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Patho Chapter 18
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06/09/2013

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Term
Hypopituitarism in an adult male likely includes all of the following except:
a)dwarfism
b) impotence
c) muscular mass decrease
d) skin pallor
Definition
a
Term
Excessive secretion of GH in an adult may cause:
a) acromegaly
b) gigantism
c) hypoglycemia
d) decreased metabolic rate
Definition
a
Term
A manifestation shared by both diabetes mellitus and diabetes insipidus is:
a)elevated blood and urine glucose values
b) inability to produce ADH
c) inability to produce insulin
d) polyuria
e) elevated blood urine and ketone body values
Definition
b
Term
The manifestations of hyperthyroidism include all of the following EXCEPT:
a) diarrhea
b) constipation
c) heat intolerance
d) weight loss
e) wakefulness
Definition
d
Term
Hypothyroidism crisis is:
a) myxedema coma
b) Addison disease
c) Cushing disease
d) Graves disease
e) cretinism
Definition
a
Term
Graves disease is:
a) hyperthyroidism
b) associated with autoimmunity
c) manifested by ophthalmopathy
d) all of the above
Definition
d
Term
Inadequate levels of THs at birth may cause:
a) mental retardation
b) immediate death
c) thyroid crisis
d) myxedema
e) dwarfism
Definition
a
Term
Hyperparathyroidism causes:
a) increased osteoclastic activity
b) decreased plasma calcium
c) increased absorption of phosphorus from the GI tract
d) hypocalcemia
Definition
a
Term
A manifestation of hypocalcemia is:
a) myopathy
b) lethargy
c) hypertension
d) tetany
e) bone cysts
Definition
d
Term
What is the most common cause of acromegaly?
a) anterior pituitary adenoma
b) overproduction of ACTH
c) overproduction of TSH
d) pituitary atrophy
Definition
a
Term
If a 19 year old woman were suffering from shortness of breath, weight loss, excessive sweating, exophthalmos, and irritability, which hormone would you expect to find elevated in her serum?
a) cortisol
b) thyroxine
c) ACTH
d) 17-ketosteroid
Definition
b
Term
A 24 year old woman with a history of "juvenile-onset" diabetes is found in a stuporous state. She is hypotensive and has cold, clammy skin. What is the likely etiology of her condition?
a) hyperglycemia
b) insulin shock
c) renal failure
d) peripheral neuropathy
Definition
b
Term
A 10 year old boy was brought into the emergency room comatose, suffering from metabolic acidosis with a blood glucose level of 800mg/dL. The most probable disease causing his condition is:
a) cretinism
b) type 1 diabetes mellitus
c) type 2 diabetes mellitus
d) GDM
Definition
b
Term
Your neighbor, not previously diagnosed as a diabetic, has gained 80 pounds in the past year and is able to produce some insulin. Her fasting blood glucose value is always elevated. She is being treated with oral insulin-stimulating drugs. Your neighbor is most likely suffering from:
a) diabetes insipidus
b) type 1 diabetes mellitus
c) type 2 diabetes mellitus
d) persistent infection
e) GDM
Definition
c
Term
Common symptoms and signs of diabetes mellitus include all of the following except:
a) hyperglycemia
b) blurred vision
c) increased muscle anabolism
d) persistent infection
e) polyuria
Definition
c
Term
Which laboratory finding is inconsistent with a diagnosis of absolute insulin deficiency?
a) FBS (fasting blood sugar) of 90 mg/dL
b) ketonuria
c) blood glucose level of 210 mg/dL after 1hr following ingestion of 100g glucose
d) decreased serum insulin level
e) all of the above
Definition
a
Term
Common complications of diabetes mellitus include all of the following except:
a) retinopathy
b) peripheral neuropathy
c) nephropathy (kidney disease)
d) none of the above
e) all of the above
Definition
e
Term
An individual with type 1 diabetes mellitus experiences hunger, lightheadedness, headache, confusion, and tachycardia while performing cross-country running. The likely cause of these manifestations is:
a) hyperglycemia
b) eating a snack before running
c) hypoglycemia because of running
d) both a and b
e) none of the above
Definition
c
Term
Which is/are expected during hyperinsulinism?
a) excess insulin
b) high serum glucose
c) epinephrine release
d) all of the above
e) both a and c
Definition
e
Term
long-term corticosteroid therapy may cause which of the following? (more than one may apply) a) delayed wound healing b) osteoporosis c) peptic ulcers d) hyperkalemia
Definition
a, b, c
Term
which electrolyte alteration occurs in Addison disease?
a)hypokalemia
b) hypernatremia
c) hyponatremia
d) hypocalcemia
Definition
c
Term
A begnin tumor of adrenal glands that causes hypersecretion of aldosterone is:
a) Addison disease
b) pheochromocytoma
c) Gushing disease
d) Cushing syndrome
e) Conn disease
Definition
e
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