Question 1

A 35-year-old female with Graves disease is admitted to a medical-surgical unit. Which of the following symptoms would be expected before treatment?

Accepted Answer

A)  Weight gain, cold intolerance 
B)  Slow heart rate, rash 
C)  Skin hot and moist, rapid heart rate 
D)  Constipation, confusion 
A)  Weight gain, cold intolerance 
B)  Slow heart rate, rash 
C)  Skin hot and moist, rapid heart rate 
D)  Constipation, confusion

Question 2

Common neurologic disturbances seen with pituitary adenomas are:

Accepted Answer

A)  comas. 
B)  visual disturbances. 
C)  confusional states. 
D)  breathing abnormalities. 
A)  comas. 
B)  visual disturbances. 
C)  confusional states. 
D)  breathing abnormalities.

Question 3

A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should be anticipated?

Accepted Answer

A)  Dilutional hyponatremia 
B)  Dehydration from polyuria 
C)  Cardiac arrest from hyperkalemia 
D)  Metabolic acidosis 
A)  Dilutional hyponatremia 
B)  Dehydration from polyuria 
C)  Cardiac arrest from hyperkalemia 
D)  Metabolic acidosis

Question 4

A 49-year-old female is diagnosed with hypercortisolism. An increase in which of the following would be expected?

Accepted Answer

A)  Protein catabolism and liver gluconeogenesis 
B)  Fat storage and glucose utilization 
C)  Production and secretion of adrenocortical hormones 
D)  Fat, protein, and carbohydrate anabolism 
A)  Protein catabolism and liver gluconeogenesis 
B)  Fat storage and glucose utilization 
C)  Production and secretion of adrenocortical hormones 
D)  Fat, protein, and carbohydrate anabolism

Question 5

A problem associated with chronic hyperparathyroidism is:

Accepted Answer

A)  seizure disorder. 
B)  vitamin D malabsorption. 
C)  hyponatremia. 
D)  osteoporosis and pathologic fractures. 
A)  seizure disorder. 
B)  vitamin D malabsorption. 
C)  hyponatremia. 
D)  osteoporosis and pathologic fractures.

Question 6

Chronic complications of diabetes mellitus such as microvascular and macrovascular disease are primarily related to:

Accepted Answer

A)  pancreatic changes. 
B)  hyperglycemia. 
C)  ketone toxicity. 
D)  hyperinsulinemia. 
A)  pancreatic changes. 
B)  hyperglycemia. 
C)  ketone toxicity. 
D)  hyperinsulinemia.

Question 7

A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?

Accepted Answer

A)  Hyponatremia 
B)  Hyperkalemia 
C)  Hypernatremia 
D)  Hypokalemia 
A)  Hyponatremia 
B)  Hyperkalemia 
C)  Hypernatremia 
D)  Hypokalemia

Question 8

A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. The most likely cause is:

Accepted Answer

A)  a pituitary adenoma. 
B)  hypothalamic hyposecretion. 
C)  hypothalamic inflammation. 
D)  a neurohypophyseal tumor. 
A)  a pituitary adenoma. 
B)  hypothalamic hyposecretion. 
C)  hypothalamic inflammation. 
D)  a neurohypophyseal tumor.

Exam 18: Alterations of Hormonal Regulation

A 35-year-old female with Graves disease is admitted to a medical-surgical unit. Which of the following symptoms would be expected before treatment?

Common neurologic disturbances seen with pituitary adenomas are:

A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should be anticipated?

A 49-year-old female is diagnosed with hypercortisolism. An increase in which of the following would be expected?

A problem associated with chronic hyperparathyroidism is:

Chronic complications of diabetes mellitus such as microvascular and macrovascular disease are primarily related to:

A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?

A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. The most likely cause is:

Cellular Biology

Genes and Genetic Diseases

Altered Cellular and Tissue Biology

Fluids and Electrolytes, Acids and Bases

Innate Defenses: Inflammation

Adaptive Immunity

Hypersensitivities, Infection, and Immune Deficiencies

Stress and Disease

Biology of Cancer and Tumor Spread

Cancer Epidemiology, Manifestations, and Treatment

Cancer in Children

Structure and Function of the Neurologic System

Pain, Temperature, Sleep, and Sensory Function

Concepts of Neurologic Dysfunction

Alterations of Neurologic Function

Alterations of Neurologic Function in Children

Mechanisms of Hormonal Regulation

Structure and Function of the Hematologic System

Alterations of Hematologic Function

Alterations of Hematologic Function in Children

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urologic Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Reproductive Systems

Alterations of the Reproductive Systems, Including Sexually Transmitted Infections

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculoskeletal System

Alterations of Musculoskeletal Function

Alterations of Musculoskeletal Function in Children

Structure, Function, and Disorders of the Integument

Alterations of the Integument in Children

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