PEDS EXAM 4 - JOYCE UNIVERSITY EXAM
QUESTIONS AND VERIFIED SOLUTIONS .
Growth hormone deficiency caused by - Correct Answer -damage to pituitary, meningitis, tumor
Urine Specific Gravity range - Correct Answer -1.005-1.030
Growth hormone deficiency s/s - Correct Answer -short stature, teeth crowding, delayed epiphyseal
closure, delayed sexual maturation
Growth hormone deficiency Tx - Correct Answer -Somatotropin administration (stop once epiphyseal
plate has closed)
Diabetes Insipidus caused by - Correct Answer -damage to pituitary, meningitis, tumor
Diabetes Insipidus s/s - Correct Answer -polydipsia, polyuria, hypernatremia, low specific gravity
Diabetes Insipidus Tx - Correct Answer -surgery (tumor removal), ADH replacement (desmopressin
or vasopressin)
SIADH caused by - Correct Answer -Head injury, brain tumor, meds, meningitis
SIADH s/s - Correct Answer -oliguria, decreased thirst, water retention, low urine output, high
specific gravity
SIADH Tx - Correct Answer -Hypertonic saline, furosemide, diuretics
Hypothyroidism caused by - Correct Answer -Hashimoto's (autoimmune), trauma, radiation
Hypothyroidism s/s - Correct Answer -decreased metabolism, weight gain, dry course skin and hair,
sleepiness, large tongue, goiter
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, Hypothyroidism Tx - Correct Answer -Levothyroxine (Synthroid)
Hyperthyroidism caused by - Correct Answer -Graves disease (autoimmune)
Hyperthyroidism s/s - Correct Answer -uncomfortably hot, high metabolism, weight loss, goiter
Hyperthyroidism Tx - Correct Answer -Propylthiouracil (PTU) (anti-thyroid drug, watch for low WBC)
Hyperparathyroidism s/s - Correct Answer -Hypercalcemia, kidney stones, decalcification of bones
Hypoparathyroidism s/s - Correct Answer -Hypocalcemia, paresthesia, tetany, chvostek's sign
Adrenal Insufficiency (Hypocortisolism) caused by - Correct Answer -Addison's disease
(autoimmune), abruptly stopping cortisol meds
Adrenal Insufficiency (Hypocortisolism) s/s - Correct Answer -low BP and HR, pale, dehydration,
hyponatremia, seizures
Hypercortisolism caused by - Correct Answer -Cushing's disease (benign tumor in the pituitary
gland), chronic steroid use
Hypercortisolism s/s - Correct Answer -Fat accumulation, moon faced, thin extremities compared to
trunk, infection risk, HTN, hyperpigmented cheeks.
Hypercortisolism Tx - Correct Answer -unilateral adrenalectomy
Glucose normal levels - Correct Answer -60-250
Hypoglycemia s/s - Correct Answer -Hunger, irritability, shakiness, HA, tachycardia, Decreased LOC,
slurred speech, seizure, coma
Hypoglycemia Tx - Correct Answer -Conscious - 10-15 g of simple carbohydrate (4 oz juice, 8 oz milk)
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QUESTIONS AND VERIFIED SOLUTIONS .
Growth hormone deficiency caused by - Correct Answer -damage to pituitary, meningitis, tumor
Urine Specific Gravity range - Correct Answer -1.005-1.030
Growth hormone deficiency s/s - Correct Answer -short stature, teeth crowding, delayed epiphyseal
closure, delayed sexual maturation
Growth hormone deficiency Tx - Correct Answer -Somatotropin administration (stop once epiphyseal
plate has closed)
Diabetes Insipidus caused by - Correct Answer -damage to pituitary, meningitis, tumor
Diabetes Insipidus s/s - Correct Answer -polydipsia, polyuria, hypernatremia, low specific gravity
Diabetes Insipidus Tx - Correct Answer -surgery (tumor removal), ADH replacement (desmopressin
or vasopressin)
SIADH caused by - Correct Answer -Head injury, brain tumor, meds, meningitis
SIADH s/s - Correct Answer -oliguria, decreased thirst, water retention, low urine output, high
specific gravity
SIADH Tx - Correct Answer -Hypertonic saline, furosemide, diuretics
Hypothyroidism caused by - Correct Answer -Hashimoto's (autoimmune), trauma, radiation
Hypothyroidism s/s - Correct Answer -decreased metabolism, weight gain, dry course skin and hair,
sleepiness, large tongue, goiter
1
, Hypothyroidism Tx - Correct Answer -Levothyroxine (Synthroid)
Hyperthyroidism caused by - Correct Answer -Graves disease (autoimmune)
Hyperthyroidism s/s - Correct Answer -uncomfortably hot, high metabolism, weight loss, goiter
Hyperthyroidism Tx - Correct Answer -Propylthiouracil (PTU) (anti-thyroid drug, watch for low WBC)
Hyperparathyroidism s/s - Correct Answer -Hypercalcemia, kidney stones, decalcification of bones
Hypoparathyroidism s/s - Correct Answer -Hypocalcemia, paresthesia, tetany, chvostek's sign
Adrenal Insufficiency (Hypocortisolism) caused by - Correct Answer -Addison's disease
(autoimmune), abruptly stopping cortisol meds
Adrenal Insufficiency (Hypocortisolism) s/s - Correct Answer -low BP and HR, pale, dehydration,
hyponatremia, seizures
Hypercortisolism caused by - Correct Answer -Cushing's disease (benign tumor in the pituitary
gland), chronic steroid use
Hypercortisolism s/s - Correct Answer -Fat accumulation, moon faced, thin extremities compared to
trunk, infection risk, HTN, hyperpigmented cheeks.
Hypercortisolism Tx - Correct Answer -unilateral adrenalectomy
Glucose normal levels - Correct Answer -60-250
Hypoglycemia s/s - Correct Answer -Hunger, irritability, shakiness, HA, tachycardia, Decreased LOC,
slurred speech, seizure, coma
Hypoglycemia Tx - Correct Answer -Conscious - 10-15 g of simple carbohydrate (4 oz juice, 8 oz milk)
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