Nokea
An enlargement of the thyroid gland is the condition known as .
- A. acromegaly
- B. goiter
- C. parathyroidism
- D. Cushing's disease
Correct Answer: B
Rationale: The correct answer is B: goiter. An enlargement of the thyroid gland is specifically referred to as a goiter. This condition can be caused by iodine deficiency or other factors affecting thyroid hormone production. Acromegaly (A) is a disorder caused by excessive growth hormone, unrelated to the thyroid. Parathyroidism (C) refers to issues with the parathyroid glands, not the thyroid. Cushing's disease (D) is a condition involving excessive cortisol production, not thyroid enlargement. Therefore, the correct term for an enlarged thyroid gland is goiter.
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What stimulates the release of PTH from the parathyroid gland?
- A. TSH from the posterior pituitary gland
- B. high levels of calcium in the blood
- C. calcitonin from the anterior pituitary gland
- D. low levels of calcium in the blood
Correct Answer: D
Rationale: The correct answer is D: low levels of calcium in the blood. When calcium levels drop, the parathyroid gland releases parathyroid hormone (PTH) to increase calcium levels in the blood. This is a negative feedback mechanism to maintain calcium homeostasis. A: TSH from the posterior pituitary gland is incorrect because TSH is involved in regulating thyroid function, not PTH release. B: High levels of calcium in the blood would not stimulate PTH release as the body aims to lower, not raise, calcium levels. C: Calcitonin from the anterior pituitary gland is incorrect because calcitonin is released by the thyroid gland and works to lower blood calcium levels, opposing the action of PTH.
Which of the following hormones does the skin produce?
- A. erythropoietin
- B. melatonin
- C. renin
- D. cholecalciferol
Correct Answer: D
Rationale: The correct answer is D: cholecalciferol. The skin produces cholecalciferol, also known as vitamin D, in response to sunlight exposure. This hormone plays a crucial role in calcium absorption and bone health. Erythropoietin (A) is produced by the kidneys to stimulate red blood cell production. Melatonin (B) is produced by the pineal gland to regulate sleep-wake cycles. Renin (C) is produced by the kidneys to regulate blood pressure. Therefore, the skin does not produce erythropoietin, melatonin, or renin, making them incorrect choices.
What manifestations of endocrine problems in the older adult are commonly attributed to the aging process?
- A. Tremors and paresthesias
- B. Fatigue and mental impairment
- C. Hyperpigmentation and oily skin
- D. Fluid retention and hypertension
Correct Answer: B
Rationale: Fatigue and mental impairment are often attributed to normal aging but may indicate an underlying endocrine disorder such as hypothyroidism or adrenal insufficiency.
Mrs. Crane, an insulin-dependent diabetic, is scheduled for general surgery. The nurse's preoperative teaching should place special emphasis on
- A. pain medications available postoperatively
- B. coughing and deep breathing
- C. early ambulation
- D. adjusting insulin requirements
Correct Answer: D
Rationale: Patients undergoing surgery need adjusted insulin dosages to maintain stable blood glucose levels during the perioperative period.
A patient presents with increased growth of skeletal and soft tissue, hypertension, arthritis, menstrual disturbances, and diabetes mellitus. Upon administration of oral glucose, which of the following levels would increase?
- A. GH
- B. IGF
- C. GH and IGF
- D. ADH
Correct Answer: B
Rationale: The correct answer is B: IGF. Increased growth of skeletal and soft tissue, along with other symptoms, suggest acromegaly due to excess growth hormone (GH) secretion. GH stimulates the liver to produce insulin-like growth factor (IGF), which mediates many of GH's effects. In acromegaly, elevated IGF levels contribute to the clinical manifestations. Option A (GH) is incorrect because GH levels may be high but not necessarily in response to oral glucose. Option C (GH and IGF) is incorrect as GH alone does not directly increase in response to oral glucose. Option D (ADH) is unrelated to the scenario described.