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As the shift begins, you are assigned these patients. Which patient should you assess first?
- A. A 38-year-old patient with Graves' disease and a heart rate of 94/minute
- B. A 63-year-old patient with type 2 diabetes and fingerstick glucose of 137 mg/dL
- C. A 58-year-old patient with hypothyroidism and heart rate of 48/minute
- D. A 49-year-old patient with Cushing's disease and +1 dependent edema
Correct Answer: C
Rationale: A heart rate of 48/minute in a patient with hypothyroidism could indicate bradycardia, which requires immediate assessment to ensure the patient's safety.
You may also like to solve these questions
The neurohypophysis:
- A. is the anterior pituitary gland.
- B. secretes ACTH, TSH, and the gonadotropins.
- C. secretes the releasing hormones.
- D. is the posterior pituitary gland.
Correct Answer: D
Rationale: Step-by-step rationale:
1. The neurohypophysis is the posterior pituitary gland.
2. It stores and releases hormones produced by the hypothalamus.
3. These hormones include oxytocin and vasopressin.
4. These hormones regulate water balance, blood pressure, and uterine contractions.
5. Choice D is correct as it accurately describes the neurohypophysis.
Summary:
A: Incorrect - Anterior pituitary gland is not the neurohypophysis.
B: Incorrect - These hormones are secreted by the anterior pituitary gland.
C: Incorrect - Releasing hormones are produced by the hypothalamus, not the neurohypophysis.
The hypersecretion of growth hormone leads to:
- A. Cretinism
- B. Myxoedema
- C. Acromegaly
- D. Graves disease
Correct Answer: C
Rationale: The correct answer is C: Acromegaly. Hypersecretion of growth hormone in adults leads to acromegaly, characterized by enlarged hands, feet, and facial features. This occurs due to excess GH after epiphyseal plate closure.
A: Cretinism is caused by congenital hypothyroidism, not GH hypersecretion.
B: Myxoedema is a severe form of hypothyroidism, not related to GH.
D: Graves disease is an autoimmune disorder causing hyperthyroidism, not GH hypersecretion.
Which endocrine gland normally produces insulin?
- A. Adrenal
- B. Parathyroid
- C. Pancreas
- D. Liver
Correct Answer: C
Rationale: The correct answer is C: Pancreas. The pancreas is the endocrine gland responsible for producing insulin, which regulates blood sugar levels. It is located behind the stomach and plays a crucial role in maintaining glucose balance in the body. The other choices, A: Adrenal, B: Parathyroid, and D: Liver, do not normally produce insulin. Adrenal glands produce hormones like adrenaline and cortisol, the parathyroid regulates calcium levels, and the liver performs various metabolic functions but does not produce insulin. Therefore, the pancreas is the correct choice for insulin production.
Calcium level in the blood is regulated by the:
- A. Parathyroid and thyroid
- B. Adrenal medulla and pancreas
- C. Testes
- D. Parathyroid and thymus
Correct Answer: A
Rationale: The correct answer is A: Parathyroid and thyroid. The parathyroid glands secrete parathyroid hormone, which increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. The thyroid gland produces calcitonin, which lowers blood calcium levels by inhibiting bone breakdown and increasing calcium excretion by the kidneys. The adrenal medulla and pancreas do not play a direct role in regulating calcium levels. Testes are not involved in calcium regulation. The thymus is responsible for developing T-cells and does not have a role in calcium regulation.
Mr. T, who has Cushing syndrome, is being treated with corticosteroids for an extended period. He has been instructed to avoid sudden discontinuation of the drug. Why should this instruction be given?
- A. To prevent adrenal crisis
- B. To increase potassium retention
- C. To reduce sodium retention
- D. To avoid an overdose of the medication
Correct Answer: A
Rationale: Discontinuing corticosteroids abruptly can lead to adrenal insufficiency or adrenal crisis because the adrenal glands cannot produce cortisol quickly enough after being suppressed.