Endocrine System Multiple Choice Questions

Endocrine System Multiple Choice Questions Related

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A nurse assesses a female client who presents with hirsutism. Which question would the nurse ask when assessing this client?

  • A. How do you plan to pay for your treatments?
  • B. How do you feel about yourself?
  • C. What medications are you prescribed?
  • D. What are you doing to prevent this from happening?
Correct Answer: B

Rationale: The correct answer is B: How do you feel about yourself? This question is important because hirsutism, excessive hair growth in women, can have significant psychological implications affecting self-esteem and body image. By asking how the client feels about herself, the nurse can address emotional and mental health concerns related to hirsutism.

A: How do you plan to pay for your treatments? This question is not directly related to the client's emotional well-being and does not address the psychological impact of hirsutism.

C: What medications are you prescribed? This question focuses on the medical management of hirsutism but does not address the client's emotional response to the condition.

D: What are you doing to prevent this from happening? This question is more about preventive measures for hirsutism rather than addressing the client's feelings and self-perception.

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Mrs. A., a 50-year-old female, has had symptoms of Cushing syndrome for several years. Mrs. A. states she is 5'5\ tall and weighs 160 lb but the nurse who measured and weighed Mrs. A. states she is only 5' tall. What is the best explanation for this discrepancy?"

  • A. Mrs. A. is old and forgetful
  • B. Mrs. A. has had previous back surgery
  • C. The nurse has measured Mrs. A. incorrectly
  • D. Osteoporosis and kyphosis have caused height loss
Correct Answer: D

Rationale: Osteoporosis and kyphosis are common in patients with Cushing syndrome, leading to a loss of height.

With regard to carbohydrate digestion:

  • A. salivary amylase works best at alkaline pH
  • B. approximately 40% of adult Europeans are lactose intolerant
  • C. oligosaccharidase deficiency results in osmotic diarrhoea
  • D. salivary amylase continues to digest carbohydrates in the stomach
Correct Answer: C

Rationale: Step-by-step rationale for choice C being correct:
1. Oligosaccharidase deficiency impairs breakdown of oligosaccharides in the small intestine.
2. Undigested oligosaccharides draw water into the intestines, causing osmotic diarrhea.
3. This leads to increased fluid content in the stool, resulting in osmotic diarrhea.
4. This process does not involve salivary amylase or lactose intolerance.

Steroid hormones _____________________.

  • A. bind to a receptor inside the target cell
  • B. are made from cholesterol
  • C. cause the cell to make new proteins
  • D. all of these
Correct Answer: D

Rationale: The correct answer is D because steroid hormones bind to a receptor inside the target cell, are made from cholesterol, and cause the cell to make new proteins. This is known as the mechanism of steroid hormone action. Choice A is correct as steroid hormones need to bind to intracellular receptors to exert their effects. Choice B is also correct as steroid hormones are derived from cholesterol. Choice C is correct as one of the main actions of steroid hormones is to regulate gene expression and induce the synthesis of new proteins within the cell. Therefore, all of these statements are true regarding steroid hormones, making choice D the correct answer.

Which hormone is most important in insulin secretion?

  • A. gastrin
  • B. CCK
  • C. GIP
  • D. secretin
Correct Answer: C

Rationale: The correct answer is C: GIP. GIP, or glucose-dependent insulinotropic peptide, is the most important hormone in insulin secretion. It is released by the intestines in response to glucose intake, stimulating the release of insulin from the pancreas. Gastrin (A) is involved in gastric acid secretion, not insulin. CCK (B) and secretin (D) are involved in digestion and pancreatic enzyme secretion, not insulin regulation. So, GIP is the correct answer as it directly stimulates insulin release in response to glucose levels.

You are preparing to review a teaching plan for a patient with type 2 diabetes. What will you check to determine the patient's level of compliance with his diabetic regimen?

  • A. Patient's fasting glucose level
  • B. Patient's oral glucose tolerance test results
  • C. Patient's glycosylated hemoglobin assay
  • D. Patient's fingerstick glucose check for 24 hours
Correct Answer: C

Rationale: The glycosylated hemoglobin assay (HbA1c) provides an average blood glucose level over the past 2-3 months and is the best indicator of long-term compliance with the diabetic regimen.

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