Endocrine Assessment Kahoot Flashcards

1
Q

There are six anterior pituitary hormones. They include:

A

Growth hormones (somatotrophin)
Thyroid stimulating hormones
Prolactin

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2
Q

The two posterior pituitary hormones are what?

A

ADH
Oxytocin

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3
Q

T or F: Diabetes insipidus is characterized by excessive urine production.

A

True

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4
Q

A serum sodium of less than 110 mEq/L may result in what?

A

Cerebral edema
Seizures

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5
Q

SIADH is inappropriate release of ADH seen with what?

A

Cancer of the lung
Porphyria
Hypothyroidism
Intracranial tumors

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6
Q

Treatment of SIADH includes:

A

Fluid restriction
Hypotonic saline
Vasopressin
Demeclocycline

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7
Q

Anesthesia considerations associated with acromegaly include:

A

Vocal cord hypertrophy
Skeletal muscle weakness
Soft tissue overgrowth

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8
Q

The types of Diabetes Mellitus include:

A

Type I: autoimmune; destruction of beta cells; random BG > 200 mg/dL or HbA1C

Type II: Beta cell insufficiency or insulin resistance

Type III: Gestational diabetes mellitus

Metabolic Syndrome: insulin resistance with hypertension, dyslipidemia

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9
Q

DM can result in which types of coma?

A

Hypoglycemia: BG < 50 mg/dL in adult

Hyperglycemia, hyperosmolar nonketoic coma: Type 2, serum osmolarity > 320

Diabetic ketoacidosis: >ketoacids and metabolic acidosis, hyperglycemia

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10
Q

T or F: DKA is more common in Type 2 diabetics.

A

False

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11
Q

Treatment of DKA includes:

A

Agressive isotonic resuscitation
Insulin 0.1 u/kg/hr
Correct electrolyte derangements

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12
Q

Hyperosmolar Nonketoic Coma has a mortality approaching 50%, grave concerns include:

A

CV collapse due to extreme osmotic diuresis
CNS hyperosmolar dysfunction

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13
Q

The symptoms of Whipple’s Triad strongly associated with Insulinoma include:

A

Symptoms of hypoglycemia provoked by fasting
BG < 50 mg/dL
Relief of symptoms with glucose

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14
Q

Normal daily release of cortisol is 20 mg/day, under stress this may increase to what?

A

150 mg/day

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15
Q

S/S of Cushing’s Disease or Hypercortisolism include:

A

Emotional changes
Hyperglycemia

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16
Q

Addison’s Disease aka Adrenal Insufficiency has two types:

A

Primary
Secondary

17
Q

Four H’s of Addison’s Disease include:

A

Hypotension
Hypovolemia
Hyponatremia
Hyperkalemia

18
Q

Management goals for patients undergoing adrenalectomy include:

A

Regulate hypertension
Control hyperglycemia