Quizlet Final P.Q.'s (2) Flashcards
A patient has been diagnosed with cirrhosis. Which of the following is not commonly associated with cirrhosis?
A.) frothy, fatty stools
B.) shrunken liver
C.) acites
D.) hx of ETOH abuse
B.) shrunken liver
it is enlarged
Which of the following might you expect to see in a pt. with hepatitis D?
A.) world-wide traveler
B.) history of hepatitis B
C.) history of ETOH use
D.) over-consumption of vitamin-D fortified milk
B.) history of hepatitis B
Which of the following is not commonly present at the same time as abnormally high bilirubin levels in the blood?
A.) excessive bleeding and bruising
B.) altered levels of consciousness
C.) constipation
D.) acites
C.) constipation
A patient has been diagnosed with liver failure. Which of the following lab tests is not used to monitor liver functioning?
A.) levels of ALT
B.) serum bilirubin
C.) levels of AST
D.) serum lipase levels
D.) serum lipase levels
Which of the following is known as the ‘Master Gland’, because the hormones it secretes control many other endocrine glands?
a. ) Hypothalamus
b. ) Pituitary gland
c. ) Adrenals
d. ) Thymus
b.) Pituitary gland
**
SIADH, or Syndrome of Inappropriate ADH, is characterized by which of the following:
a. ) Too little ADH, decreased urine output
b. ) Too little ADH, polyuria
c. ) Too much ADH, decreased urine output
d. ) Too much ADH, polyuria
c.) Too much ADH, decreased urine output
Which of the following is true regarding Conn’s syndrome?
a. ) Too much aldosterone causes an increase in Na and water retention, leading to high BP
b. ) Too little ADH causes an increase in urine output
c. ) Too much androgens cause masculine characteristics in adult females
d. ) Too little aldosterone causes leads to secondary hypertension
a.) Too much aldosterone causes an increase in Na and water retention, leading to high BP
Which of the following s/s would you expect to see in a patient diagnosed with diabetes insipidus?
a. ) High blood glucose levels
b. ) Shortness of breath
c. ) Edema and wt. gain
d. ) Polyuria
d.) Polyuria
A patient complains of wt. loss despite increased appetite, diarrhea, “always too warm” and anxiety. Assessment findings include: T 99.4, P 104, RR 20, BP 135/86. Which of the following conditions do you suspect?
a. ) Goiter
b. ) Graves’ disease
c. ) Pheochromocytoma
d. ) Hashimoto’s thyroiditis
b.) Graves’ disease
Which of the following situations is not true in Addison’s disease?
a. ) Increased cortisol can lead to advanced infections without inflammation
b. ) Increased potassium can lead to cardiac dysrhymias
c. ) Decreased Na levels can lead to low BP and orthostatic hypotension
d. ) Decreased blood glucose can lead to fatigue
a.) Increased cortisol can lead to advanced infections without inflammation
Which of the following would not put a person with Addison’s disease at risk for Addisonian crisis”
a. ) Suddenly stopping medication
b. ) Having a root canal done
c. ) Being in a major car accident
d. ) Suddenly increasing medication
d.) Suddenly increasing medication
A patient is a type I diabetic. She is brought into the ER lethargic, with a strange odor on her breath, and Kussmaul’s respirations. A bedside glucose check is “above 400”, the upper limit on the test unit. Which of the following conditions do you suspect?
a. ) Hyperosmolar hyperglycemic state (HHS or HHNK syndrome)
b. ) Addisonian crisis
c. ) Diabetic ketoacidosis (DKA)
d. ) Diabetes insipidus crisis (DIC)
c.) Diabetic ketoacidosis (DKA)
Which of the following patients is least likely to experience significant changes from increased androgen secretion?
a. ) Ms. G, a 2-week old female
b. ) Mr. O, a 25 y/o male
c. ) Ms. Q, a 40 y/o female
d. ) Mr. R, a 4 y/o male
b.) Mr. O, a 25 y/o male
A patient has been diagnosed with a pheochromocytoma. Which of the following s/s does not fit with this diagnosis?
a. ) BP of 210/ 170
b. ) flushing and headaches
c. ) episodes of s/s alternating with normalcy
d. ) High sodium and low potassium levels
d.) High sodium and low potassium levels
Which of the following is difference between diabetes mellitus I and DM II?
a. ) Untreated, type II gives high blood sugar while type I does not
b. ) Type I is only in children, type II is only in adults
c. ) Type I will require insulin, type II can often be managed with diet and oral medication alone
d. ) Type I diabetics can become hypoglycemic, while type II’s cannot
c.) Type I will require insulin, type II can often be managed with diet and oral medication alone
