[LEC] UNIT 3.4 Dynamic Function Test Flashcards

(32 cards)

1
Q

DFT involves stimulating or suppressing a particular _______ ______ and observing the appropriate hormonal
response

A

hormonal axis

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2
Q

If excess is suspected, conduct a _______
If deficiency is suspected, conduct a ______

A

suppression test; stimulation test

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3
Q

complete rest for ___ minutes before blood collection is required before test for GH insufficiency

A

30

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4
Q

Specimen for GH Insufficiency test

A

Fasting serum

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5
Q

screening test for GH Insufficiency

A

Exercise test

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6
Q
A
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7
Q

Confirmatory test for GH Insufficiency

A

Insulin tolerance test

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8
Q

other name for insulin tolerance test

A

insulin stress test

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9
Q

insulin stress test is done when this condition is suspected

A

hypopituitarism

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10
Q

In ITT, insulin is administered to produce hypoglycemic stress of ____ mmol/L

A

< 2.2

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11
Q

ITT tests the ability of anterior pituitary gland to
produce

A

ACTH and GH

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12
Q

Expected values of GH and Cortisol in a normal indiv administered with insulin

A

GH > 6 µg/L
Cortisol > 500 nmol/L

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13
Q

Screening test for acromegaly

A

Somatomedin C / Insulin-like growth factor 1

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14
Q

Confirmatory test for acromegaly

A

Glucose suppression test / oral glucose tolerance test (OGTT)

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15
Q

In OGTT, provide ___g of oral glucose

A

75

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16
Q

Hyperglycemia should suppress the
growth hormone to

17
Q

T or F: OGTT is also utilized as a confirmatory
test for diabetes mellitus

18
Q

Produced by the liver and to a lesser degree by
skeletal muscles, primarily in response to growth
hormone (GH) stimulation

A

Somatomedin C

19
Q

T or F: The blood level of IGF-1 mirrors ACTH levels

20
Q

T or F: GH and IGF-1 blood kevels are stable and do not fluctuate throughout the day

A

F

Only IGF-1 is stable

22
Q

Deficiencies in IGF-1

A

lack of responsiveness to GH

23
Q

Injection of TRH and measurement of the output of TSH

A

Thyrotropin releasing hormone stimulating test

24
Q

TRH Stimulating Test is used in the diagnosis of

A

combined pituitary-thyroid disorders

25
difference between 2° hypothyroidism and 3° hypothyroidism
Secondary (2°) hypothyroidism: due to pituitary problems Tertiary (3°) hypothyroidism: due to hypothalamic disorders
26
in TRH stimulating test, TRH is given as an
IV bolus
27
In TRH stimulating test, blood sampling done at
0, 20, 60 minutes
28
Test to assess hypogonadism
GnRH test
29
hormone associated with diabetes insipidus
ADH
30
aka Dehydration Test or Indirect water deprivation test
overnight water deprivation test
31
T or F: WDT is a concentration test
T
32
used to distinguish various forms of DI
WDT