Week 4 Post Class Exam - The following three questions pertain to Case 4

Question 2The following three questions pertain to Case 4.A: Graves Disease. TSI represents Select one:

a.            Another word for TSH

b.            Antibodies that act like TSH 

 c.            Antibodies that act like TH

 d.           Antibodies that act like TRH

 Question 3Blood tests from a patient with Graves would reveal: Select one:

a.            Decreased levels of TSH

 b.           Increased levels of TSI

 c.            Increased levels of TH

 d.           All of the above 

Question 4TSI functions as an agonist for TSH, because it functions equal to or better than natural TSH in stimulating the release of TH from the thyroid gland.

a.            True 

 b.           False

Question 5The following three questions pertain to Case 4.B: Type 1 Diabetes. Type 1 Diabetes Mellitus is most likely caused by

a.            Genetic changes

 b.           Environmental trigger like viral infection

 c.            A combination of genetic predisposition plus an environmental trigger like viral infection

 d.           A bacterial infection

Question 6 Ketones

Select one:

a.            Are derived from carbohydrates and can be used to fuel the body

 b.           Are formed when insulin levels are sufficient to allow glucose uptake by cells

 c.            Are acidic and give rise to ketoacidosis when in excess 

 d.           Are derived from proteins as the body tries to fuel itself during starvation

Question 7Polyuria results from the osmotic shift that occurs as excess blood glucose is retained in the filtrate, causing water to be retained in the tubule and increasing urine output.

Select one:

a.            True 

 b.           False

Question 8The following three questions pertain to Case 4.C: Addison’s Disease. Loss of the mineralcorticoid aldosterone would most likely give rise to which of the following S/S of Addison’s Disease?

Select one:

a.            Low blood pressure 

 b.           Hypoglycemia

 c.            Hyperpigmentation

 d.           Increased risk of infection

Question 9Which of the following statements is correct about Addison’s Disease? Select one:

a.            Primary adrenal insufficiency is due to a lack of ACTH.

b.            Primary adrenal insufficiency may be due to autoimmune destruction of the adrenal gland.

c.             Primary adrenal insufficiency may be caused by use of prednisone.

d.            Secondary adrenal insufficiency is due to a lack of cortisol.

Question 10Elevated cortisol levels associated with Addison’s Disease give rise to the elevated ACTH observed in our patient.

Select one:

a.            True

 b.           False 

Question 11The following three questions pertain to Case 4.D Cushings Disease. Exogenous causes of Cushings Syndrome includes:

Select one:

a.            Pituitary adenoma

 b.           Adrenal tumor

 c.            Non-pituitary ACTH-secreting tumor

 d.           Prednisone use for an autoimmune disease 

Question 12The buffalo hump and moon face are most likely associated with which of the following normal functions of cortisol?

Select one:

a.            Stimulation of gluconeogenesis 

 b.           Inhibition of anti-stress responses

 c.            Activation of anti-inflammatory pathways

 d.           Fluid retention

 

Question 13Most cases of endogenous Cushings Syndrome are caused by a pituitary adenoma. This form of Cushings Syndrome is referred to as Cushings Disease.

Select one:

a.            True 

 b.           False

Question 14Excessive growth hormone production in the adult is referred to as: Select one:

a.            Acromegaly 

 b.           Gigantism

 c.            Adrenal Insufficiency

 d.           Addison’s Disease

Question 15Which of the following adrenal cortex hormones is released during response to stress? Select one:

a.            Mineralcorticoids

 b.           Glucocorticoids

 c.            Steroidal Sex Hormones

 d.           Epinephrine 

Question 16Which of the following is an example of hyperthyroidism? Select one:

a.            Cretinism

 b.           Myxedema

 c.            Hashimotos Disease

 d.           Graves Disease 

Question 17Which of the following is most likely associated with excess production of parathyroid hormone (PTH)?

Select one:

a.            Rickets

 b.           Osteomalacia

 c.            Renal Calculi (stones) 

 d.           Autoimmune destruction of the parathyroid gland

Question 18The pancreas has a number of endocrine responsibilities including:

Select one:

a.            Release of insulin, when glucose levels are low to help bring glucose into cells.

 b.           Release of glucagon, when glucose levels are high to help store glucose by the liver.

c.             Release of insulin, when glucose levels are high to help recruit glucose transporters to the cells. 

d.            Release of glucose from stores in the pancreas when insulin levels are slow.

Question 19Which of the following conditions results from excess thyroid hormone? Select one:

a.            Cretinism

 b.           Myxedema

 c.            Hashimoto’s disease

 d.           Thyrotoxicosis 

Question 20Autoimmune destruction of the adrenal cortex is best described as secondary adrenal insufficiency.

Select one:

a.            True

 b.           False 

 Question 21Individuals suffering from Addison’s disease may suffer from hyperpigmentation, since excess ACTH stimulates melanocytes.

Select one:

a.            True 

 b.           False

Question 22Goiter is associated with hypothyroidism, which is the excessive production of thyroid hormone. Select one:

a.            True

 b.           False 

Question 23A child with growth hormone deficiency would likely be short of stature and overweight for age. Select one:

a.            True 

 b.           False