NURS 5315 ENDOCRINE EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+
Myxedema coma - ✅✅thyroid emergency which has the opposite effect of
thyroid storm. Results in decreased LOC and is usually precipitated by an event
such as infection, discontinuation of thyroid medications, narcotic or sedative use.
other S&S hypotension, hypoventilation, shivering, hypothermia, lactic acidosis,
coma, and hypoglycemia.
Type 1 DM - ✅✅3 types: 1A is autoimmune, 1B is idiopathic and 3c is
associated with chronic pancreatitis. in 1A: autoimmune response destroys the beta
cells in the pancreas which leads to apoptosis. Beta cell destruction is what causes
a lack of insulin to be produced.
Type 1 clinical manifestations - ✅✅polydipsia, polyuria, polyphagia, weight loss
and fatigue.
Typer 2 DM - ✅✅pathlogical defect is insulin resistance. A decrease in number
of insulin cell receptors or insufficient amounts of insulin secretion to meet
metabolic needs are characteristic of DM 2.
, Type 2 DM clinical manifestations - ✅✅recurrent infections, genital pruritus,
visual changes, paresthesias, fatigue, and acanthosis nigricans(brown to black
pigmentation in body folds)
Gestational DM - ✅✅develops when hyperglycemia appears during pregnancy
and usually resolves after birth. All women should be screened during their first
prenatal visit and again between 24-28 weeks. Risk factors include obesity, family
history, and high maternal age. upon birth the child may have hyperplasia of the
pancreatic islet cells and hypoglycemia. 3w2
Hemoglobin A1c - ✅✅A test that measures the level of hemoglobin A1c in the
blood as a means of determining the average blood sugar concentrations for the
preceding two to three months. DM diagnostic is greater than or equal to 6.5.
Increased risk for DM level 5.7-6.4%
Fasting plasma glucose - ✅✅DM diagnostic criteria is greater or equal to 126.
Risk for DM level at 100-125
Oral Glucose Tolerance Test (OGTT) - ✅✅DM level: 2 hr plasma glucose
greater than or equal to 200. Risk for DM level: 2 hr PG 140-199
Random plasma glucose - ✅✅DM: greater or equal to 200
CORRECT ANSWERS GRADED A+
Myxedema coma - ✅✅thyroid emergency which has the opposite effect of
thyroid storm. Results in decreased LOC and is usually precipitated by an event
such as infection, discontinuation of thyroid medications, narcotic or sedative use.
other S&S hypotension, hypoventilation, shivering, hypothermia, lactic acidosis,
coma, and hypoglycemia.
Type 1 DM - ✅✅3 types: 1A is autoimmune, 1B is idiopathic and 3c is
associated with chronic pancreatitis. in 1A: autoimmune response destroys the beta
cells in the pancreas which leads to apoptosis. Beta cell destruction is what causes
a lack of insulin to be produced.
Type 1 clinical manifestations - ✅✅polydipsia, polyuria, polyphagia, weight loss
and fatigue.
Typer 2 DM - ✅✅pathlogical defect is insulin resistance. A decrease in number
of insulin cell receptors or insufficient amounts of insulin secretion to meet
metabolic needs are characteristic of DM 2.
, Type 2 DM clinical manifestations - ✅✅recurrent infections, genital pruritus,
visual changes, paresthesias, fatigue, and acanthosis nigricans(brown to black
pigmentation in body folds)
Gestational DM - ✅✅develops when hyperglycemia appears during pregnancy
and usually resolves after birth. All women should be screened during their first
prenatal visit and again between 24-28 weeks. Risk factors include obesity, family
history, and high maternal age. upon birth the child may have hyperplasia of the
pancreatic islet cells and hypoglycemia. 3w2
Hemoglobin A1c - ✅✅A test that measures the level of hemoglobin A1c in the
blood as a means of determining the average blood sugar concentrations for the
preceding two to three months. DM diagnostic is greater than or equal to 6.5.
Increased risk for DM level 5.7-6.4%
Fasting plasma glucose - ✅✅DM diagnostic criteria is greater or equal to 126.
Risk for DM level at 100-125
Oral Glucose Tolerance Test (OGTT) - ✅✅DM level: 2 hr plasma glucose
greater than or equal to 200. Risk for DM level: 2 hr PG 140-199
Random plasma glucose - ✅✅DM: greater or equal to 200
