Endocrine 2

Question 1

All pituitary activities controlled by what

Answer 1

hypothalamus

Question 2

what hormone promotes growth indirectly, control of protein, lipid, carbohydrate metabolism, found in liver and adipose tissue

Answer 2

growth hormone

Question 3

what hormone stimulates secretion of thyroid hormones and is found in thyroid gland

Answer 3

thyroid stimulating hormone

Question 4

what hormone stimulates the secretion of corticosteroids, found in adrenal gland and cortex

Answer 4

adrenocorticotropic hormone

Question 5

what hormone stimulates milk production, lactogenic hormones, found in mammary gland

Answer 5

prolactin hormone

Question 6

what hornome controls reproduction function, found in ovary and testes

Answer 6

gonadotropic hormones

Question 7

what hormone stimulates target organs to release hormones, growth and development

Answer 7

B-lipotropin hormone

Question 8

what hormone is a major participant in several physiologic processes including growth and metabolism

Answer 8

Growth hormone (somatotropin)

Question 9

the thyroid stimulating hormone is controlled by _____ which secretes ________

Answer 9

hypothalamus

TRH (thyrotropin releasing hormone)

Question 10

the growth hormones most intense release in children and young adults is when

Answer 10

after onset of deep sleep

Question 11

normal IQ, stunted growth, delayed puberty, excessive sub Q fat, poor muscle development, hyposecretion of growth hormone during childhood

Answer 11

hypopitutarism

(pititary dwarfism)

Question 12

oversecretion of one or more of the pituitary horomes, growth hormone or prolactin

Answer 12

hyperpituitarism

Question 13

what stimulates sgowth in bones and soft tissue and normally signals anterior pituitary to reduce growth hormone production

Answer 13

insulin growth factors

Question 14

tumor compresses normaltissue, secretion decreases

Answer 14

pituitary tumors (most common)

Question 15

testosterone secretion by interstitial cells testes

Answer 15

cales- leydig cells of testes

Question 16

in childhood gigantism happens because what

Answer 16

there is an excess of growth hormone before the closure of the epiphyseal plate

Question 17

when does acromegaly develop

Answer 17

after epiphyseal closure, so bones and soft tissue thicken

Question 18

patients with acromegaly need what kind of diet to avoid heart failure

Answer 18

low sodium diet

Question 19

what are complications of acromegaly

Answer 19

arthrosclerosis, DM, cardiomegaly

Question 20

what signs and symptoms would you find with a patient who has acromegaly

Answer 20

c/o changes in dentures, hat, glove, rins, shoe size

Question 21

in patients with acromegaly can bone growth stop, soft tissue, and hypertrophy be reversed

Answer 21

yes

Question 22

what nursing management would you do for acromegaly

Answer 22

increased calcium diet, good skin care, and psycological support

Question 23

ADH is regulated by what

Answer 23

plasma osmolality & blood volume

Question 24

stimulates uterine smooth muscle contraction to facilitate birth, milk ejection

Answer 24

oxytocin

Question 25

ADH is released depsite normal or low plasma osmolarity, results from abnormal production or sustained secretion of ADH

Answer 25

SIADH | (syndrome of inappropriate ADH)

Question 26

in SIADH there is decreased NA which leads to what

Answer 26

muscle cramps, weakness, anorexia, nausea, diarrhea, HA, confustion, irritability

Question 27

in SIADH, water retention leads to what

Answer 27

water intoxication, brain swells leading to neuro issues (lethargy, seizures, and coma)

Question 28

what are SIADH pts given diuretics

Answer 28

they may develop heart failure

Question 29

excrete large amounts of dilute urine with glucose (no glucosuria)

Answer 29

diabetes insipidus

Question 30

what assessments would you do with a diabetes insipidus patient

Answer 30

assess: B/P, skin turgor, I & O, daily weight

Question 31

butterfly shaped fland located anterior portion of neck in front of trachea

Answer 31

thyroid gland

Question 32

what is necesssary for synthesis of thyroid hormones

Answer 32

iodine

Question 33

the tyroids function is for production, storage, realease of three hormones that regulate metabolic processes, they are?

Answer 33

T-4, T-3, calcitonin

Question 34

inhibits resorption from bone, incrases bone storage & renal excretion of Ca & phosphorus

Answer 34

calcitonin

Question 35

what is the first diagnostic test for hormone dysfunction of the thyroid gland

Answer 35

TSH serum study, most sensitive

Question 36

sustained increase of synthesis and release of thyroid hormone by thyroid gland

Answer 36

hyperthyroidism

Question 37

autoimmune disease, diffuse thyroid enlargement & excessive thyroid hormone secretion

Answer 37

graves disease

Question 38

a condition of neuromuscular hyperexcitability associated with sudden decrease in calcium levels,

Answer 38

tetany

Question 39

characterized by unpleaseent tingling of the hands and aound the mouth

Answer 39

tetany

Question 40

can toxic nodular goiters be multinodar goiter or single nodule

Answer 40

both

Question 41

what are clinical manifestations of hyperthyroidism