PT 512 - Chapter 21

5 Written Questions

1. MR, iodine deficiency
   Sx: dwarfed & short extremities
2. genetic defect, trunk and head are disproportionately large
3. destruction of adrenal glands (2ndary to TB, fungal, or HIV)
   Rx: increase sodium intake and cortisol
4. ACTH, GH, prolactin
5. ADH, Vasopressin, oxytocin

5 Matching Questions

1. Signs of Hypocalcemia
2. Beau lines
3. exophthalmia
4. dwarfism
5. Giantism

1. a insufficient GH
2. b horizontal ridges on nails
3. c Trousseau's sign - cut of BP cuff & look for spasm Chvosteck's Sign - tap facial n. & look for spasm
4. d too much GH, linear bone growth prior to closure of epiphyseal plates
   Sx: HA, diplopia, & impotence
5. e bulging eyes

5 Multiple Choice Questions

1. insufficient ADH
   Sx: polyuria, polydipsia
   1. Diabetes Insipidus
   2. Beau lines
   3. Giantism
   4. hirsutism
2. lowers serum calcium levels & thyroid secretes extra PTH to compensate =extra osteoclasts, osteoporosis, kidney stones
   Rx: surgery
   1. Hypoparathyriodism
   2. Hyperparathyroidism
   3. Temporary Hypothyroidism
   4. Thyroid CA
3. usually spontaneous recovery, occurs after virus
   1. Temporary Hypothyroidism
   2. Hyperparathyroidism
   3. Hypoparathyriodism
   4. Congenital Hypothyroidism
4. autoimmune disorder; enlarged thyroid
   Sx: increased metabolic rate, tachycardia, exophthalmia
   1. Grave's Disease
   2. Diabetes Insipidus
   3. Addison's Disease
   4. Cushing's Sundrome
5. cortisol aka stress hormone
   1. Anterior Pituitary secretes
   2. Adrenal Cortex secretes
   3. Posterior Pituitary secretes
   4. Parathyroid Gland secretes

5 True/False Questions

1. Hashimoto → over secretion of ADH, usually caused by a tumor
   Dx= hyponatramia & hyperosmolarity

   True        False

2. hirsutism → too much GH, linear bone growth prior to closure of epiphyseal plates
   Sx: HA, diplopia, & impotence

   True        False

3. Thyroid Storm → most commonly endocrine malignancy
   Sx: change in voice
   risk factors: exposure to radiation

   True        False

4. Prolactinemia → too much dopamine that inhibits prolactin
   Sx (women): galactorrhea, hirsutism,
   Sx (men): hypogonadism

   True        False

5. galactorrhea → too much dopamine that inhibits prolactin
   Sx (women): galactorrhea, hirsutism,
   Sx (men): hypogonadism

   True        False