FNP Review Dunphy Chapter 17
Endocrine and Metabolic Problems with
Complete Solutions 100% Solutions
The most common worldwide cause of hypothyroidism is
an autoimmune process
Hashimoto's thyroiditis
iodine deficiency
iatrogenic hypothyroidism - ✔C
,When you inspect the integumentary system of clients with endocrine disorders, coarse hair may be an
indicator of
addison's disease
diabetes mellitus
Cushing's syndrome
hypothyroidism - ✔D
A client with diabetes presents with a medication list that includes lisinopril and losartan. Which of the
following statements is true regarding this combination?
additional blood pressure and renal benefit is gained using an ACE inhibitor and ARB
This combination will lead to excessive lowering of the potassium
this was probably a provider error or patient misunderstanding
combination therapy is recommended for patients with hypertension - ✔C
Which blood test should be obtained before initiating antithyroid drugs for Graves' disease?
serum electrolytes
lipid profile
white blood cell count
HbA1C - ✔C
Dena said that she read on her husband's hospital chart that he has podagra. She asks what this is. You
tell her it is
rheumatoid arthritis
a fungal nail infection
an ingrown toenail
gout - ✔D
A 35-year-old client presents with a fasting plasma glucose of 118 mg/dL and a HbA1C of 5.7%. Which of
the following statements is true about these measurements?
The client has prediabetes
The client has diabetes mellitus
The client has metabolic syndrome
The client has normal FPG and HbA1C - ✔A
, Clients with diabetes and neuropathy require special foot care because most ulcers begin at the site of
an ingrown toenail
a previous sore
a mole
a callus - ✔D
Sandra, age 28, has secondary obesity. Which of the following may have caused this?
an intake of more calories than are expended
PCOS
her antihypertensive medications
her sedentary lifestyle - ✔B
Which is the only treatment option that is curative for primary hyperparathyroidism (PHPT)?
type II calcimimetic cinacalcet
hormone therapy
parathyroidectomy
biphosphonates - ✔C
Which of the following medications can impact the functioning of the thyroid gland?
Amiodarone, lithium, and interferon-alpha
Labetolol, lisinopril, and losartan
HCTZ, chlorthalidone, and losartan
Omeprazole, atorvastatin, and lisinopril - ✔A. Amiodarone can cause hyperthyroidism or
hypothyroidism. Lithium and interferon-alpha can cause thyroid dysfunction. Should have thyroid
assessed periodically.
Early-morning increases in blood glucose concentration that occur with no corresponding hypoglycemia
during the night are referred to as:
the Somogyi phenomenon
insulin shock
diabetic ketoacidosis
the dawn phenomenon. - ✔D
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