Ecco Bccc Ormc Endocrine

Front 1

The role of the posterior pituitary gland includes

Back 1

Maintain osmolality of body fluids and stimulate uterine contraction

Front 2

One of the roles of the thyroid gland is to

Back 2

Influence the normal respiratory response to hypoxia and hypercapnea

Front 3

Glucagon

Back 3

Exerts its effects on the liver

Front 4

Hormones of the anterior pituitary are

Back 4

ACTH , thyroid stimulating hormone, growth hormone

Front 5

Glucocorticoids secreted by the adrenal cortex will

Back 5

Produce an anti-inflammatory effect

Front 6

Hypocalcemia will lead to the release of

Back 6

Parathyroid hormone

Front 7

The role of the adrenal cortex gland includes the regulation of extracellular fluid, inflammatory response, and metabolism

Back 7

True

Front 8

The release of insulin is inhibited by all the following except somatostatin , oxytocin, nor epinephrine, epinephrine.

Back 8

Oxytocin

Front 9

What is the role of the pancreas

Back 9

Modulates all aspects of cellular nutrition

Front 10

Which gland does the anterior pituitary regulate

Back 10

Thyroid, adrenal cortex, ovaries and testes

Front 11

When blood levels of T3 and T4 are too high the – inhibits the production of TSH

Back 11

Anterior pituitary

Front 12

Thyroid hormones are regulated through a positive feedback loop

Back 12

False

Front 13

Hypoglycemia will stimulate the production of

Back 13

Glucagon

Front 14

Epinephrine and norepinephrine are secreted from

Back 14

Adrenal Medulla

Front 15

What is the effect of epinephrine on Insulin

Back 15

It can make cells resistant to endogenous and Exogeneous insulin

Front 16

What are three indicators of Addisonian crisis

Back 16

Hypotension, hyperkalemia, and hypoglycemia

Front 17

Moon face is a classic symptom of

Back 17

Cushing's syndrome

Front 18

The hallmark sign of hypoparathyroidism is

Back 18

Tetany

Front 19

Mixedema coma, is the result of

Back 19

Insufficient or absent thyroid function

Front 20

Signs and symptoms of SIA DH are related to

Back 20

Fluid overload and hyponatremia

Front 21

Type I diabetes is associated with

Back 21

Absolute insulin deficient

Front 22

The lowest level of serum cortisol occurs

Back 22

1800

Front 23

What is the effect of epinephrine on insulin

Back 23

You can make the cells resistant to endogenous and Exogenous insulin

Front 24

Hyperglycemia in the critically ill patient is defined as

Back 24

BG >200

Front 25

Hyperglycemia in the critically I'll patient needs to be managed to prevent

Back 25

Increased risk of thromboembolic events

Front 26

Point of care blood glucose testing analysis requires a normal value of

Back 26

Hematocrit

Front 27

Generally in hyperglycemic critically ill patient, blood glucose levels are tested

Back 27

Hourly until stable for 6 to 8 hours, then every two hours

Front 28

Cushing syndrome characteristics

Back 28

Full, flushed face; thinning hair; muscle wasting

Front 29

Typically, treatment for the patient with Addisonian crisis involves administration of

Back 29

Vasopressors and IV fluid

Front 30

Addison's disease is first detected

Back 30

When physical or emotional stress occurs

Front 31

The etiology of Cushing's syndrome is described by all but which of the following: damage to adrenal cortex. Pituitary adenoma. Exogenous steroids. Hypersecretion of ACTH

Back 31

Pituitary adenoma

Front 32

The patient with severe hyperparathyroidism may present with seizure and laryngospasms

Back 32

True

Front 33

Which of the following is not part of the recommended treatment for Mixedema coma: Levothyroxine. Glucocorticoids. Respiratory support with a ventilator. Therapeutic hypothermia

Back 33

Therapeutic hypothermia

Front 34

Myxedema coma is the result of

Back 34

Insufficient or absent thyroid function

Front 35

What is the most common cause of hypothyroidism

Back 35

Autoimmune thyroiditis

Front 36

Critically high T3 and T4 levels confirm the diagnosis of Thyrotoxic crisis

Back 36

False

Front 37

Symptoms of thyrotoxicosis

Back 37

Hypertension, nervousness, weight loss, chest pain

Front 38

In a thyrotoxic storm, laboratory values of T3 and T4 will be extremely elevated making diagnosing the crisis more apparent

Back 38

False

Front 39

Which lab profiles would you expect to see for your patient with diabetes insipidus

Back 39

Elevated serum osmolality 385. Decreased urine specific gravity 1.004. Elevated serum sodium 148.

Front 40

When ADH is produced from sites other than the posterior pituitary resulting in excess of hormone, it may cause

Back 40

Siadh

Front 41

Medication such as hypoglycemic's, tricyclic antidepressants, narcotics, and anesthesia are known to be a contributing factor to the development of SIADH

Back 41

True

Front 42

Performing neurological checks is a priority nursing assessment for the patient with SIADH

Back 42

True

Front 43

As you care for a patient with the oat cell carcinoma, you should alert the MD that the patient is developing symptoms of SIADH when you receive the following lab values

Back 43

Decreased serum sodium 118, urine specific gravity 1.035, decreased Hgb/Hct 9.1/27.1

Front 44

Hypoglycemia results with lack of medication lack of eating sufficient amount of calories or increase in exercise. Which med, metformin or insulin and at what level of blood glucose do symptoms occur

Back 44

Insulin. Symptoms usually seen when BG < 60

Front 45

This condition is characterized by severe hyperglycemia, hyper osmolality, and dehydration

Back 45

Hyperglycemic hyperosmolar nonketonic syndrome. HHN

Front 46

DKA occurs most commonly in patients with

Back 46

Type I diabetes

Front 47

DKA patients present with

Back 47

Polyurea, polydipsia, headache, hypotension, Kussmaul respirations, fruity breath

Front 48

What type of medication given for diabetes acts by suppressing hepatic glucose production and increasing the uptake of glucose by the peripheral Tissue

Back 48

Biguanides (metformin)

Front 49

What type of medication given for diabetes acts by stimulating the beta cells of the pancreas to release insulin

Back 49

Sulfonylureas (glipizide)

Front 50

What type of medication given for diabetes acts by decreasing the ability of enzymes in the intestinal tract to metabolize carbohydrates

Back 50

Alpha glucosidase inhibitors

Front 51

Metformin, a Biguanide, functions to

Back 51

Decreases hepatic glucose production and increases peripheral tissue sensitivity to insulin

Front 52

What type of medication for diabetes acts by enhancing insulins action by increasing the cell receptors, which respond to exogenous and endogenous insulin

Back 52

Thiazolidinediones

Front 53

Assessment findings the patient with adrenal insufficiency may also mimic many other conditions

Back 53

True

Front 54

What assessment findings most indicative of low levels of aldosterone/mineralcorticoid

Back 54

Hypotension and hyperkalemia 5.3

Front 55

Laboratory test for parathyroid function include serum calcium and serum phosphorus values

Back 55

True

Front 56

This test measures the pituitary glands ability to synthesize and secrete ADH. It helps distinguish between a neurogenic and nephrogenic cause of diabetes insipidus

Back 56

Vasopressin stimulation test

Front 57

these labs help assess pancreatic function

Back 57

Glycosylated hemoglobin, serum and urine ketones, serum glucose

Front 58

Hallmark sign of hypoparathyroidism

Back 58

Tetany