Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 134
Chapter 16: Endocrine System Disorders
VanMeter and Hubert: Gould’s Pathophysiology for the Health Professions, 7th
Edition
MULTIPLE CHOICE
1. What kind of control mechanism is indicated when increased blood glucose levels stimulate
increased secretion of insulin?
a. Control by releasing hormones
b. Control by tropic hormones
c. Negative feedback control
d. Hypothalamus/hypophysis coordination
ANS> C
2. What is the most common cause of endocrine disorders?
a. Malignant neoplasm
b. Infection
c. Congenital defect
d. Benign tumor
ANS> D
3. Choose the statement that applies to type 1 diabetes mellitus.
a. Onset often occurs during childhood.
b. Relative insufficiency of insulin or insulin resistance develops.
c. It can be treated by diet, weight control and exercise, or oral hypoglycemics.
d. Complications rarelyoccur.
ANS> A
4. Why does polyuria develop with diabetes mellitus?
a. Increased thirst and hypoglycemia
b. Ketoacidosis
c. Osmotic pressure due to glucose
d. Diabetic nephropathy
ANS> C
5. What is the cause of diabetic ketoacidosis?
a. Excess insulin in the body
b. Loss of glucose in the urine
c. Failure of the kidney to excrete sufficient acids
d. Increased catabolism of fats and proteins
ANS> D
6. What is a precipitating factor for diabetic ketoacidosis?
a. Skipping a meal
b. Anorexia
c. Serious infection
,Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 135
d. Insulin overdose
ANS> C
7. Which of the following may cause insulin shock to develop?
a. Strenuous exercise
b. Missing an insulin dose
c. Eating excessively large meals
d. Sedentarylifestyle
ANS> A
8. Which of the following indicates hypoglycemia in a diabetic?
a. Deep, rapid respirations
b. Flushed dry skin and mucosa
c. Thirst and oliguria
d. Staggering gait, disorientation, and confusion
ANS> D
9. Which of the following are signs of diabetic ketoacidosis in an unconscious person?
a. Pale moist skin
b. Thirst and poor skin turgor
c. Deep rapid respirations and fruity breath odor
d. Tremors and strong rapid pulse
ANS> C
10. Immediate treatment for insulin shock may include
a. administration of bicarbonates.
b. consumption of fruit juice or candy.
c. induced vomiting.
d. consumption of large amounts of water.
ANS> B
11. What causes loss of consciousness in a person with diabetic ketoacidosis?
a. Toxic effects of excessive insulin
b. Excessive glucose in the blood
c. Metabolic acidosis
d. Lack of glucose in brain cells
ANS> C
12. Which of the following does NOT usually develop as a complication of diabetes?
a. Osteoporosis
b. Nephropathy
c. Impotence
d. Peripheral neuropathy
ANS> A
13. How do many oral hypoglycemic drugs act?
, Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 136
a. To replace insulin in patients with insulin-dependent diabetes mellitus (IDDM)
b. To transport glucose into body cells
c. To prevent gluconeogenesis
d. To stimulate the pancreas to produce more insulin
ANS> D
14. Diabetes may cause visual impairment through damage to the lens; this is referred to as
a. cataracts.
b. macular degeneration.
c. myopia.
d. strabismus.
ANS> A
15. Which of the following applies to diabetic macro-angiography?
1. It affects the small arteries and arterioles.
2. It is related to elevated serum lipids.
3. It leads to increased risk of myocardial infarction and peripheral vascular disease.
4. It frequently causes damage to the kidneys.
a. 1, 3
b. 1, 4
c. 2, 3
d. 2, 4
ANS> C
16. Why is amputation frequently a necessity in diabetics?
a. Necrosis and gangrene in the feet and legs
b. Lack of glucose to the cells in the feet and legs
c. Severe dehydration in the tissues
d. Elevated blood glucose increasing blood viscosity
ANS> A
17. A type of diabetes that may develop during pregnancy and disappear after delivery is called
a. temporary maternal diabetes.
b. fetal diabetes.
c. acute developmental diabetes.
d. gestational diabetes.
ANS> D
18. Which one of the following develops hypoglycemia more frequently?
a. Type 1 diabetic patients
b. Type 2 diabetic patients
c. Patients with a poor stress response
d. Patients with a regular exercise and meal plan
ANS> A
19. Which of the following hormonal imbalances causes Addison’s disease?
a. Increased glucocorticoids
Chapter 16: Endocrine System Disorders
VanMeter and Hubert: Gould’s Pathophysiology for the Health Professions, 7th
Edition
MULTIPLE CHOICE
1. What kind of control mechanism is indicated when increased blood glucose levels stimulate
increased secretion of insulin?
a. Control by releasing hormones
b. Control by tropic hormones
c. Negative feedback control
d. Hypothalamus/hypophysis coordination
ANS> C
2. What is the most common cause of endocrine disorders?
a. Malignant neoplasm
b. Infection
c. Congenital defect
d. Benign tumor
ANS> D
3. Choose the statement that applies to type 1 diabetes mellitus.
a. Onset often occurs during childhood.
b. Relative insufficiency of insulin or insulin resistance develops.
c. It can be treated by diet, weight control and exercise, or oral hypoglycemics.
d. Complications rarelyoccur.
ANS> A
4. Why does polyuria develop with diabetes mellitus?
a. Increased thirst and hypoglycemia
b. Ketoacidosis
c. Osmotic pressure due to glucose
d. Diabetic nephropathy
ANS> C
5. What is the cause of diabetic ketoacidosis?
a. Excess insulin in the body
b. Loss of glucose in the urine
c. Failure of the kidney to excrete sufficient acids
d. Increased catabolism of fats and proteins
ANS> D
6. What is a precipitating factor for diabetic ketoacidosis?
a. Skipping a meal
b. Anorexia
c. Serious infection
,Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 135
d. Insulin overdose
ANS> C
7. Which of the following may cause insulin shock to develop?
a. Strenuous exercise
b. Missing an insulin dose
c. Eating excessively large meals
d. Sedentarylifestyle
ANS> A
8. Which of the following indicates hypoglycemia in a diabetic?
a. Deep, rapid respirations
b. Flushed dry skin and mucosa
c. Thirst and oliguria
d. Staggering gait, disorientation, and confusion
ANS> D
9. Which of the following are signs of diabetic ketoacidosis in an unconscious person?
a. Pale moist skin
b. Thirst and poor skin turgor
c. Deep rapid respirations and fruity breath odor
d. Tremors and strong rapid pulse
ANS> C
10. Immediate treatment for insulin shock may include
a. administration of bicarbonates.
b. consumption of fruit juice or candy.
c. induced vomiting.
d. consumption of large amounts of water.
ANS> B
11. What causes loss of consciousness in a person with diabetic ketoacidosis?
a. Toxic effects of excessive insulin
b. Excessive glucose in the blood
c. Metabolic acidosis
d. Lack of glucose in brain cells
ANS> C
12. Which of the following does NOT usually develop as a complication of diabetes?
a. Osteoporosis
b. Nephropathy
c. Impotence
d. Peripheral neuropathy
ANS> A
13. How do many oral hypoglycemic drugs act?
, Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 136
a. To replace insulin in patients with insulin-dependent diabetes mellitus (IDDM)
b. To transport glucose into body cells
c. To prevent gluconeogenesis
d. To stimulate the pancreas to produce more insulin
ANS> D
14. Diabetes may cause visual impairment through damage to the lens; this is referred to as
a. cataracts.
b. macular degeneration.
c. myopia.
d. strabismus.
ANS> A
15. Which of the following applies to diabetic macro-angiography?
1. It affects the small arteries and arterioles.
2. It is related to elevated serum lipids.
3. It leads to increased risk of myocardial infarction and peripheral vascular disease.
4. It frequently causes damage to the kidneys.
a. 1, 3
b. 1, 4
c. 2, 3
d. 2, 4
ANS> C
16. Why is amputation frequently a necessity in diabetics?
a. Necrosis and gangrene in the feet and legs
b. Lack of glucose to the cells in the feet and legs
c. Severe dehydration in the tissues
d. Elevated blood glucose increasing blood viscosity
ANS> A
17. A type of diabetes that may develop during pregnancy and disappear after delivery is called
a. temporary maternal diabetes.
b. fetal diabetes.
c. acute developmental diabetes.
d. gestational diabetes.
ANS> D
18. Which one of the following develops hypoglycemia more frequently?
a. Type 1 diabetic patients
b. Type 2 diabetic patients
c. Patients with a poor stress response
d. Patients with a regular exercise and meal plan
ANS> A
19. Which of the following hormonal imbalances causes Addison’s disease?
a. Increased glucocorticoids
