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Flashcards in Review Questions Deck (20):
1

the anterior pituitary gland secretes two main types of hormones. which one of the following is NOT secreted by the anterior pituitary gland?

a. antidiuretic hormone (ADH)
b. andrenocorticotropic hormone (ACTH)
c. growth hormone (GH)
d. follicle stimulating hormone (FSH)

2

elevation of growth hormone after the closure of bone growth plates results in which one of the following diseases?

a. gigantism
b. acromegaly
d. dwarfism
d. cushing's disease

3

thyrotoxicosis is defined as elevated serum levels of free T3 and T4 and presents with many signs. which of the following is NOT a sign of thyrotoxicosis?

a. tremor and emotional instability
b. heat intolerance
c. decreased appetite with weight gain
de. elevated blood pressure with palpitations

4

diagnosis of hyperparathyroidism is based on blood serum assay. which of the following results of a blood serum assay is positive in hyperparathyroidism?

a. decreased PTH, elevated serum calcium levels
b. decreased PTH, decreased serum calcium levels
c. elevated PTH, elevated serum calcium levels
d. elevated PTH, decreased serum calcium levels

5

signs and symptoms of hyperparathyroidism include all of the following EXCEPT

a. loss of lamina dura
b. renal stones
c. supernumerary teeth
d. gastric ulcers

6

which of the following statements about the adrenal gland and its disorders is false?

a. the adrenal glands are located on the superior poles of the kidneys
b. in cushing's syndrome, the adrenals produce too much cortisol
c. in Addison's disease, the adrenals produce too little cortisol
d. the adrenal glands produce too much ACTH in CREST syndrome

7

which of the following is NOT a clinical feature of Addision's disease?

a. hyperpigmentation of the skin
b. hypocortisolism
c. adrenal insufficiency
d. bruises and purplish striae

8

you notice your patient has been sweating excessively while you ae treating her. she also appears to have a wide staring gaze, exophthalmos, and sagging eyelids. she mentions that her recent physical examination showed a decrease in TSH levels and increased free T3 and T4 levels. what condition does she most likely have?

a. Addison's disease
b. cushing's disease
c. graves' disease
d. ehlers-danlos syndrome

9

uncontrolled diabetes mellitus may cause all of the following EXCEPT

a. immune suppression
b. ketoacidosis
c. elevated insulin levels
d. elevated blood glucose levels

10

common oral manifestations of diabetes mellitus include all of the following EXCEPT

a. oral candidiasis
b. xerostomia
c. erythema migrans
d. burning tongue

11

which of the following statements about diabetes mellitus is incorrect?

a. type 2 diabetes is more common than type 1 diabetes
b. patients with diabetes mellitus have a higher incidence of gingivitis and periodontitis
c. if a hypoglycemic episode occurs, it is usually not an emergency and discontinuation of dental treatment is not necessary
d. type 1 diabetes is an idiopathic autoimmune disorder of the pancreas, whereas type 2 diabetes is due to insulin resistance and insufficient secretion of insulin by the pancreas

12

which test is used to confirm the diagnosis of cushing's syndrome?

a. fasting blood cortisol level
b. 24-hour free cortisol level
c. random cortisol level
d. random ACTH levels

13

which of the following are common clinical features seen in a patient with thalassemia?

a. enlarged maxilla and mandible
b. altered trabecular pattern
c. "hair-on-end" appearance on skull radiograph
d. All of the above

14

which of the following is NOT a common etiologic factor of iron deficiency anemia?

a. lack of dietary iron intake
b. excessive acute or chronic blood loss
c. frequent blood transfusion
d. impaired absorption of iron by the body

15

which of the following is NOT a common oral manifestation of iron deficiency anemia?

a. bleeding gums
b. atrophic glossitis
c. angular cheilitis
d. burning sensation of the tongue

16

phystomatitis vegetans is an inflammatory condition characterized by yellow pustules in the oral mucosal surfaces. it is associated with which one of the following conditions?

a. vitamin A deficiency
b. crohn's disease
c. hepatitis A infection
d . Addison's disease

17

jaundice is clinical presentation that indicates an underlying liver disease. which of the following is NOT a cause of jaundice?

a. increased production of bilirubin
b. decreased uptake of bilirubin into the liver
c. increased excretion of bilirubin
d. decreased excretion of bilirubin

18

radiographic examination of a 42-year-old woman reveals bilateral, generalized, diffuse decreased in bone density and apparent loss of lamina dura and cortical plates. serum calcium levels are elevated. based on this information which of the following is the most likely diagnosis?

a. hyperparathyroidism
b. cushing's syndrome
c. graves' disease
d. Addison's disease

19

a 19-year-old male has multiple red papules on the tongue and vermillion zone of the lips. the paules are 1 to 2 mm in sized and blanch upon pressure. the patient has a history of multiple episodes of epistaxis. based on this information, which of the following is the most likely diagnosis?

a. hereditary hemorrhagic telangiectasia
b. pyostomatitis vegetans
c. peutz-jeghers syndrome
d. vitamin D deficiency

20

a 48-year-old female with anemia complains of a burning tongue and tingling and numberness of the fingers and toes. laboratory studies reveal decreased levels of intrinsic factor and vitamin B12. based on this information, what specific type of anemia does this patient most likely have?

a. iron deficiency anemia
b. pernicious anemia
c. plummer-sinson syndrome
d. folic acid deficiency