS Lithium, demeclocycline
S/S OF DI - ANS Dehydration
For someone with DI, check vital signs for - ANS Tachycardia and hypotension
Treatment for DI - ANS DDAVP (desmopressin)
Therapeutic response for DI - ANS Decrease urine output
Hallmark sign of DI - ANS polyuria (increased urine)
When a pt receives regular insulin when to check to hypoglycemia (remember peak hours so
check in 3 hours) - ANS 1000
Why are DM patients prone to infection - ANS Elevated glucose increase the chance for
bacteria growth
Normal HgbA1c - ANS Less than 7 is good
PRIORITY for someone with retinopathy - ANS Make sure BG is maintained
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
QUESTIONS AND CORRECT ANSWERS.
Hyperpituitary - ANS Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism - ANS Never fuses (elongated bones)
Acromegaly (enlarged bones) - ANS enlargement of the extremities
Hypopituitary - ANS Dehydration
Addison (secondary)
amenorrhea
Headaches
Visual disturbances - ANS S/S of hyperpituitary
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Test to diagnose Cushing disease - ANS Dexamethasone suppression test
Steps for a dexamethasone test - ANS NPO
Blood specimen collected (1st thing)
Pheochromcytoma - ANS tumor of the adrenal medulla
S/S of pheochromcytoma - ANS Severe HTN & tachycardia
Catecholamine (EPI & NONEPI) - ANS What is secreted from a pheochromcytoma
SIADH (soaked inside) - ANS Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH - ANS JVD, crackles, ABD distention
Increased specific gravity - ANS Fluid overload
Drop in urine specific gravity - ANS Fluid overload
Treatment for SIADH - ANS Tolvaptan
DI (dry inside) (primary DI) - ANS Decreased production of ADH (dilute urine)
Secondary DI - ANS TBI
Neurosurgery
Trauma
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Infection
Sx
Dipsogenic DI - ANS Excessive fluid intake
Nephrogenic DI - ANS kidneys don't respond properly to ADH
Drug related DI - ANS Lithium, demeclocycline
S/S OF DI - ANS Dehydration
For someone with DI, check vital signs for - ANS Tachycardia and hypotension
Treatment for DI - ANS DDAVP (desmopressin)
Therapeutic response for DI - ANS Decrease urine output
Hallmark sign of DI - ANS polyuria (increased urine)
When a pt receives regular insulin when to check to hypoglycemia (remember peak hours so
check in 3 hours) - ANS 1000
Why are DM patients prone to infection - ANS Elevated glucose increase the chance for
bacteria growth
Normal HgbA1c - ANS Less than 7 is good
PRIORITY for someone with retinopathy - ANS Make sure BG is maintained
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
