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21 Cards in this Set

  • Front
  • Back
Factors common to both type 1 and type 2 diabetes mellitus include all of the following except:

a.Elevated blood glucose levels
b.Deficiency of insulin or failure of insulin activity
c.Predisposition to microvascular complications
d.An autoimmune etiology
d.An autoimmune etiology
Long-term complications of type I insulin-dependent diabetes mellitus include all of the following except:

a.Hypothyroidism
b.Accelerated atherosclerotic heart disease
c.Blindness
d.Renal failure
a. Hypothyroidism
All are true statements about diabetic retinopathy except:

a.Is a common cause of adult onset blindness
b.Is due to small blood vessel disease
c.Is a complication of insulin dependent diabetes mellitus
d.Is most often associated with non-insulin dependent diabetes mellitus
d.Is most often associated with non-insulin dependent diabetes mellitus
The level of glycated hemoglobin (glucose covalently bound to hemoglobin in red cells) in the blood represents an index of blood glucose control at which time:

a.The moment of blood drawing
b.Over the past 24 hours
c.Over the life of a red cell (120 days)
d.Over the last year
c.Over the life of a red cell (120 days)
Which of the following statements is false?

a.The thyroid makes T4 (thyroxine)
b.The pituitary makes TSH (thyroid stimulating hormone)
c.Pituitary-thyroid regulation is by "negative-feedback"
d.The hypothalamus makes T3 (Triiodothyronine)
d.The hypothalamus makes T3 (Triiodothyronine)
An elevated blood level of thyroid stimulating hormone (TSH) is likely to be associated with:

a.Hyperthyroidism
b.High level of thyroxine (T4)
c.Hypothyroidism
d.Exophthalmus
c.Hypothyroidism
Hyperthyroidism is most likely to be associated with:

a.Destruction of the pituitary gland
b.Destruction and lymphocyte infiltration of the thyroid gland
c.Production of a TSH-like immunoglobulin from B lymphocytes
d.A pituitary gland tumor
c.Production of a TSH-like immunoglobulin from B lymphocytes
A patient with exophthalmus is found to have fatigue, excess sweating, a temperature of 100 degrees F and an elevated resting pulse rate. All but which one of the following serum findings is compatible with the most likely diagnosis?

a.Increased thyroxine (T4)
b.Increased thyrotropin-releasing hormone (TRH)
c.Decreased thyroid-stimulating hormone (TSH)
d.Increased triiodothyronine(T3)
b.Increased thyrotropin-releasing hormone (TRH)
Common clinical and laboratory findings in Cushing's disease include all of the following except:

a.Muscle weakness
b.Cold, clammy skin
c.Moon face and obesity of the trunk
d.Psychic depression
b.Cold, clammy skin
In general, the target organ hormone product causes:

a.Suppression of release of trophic hormone
b.An increased release of trophic hormone
c.No change in release of trophic hormone
d.None of the above
a.Suppression of release of trophic hormone
Where is insulin usually produced?

a.Follicles of the thyroid gland
b.Cortex of the adrenal gland
c.Anterior pituitary gland
d.Beta cells of the Islets of Langerhans in the pancreas
d.Beta cells of the Islets of Langerhans in the pancreas
Which of the following is true about type 1 (insulin dependent) diabetes mellitus?

a.The usual age of onset is after age 50 years
b.In the USA, comprises about 10% of the overall cases of diabetes mellitus
c.Disease is due to a relative loss of effective insulin
d.Patients with this disease are often overweight
b.In the USA, comprises about 10% of the overall cases of diabetes mellitus
Which of the following types of diabetes results from an absolute lack of insulin caused by destruction or reduction of the beta cells in pancreatic Islets of Langerhans:

a. Type 1 diabetes mellitus
b. Type 2 diabetes mellitus
c. Gestational
d. Diabetes insipidus
a. Type 1 diabetes mellitus
Before puberty, which of the following conditions results from excessive levels of growth hormone:

a. Gigantism
b. Acromegaly
c. Diabetes insipidus
d. Diabetes mellitus
a. Gigantism
Growth hormone is secreted from the:

a. Anterior pituitary
b. Posterior pituitary
c. Hypothalamus
d. Beta cells in the pancreas Islets of Langerhans
a. Anterior pituitary
Which of the following conditions results from a deficiency of antidiuretic hormone (ADH) released by the posterior pituitary:

a. Diabetes mellitus Type 1
b. Diabetes mellitus Type 2
c. Diabetes insipidus
d. Gestational diabetes
c. Diabetes insipidus
Thyroid enlargement resulting from diffuse hyperplasia is known as:

a. Cushings disease
b. Grave's disease
c. Hashimoto's thyroiditis
d. Myxedema
b. Grave's disease
Manifestations of hyperthyroidism include all of the following except:

a. Rapid and irregular heart beat
b. Weight loss with increased appetite
c. Intolerance to heat
d. Cold, dry skin
d. Cold, dry skin
Elevated levels of parathyroid hormone produced in primary hyperparathyroidism can cause all but which of the following:

a. Hypercalcemia
b. Renal disease including formation of kidney stones
c. Small blood vessel disease
d. Excessive reabsorption of calcium from bones
c. Small blood vessel disease
Which of the following conditions would be most likely to present with symptoms of kidney stones:

a. Grave's disease
b. Type 1 diabetes mellitus
c. Hashimoto's thyroiditis
d. Hyperparathyroidism
c. Small blood vessel disease
Which of the following is not a manifestation of Cushing's syndrome:

a. Hypertension
b. Decreased levels of glucocorticoids
c. Weight gain, with unusual obesity distribution (truncal, not extremities)
d. Hyperglycemia, glucosuria, polydipsia
b. Decreased levels of glucocorticoids