Nokea
Myxedema, Graves’ disease, and cretinism are:
- A. hypothyroid disorders.
- B. due to a deficiency of TSH.
- C. disorders of the thyroid gland.
- D. best treated with T3 and/or T4.
Correct Answer: C
Rationale: Rationale: Myxedema, Graves' disease, and cretinism are all disorders directly related to the thyroid gland, involving either hypo or hyperactivity. Myxedema and cretinism are hypothyroid disorders, while Graves' disease is a hyperthyroid disorder. Thus, the correct answer is C. Choice A is incorrect as Graves' disease is a hyperthyroid disorder. Choice B is incorrect as these disorders are not solely due to a deficiency of TSH. Choice D is incorrect as treatment can vary depending on the specific disorder and may not always involve T3 and/or T4.
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Adam has just been diagnosed with diabetes insipidus. The most common presenting sign is:
- A. Body wasting.
- B. Hyperglycemia.
- C. Hypoglycemia.
- D. Increase in urination.
Correct Answer: D
Rationale: The hallmark symptom of diabetes insipidus is polyuria (excessive urination), which occurs due to the kidney's inability to concentrate urine.
What is a cause of primary hypothyroidism in adults?
- A. Malignant or benign thyroid nodules
- B. Surgical removal or failure of the pituitary gland
- C. Surgical removal or radiation of the thyroid gland
- D. Autoimmune-induced atrophy of the thyroid gland
Correct Answer: D
Rationale: Primary hypothyroidism in adults is commonly caused by autoimmune diseases such as Hashimoto's thyroiditis, which leads to thyroid tissue destruction.
Identify the hormone(s) produced by the hypothalamus.
- A. oxytocin
- B. antidiuretic hormone
- C. releasing and inhibiting hormones
- D. All of the above are all produced in the hypothalamus.
Correct Answer: D
Rationale: The correct answer is D because all the listed hormones are indeed produced by the hypothalamus. Oxytocin and antidiuretic hormone are directly synthesized in the hypothalamus and transported to the posterior pituitary for release. The hypothalamus also secretes releasing and inhibiting hormones that regulate the secretion of hormones from the anterior pituitary. Therefore, choices A, B, and C are incorrect on their own as they do not encompass all hormones produced by the hypothalamus.
When caring for a patient with primary hyperaldosteronism, the nurse would question a health care provider's prescription for which drug?
- A. Furosemide (Lasix)
- B. Spironolactone (Aldactone)
- C. Amiloride (Midamor)
- D. Aminoglutethimide (Cytadren)
Correct Answer: A
Rationale: Furosemide (Lasix) is a diuretic that can exacerbate hypokalemia, which is already a concern in primary hyperaldosteronism. Spironolactone, Amiloride, and Aminoglutethimide can be more appropriate for managing the condition.
If growth hormone is overproduced in the adult, what is the resulting condition called?
- A. pituitary dwarfism
- B. gigantism
- C. acromegaly
- D. myxedema
Correct Answer: C
Rationale: The correct answer is C: acromegaly. In adults, overproduction of growth hormone leads to acromegaly, characterized by enlarged bones and tissues. Pituitary dwarfism (choice A) results from growth hormone deficiency. Gigantism (choice B) occurs when excess growth hormone is produced before epiphyseal plate closure in children. Myxedema (choice D) is associated with hypothyroidism, not growth hormone overproduction. Therefore, choice C is the correct answer as it specifically refers to the condition resulting from excessive growth hormone in adults.