Med-Surg: Endocrine/1

Question 1

anterior pit gland secretes these hormones

7

Answer 1

1. ACTH
2. FSH
3. LH
4. gonadotropic hormones
5. prolactin
6. GH
7. TSH

Question 2

posterior pit gland secretes

2

Answer 2

ADH/vasopressin

oxytocin

Question 3

DI

Answer 3

def of ADH

Question 4

DI manif.

10

Answer 4

1. low urine specific gravity/diluted
2. decrease urine osmolality
3. hypernatremia (serum)
4. polyuria
5. polydipsia
6. dehydration
7. weight loss
8. muscle weakness
9. dry skin
10. hemoconcentration

Question 5

DI dx test

4

Answer 5

1. water fluid deprivation test
2. vasopressin test
3. MRI
4. 24 hour urine

Question 6

DI meds

2

Answer 6

1. desmopressin acetate

2. vasopressin - lifelong

Question 7

SIADH

Answer 7

excessive release of ADH resulting in the inability to excrete appropriate amount of urine

Question 8

SIADH mani

8

Answer 8

1. increased urine specific gravity - concentrated
2. hyponatremia
3. decreased serum osmolality - diluted
4. mental confusion, irritability
5. lethargy
6. seizures
7. increased ADH/vasopressin levels
8. weight gain

Question 9

SIADH NIs

3

Answer 9

1. restrict fluid intake to 500 ml - 1000 ml/day
2. monitor for increased BP, tachycardia, hypothermia
3. monitor mental status

Question 10

SIADH meds

4

Answer 10

1. hypertonic saline - 3-5%
2. loop diuretics
3. demeclocycline
4. vasopressin receptor antagonists - conivaptan

Question 11

demeclocycline is to

Answer 11

med for SIADH

Question 12

conivaptan is to

Answer 12

med for SIADH - vasopressin receptor antagonist

Question 13

adrenal cortex procudes

Answer 13

glucocorticoids - cortisol
mineralcorticoids - aldosterone
sex hormones

Question 14

adrenal medulla produces

Answer 14

catecholamines epi and norepi

Question 15

addison’s disease aka

Answer 15

adrenal insufficiency

Question 16

addison’s disease/adrenal insuff.

Answer 16

hyposecretion of adrenal cortex hormones, caused by autoimmune disease, TB, or more

Question 17

memory hint: with Addison’s disease, you need to?

Answer 17

ADD cortisol

Question 18

addison’s disease manifes.

10

Answer 18

1. weakness
2. fatigue
3. NV
4. hyperpigmentation
5. hypotension
6. tachycardia
7. hypoglycemic
8. hyponatremic
9. hyperkalemic
10. hypercalcemic

Question 19

addisonian crisis aka

Answer 19

adrenal crisis

Question 20

addisonian crisis/adrenal crisis s/s

4

Answer 20

characterized by signs of shock:

1. hypotension
2. tachycardia
3. tachypnea
4. pallor

Question 21

addison’s disease meds

3

Answer 21

1. hydrocortisone
2. prednisone
3. cortisone

Question 22

addison’s disease diet

Answer 22

high protein high carb

Question 23

cushings manif.

11

Answer 23

1. upper body obesity and thin extremities
2. moon face
3. buffalo hump
4. skin fragility with purple striae
5. osteoporosis
6. hyperglycemic
7. hypernat
8. hypokalemic
9. hypocalemic
10. hirsutism
11. amenorrhea

Question 24

cushings diet

5

Answer 24

high in protein
high in calcium
low in carbs
low in sodium
K supplements

Question 25

hyperaldosteronism aka

Answer 25

conn's disease

Question 26

hyperaldosteronism/conn's

Answer 26

hypersecretion of aldosterone from adrenal cortex, usually due to tumor, clinical manifestations of cushing's

Question 27

conn's disease NIs | 4

Answer 27

1. quiet environment 2. check BP and cardiac 3. monitor K and prepare for replacement 4. IOs

Question 28

conn's meds | 2

Answer 28

1. antihypertensive - spironolactone | 2. eplerenone - blocks aldosterone

Question 29

pheochromocytoma

Answer 29

usually benign tumor of the adrenal medulla that causes hypersecretion of epi and norepi

Question 30

usually benign tumor of the adrenal medulla that causes hypersecretion of epi and norepi

Answer 30

pheochromocytoma

Question 31

pheochromocytoma manif. - 5 H's

Answer 31

1. HTN 2. headache 3. hyperhidrosis 4. hypermetabolism 5. hyperglycemia

Question 32

pheochromocytoma meds prior surgery

Answer 32

alpha (phentolamine) and beta blockers to diminish the effect of norep prior to surgery

Question 33

pheochromocytoma meds | 3

Answer 33

1. alpha and beta blockers 2. sodium nitroprusside 3. CCB - nifedipine