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Maryville NURS 611 Exam 3 Questions And Answers
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Maryville NURS 611 Exam 3 Questions And AnswersName two hormones that increase in the presence of a pituitary adenoma. - ANS
prolactin and GH. Considered to be hyperpituitarism, although it can cause
hypopituiatrism in other locations of the pituitary gland.
The adenomatous tissue secretes the - ANS hormone of the cell type from which it arose
without regard to physiologic needs and without benefit of regulatory feedback
mechanisms.
With the pressure produced by a pituitary adenoma is also associated what? - ANSWER
a decreased function of neighboring anterior pituitary cells, resulting in hyposecretion
of other anterior pituitary hormones.
What type of hypersensitivity reaction is Graves disease? - ANSWER Type II
Autoantibodies stimulate the thyroid and hyperplasia (goiter) results. What hormone is
this an increase of? - ANSWER thyroid hormone (most notably T3). Production of TSH by
the pituitary is inhibited through the usual negative feedback loops.
What hormone is released by the pituitary that acts on the thyroid gland? - ANSWER
Thyroid stimulating hormone (TSH).
Name two major distinguishing clinical findings in Graves disease. - ANSWER
ophthalmopathy (buggy eyes) and pretibial myxedema (Graves dermopathy).
Regulated by PTH is the balance of: ANSWER calcium and phosphate.
What does PTH increase the activity of? ANSWER osteoclastic activity.
, Presenting symptoms of SIADH. ANSWER lethargy, hyponatremia, maybe seizure,
decreased plasma osmolality, concentrated urine, hypervolemia, and weight gain.
Presenting symptoms of hypothyroidism. ANSWER lethargy, cold intolerance,
hoarseness, nonpitting boggy edema around eyes, coarse hair, decreased body
temperature.
Symptoms of pheochromocytoma. - ANSWER hypertension, tachycardia, palpitations,
severe headache, diaphoresis, heat intolerance, weight loss, constipation.
Symptoms of adrenal adenoma causing hypersecretion of androgens in females. -
ANSWER virilization: lack of breast development, hirsutism, increased muscle bulk.
Symptoms of diabetic ketoacidosis. - ANSWER polyuria, decreased level of
consciousness, Kussmaul breathing, acetone smell to breath, hyperglycemia,
decreased blood pH, ketonuria, glycosuria.
Symptoms of hypoglycemia. - ANSWER tachycardia, diaphoresis, tremor, pallor,
confusion, decreased level of consciousness, perhaps seizure.
Symptoms of primary hyperaldosteronism. - ANSWER hypertension, hypokalemia,
increased blood pH, increased urine potassium.
Symptoms of type 1 diabetes mellitus. - ANSWER polydipsia, nocturia, polyuria,
increased appetite, weight loss, hyperglycemia, glycosuria.
Symptoms of diabetes insipidus. - ANSWER polydipsia, nocturia, polyuria,
hypernatremia, increased plasma osmolality, large volume of dilute urine.
Symptoms of Addison disease. - ANSWER weakness, fatigue, hypotension,
hyperkalemia, hypoglycemia, elevated ACTH.
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