Ssc Ams Test 4 Anterior Pituitary Problems

Front 1

If the anterior pituitary gland is removed due to tumor, what will the patient have to prepare for a lifetime of?

Back 1

Hormone replacement

Front 2

What should post-op hypophysectomy patient avoid doing for several months to reduce their risk of developing increased intracranial pressure?

Back 2

Bending over, straining for BMs

Front 3

Since surgery for hyperpituitarism tumors is performed in the brain, what type of infection would we watch for postoperatively?

Back 3

Meningitis

Front 4

What would coughing do to the patient recovering from hypophysectomy?

Back 4

Increase intracranial pressure

Front 5

In the post-op hypophysectomy patient, what would we monitor their nasal discharge for? What are two indications that there is a problem?

Back 5

Leaking CSF - glucose present in drainage, yellow halo around fluid on bandages

Front 6

This surgical procedure is the most common treatment for hyperpituitarism and tumors; is minimally invasive:

Back 6

Transsphenoidal hypophysectomy

Front 7

This is NOT useful in the management of hyperpituitarism due to the location of the anterior pituitary gland (may damage optic nerves and cause vision problems):

Back 7

Radiation

Front 8

What do Parlodel, Dostinex, and Permax all ultimately do for the patient with a tumor caused by hyperpituitarism?

Back 8

Inhibit hormone release and help to shrink tumor

Front 9

What important nursing intervention should you consider for a patient taking Parlodel for hypersecretion of prolactin?

Back 9

Monitor for orthostatic hypotension

Front 10

Drug given to inhibit secretion of prolactin (given to new moms who don't wish to breastfeed):

Back 10

Parlodel

Front 11

Are increased LH and FSH levels normal or abnormal in post-menopausal women?

Back 11

Normal

Front 12

An increased level of TSH warrants this serious condition:

Back 12

Hyperthyroidism

Front 13

Caused by an increase of ACTH; manifestations are moon face, weight gain, acne, purple stretch marks, and thin skin with hyperpigmentation:

Back 13

Cushing's Disease

Front 14

An increase in the size of the lips, nose, brow ridge, head, hands, and feet; seen in hyperpituitarism:

Back 14

Acromegaly

Front 15

An increase in this hormone produces gigantism, acromegaly, arthralgia, headache, and vision changes:

Back 15

Growth hormone

Front 16

An increase in secretion of this hormone will cause galactorrhea, amenorrhea, infertility, decreased libido, impotence, and painful intercourse:

Back 16

Prolactin

Front 17

A benign tumor found in the anterior pituitary gland; causes oversecretion of hormones:

Back 17

Pituitary adenoma

Front 18

Most often due to a tumor or tissue overgrowth in the anterior pituitary gland; causes oversecretion of hormones:

Back 18

Hyperpituitarism

Front 19

What is the treatment for hypopituitarism?

Back 19

Replacement of deficient hormones

Front 20

A decrease in the production of this hormone causes adrenal insufficiency and decreased cortisol levels, lethargy, anorexia, postural hypotension, headache, and decreased sodium levels:

Back 20

ACTH

Front 21

A decrease in production of ADH causes this condition:

Back 21

Diabetes Insipidus

Front 22

A decrease in this hormone will cause hypothyroidism, decreased T3 and T4, intolerance to cold, alopecia, hirsutism, slowed cognition, and lethargy:

Back 22

TSH

Front 23

When there is a decrease in this hormone, osteoporosis, increased risk for fractures, decreased muscle strength, and an increase in cholesterol levels may be present:

Back 23

Growth hormone

Front 24

A deficiency in the production of all hormones secreted by the anterior pituitary gland:

Back 24

Panhypopituitarism

Front 25

A deficiency in one hormone that is secreted by the anterior pituitary gland:

Back 25

Selective hypopituitarism

Front 26

If there is a decrease in this hormone, there will be decreased libido, infertility, impotence, amenorrhea, and painful intercourse:

Back 26

Gonadotropins (sex hormones)

Front 27

A decrease in the production of these two hormones is most life-threatening in a patient with hypopituitarism:

Back 27

TSH and ACTH

Front 28

What does the anterior pituitary gland control?

Back 28

Growth, metabolism, sexual development