Exam 4 NUR 242;Nur242:
Oncology Exam QUESTIONS
AND VERIFIED CORRECT
ANSWERS
Who regulates BP via reninangiotensin- aldosterone systme, retention of Na+ & secretes K+? -
CORRECT ANSWER-Aldosternone
Who keeps our BP nice and regulated? - CORRECT ANSWER-Aldosterone
What will happen if we have too much aldosterone? - CORRECT ANSWER-We would be
retaining too much sodium
If we have a low amounts of aldosterone what will happen? - CORRECT ANSWER-We will not
have enough sodium in our body.
Who regulates our potassium and sodium levels? - CORRECT ANSWER-Aldostorone
What is known as our stress hormone? It helps the body deal with stress such as illness or injury
- CORRECT ANSWER-Cortisol
Who increases blood glucose, by metabolizing sugars that we eat, break down fats, proteins,
carbs & it regulates electrolytes - CORRECT ANSWER-Cortisol
If you have high levels of cortisol what will be the result of this? - CORRECT ANSWER-You will
have crazy high blood sugars (elevated glucose)
,Who releases CRH ( Corticotropin releasing hormone) - CORRECT ANSWER-Hypothalamus
When the hypothalamus releases CRH (Corticotropin Releasing Hormne) what releases ACTH
(adrenocorticotropic hormone)? - CORRECT ANSWER-The Pituitary Gland
Who causes the adrenal cortex to release cortisol? - CORRECT ANSWER-The pituitary gland
Increased secretion of Cortisol (stress hormone) is associated with? - CORRECT ANSWER-
Cushing's Disease
C for Cushing's = cortisol
Low hyposecretion of Cortisol and aldosterone - CORRECT ANSWER-Addisons Disease
Both of these deals with Cortisol (Stress Hormone) - CORRECT ANSWER-Cushing's & Addison's
Disease
This one deals with Cortisol & Aldosterone - CORRECT ANSWER-Addison's Disease
Cause for cushing's syndrome ? - CORRECT ANSWER-An out side cause due to medical
treatment such as glucocorticoid therapy.
Prednisone
What therapy would cause a pt to go into cushing's syndrome? - CORRECT ANSWER-Prednisone
(glucocorticoid therapy)
What is the cause for Cushing's Disease? - CORRECT ANSWER-(something happening inside the
body) An inside source producing too much CORTISOL (ex: Pituitary gland secreting too much
ACTH)
,An autoimmune disorder causing body to attack the cortex due to: Cancer, TB, Trauma
(hemorrhaging) - CORRECT ANSWER-Addison's Disease
What has the following characteristics? "Stress"
S: skin that is fragile
T: Truncal Obesity (small arms and legs) thick on abdomen/back
R: Round Face " Moon Face" specially cheeck areas
Reproductictive issues- females menstruation
Males erectile dysfunction
E: Ecchymosis (bruse easly, skin fragile),
E: Elevated blood pressure
S:Striae on the extremities & abdomen (Puplish) strethmarks
S: Sugar extremely high (Hyperglycemia)
excessive body hair, especially women "Hirsutism"
Dorsocervical fat pad (Buffalo Hump)
Depression - CORRECT ANSWER-Cushing's
Low steroids hormones correlate with? - CORRECT ANSWER-Addison's Disease
S/S correlate with what disease:
"STEROID"
S: Sodium & Sugar (low), salt craving
will have hypoglycemia
Hyponetremia
T: Tired & Weak (muscles weaknes)
, E: Electrolyte imbalance (K+ & Ca)
R: Reproductive Changes
women will have scattered periods & males erectile dysfunction
L: LOw blood pressure
at risk for vascular collapse leading to shock
I: Increased pigmentation (brownish skin) HALLMARK SIGN
(hyperpigmentation of the skin)
D: Diarrhea & Nausea, Depression - CORRECT ANSWER-Addison's Disease
Whats the hallmark sign for Addison's disease? - CORRECT ANSWER-Brownish skin
increased skin pigmentation
What is the hallmark for Cushing's? - CORRECT ANSWER-Purple Strae on the skin
Like stretch marks
For what condition would you prep the patient for hypophysectomy to remove the pituitary
tumor? to help bring the cortisol levels down? - CORRECT ANSWER-Cushing's
Prep patient for adrenalectomy correlates with what condition? - CORRECT ANSWER-Cushing's
If a pt get an adrenalectomy what would you teach them? - CORRECT ANSWER-Corticol
replacement therapy after sx
What would you monitor for patients with Cushing's? - CORRECT ANSWER-Hyperglycemia
Low potassium levels
Monitor electrolytes
s/s for infections
Oncology Exam QUESTIONS
AND VERIFIED CORRECT
ANSWERS
Who regulates BP via reninangiotensin- aldosterone systme, retention of Na+ & secretes K+? -
CORRECT ANSWER-Aldosternone
Who keeps our BP nice and regulated? - CORRECT ANSWER-Aldosterone
What will happen if we have too much aldosterone? - CORRECT ANSWER-We would be
retaining too much sodium
If we have a low amounts of aldosterone what will happen? - CORRECT ANSWER-We will not
have enough sodium in our body.
Who regulates our potassium and sodium levels? - CORRECT ANSWER-Aldostorone
What is known as our stress hormone? It helps the body deal with stress such as illness or injury
- CORRECT ANSWER-Cortisol
Who increases blood glucose, by metabolizing sugars that we eat, break down fats, proteins,
carbs & it regulates electrolytes - CORRECT ANSWER-Cortisol
If you have high levels of cortisol what will be the result of this? - CORRECT ANSWER-You will
have crazy high blood sugars (elevated glucose)
,Who releases CRH ( Corticotropin releasing hormone) - CORRECT ANSWER-Hypothalamus
When the hypothalamus releases CRH (Corticotropin Releasing Hormne) what releases ACTH
(adrenocorticotropic hormone)? - CORRECT ANSWER-The Pituitary Gland
Who causes the adrenal cortex to release cortisol? - CORRECT ANSWER-The pituitary gland
Increased secretion of Cortisol (stress hormone) is associated with? - CORRECT ANSWER-
Cushing's Disease
C for Cushing's = cortisol
Low hyposecretion of Cortisol and aldosterone - CORRECT ANSWER-Addisons Disease
Both of these deals with Cortisol (Stress Hormone) - CORRECT ANSWER-Cushing's & Addison's
Disease
This one deals with Cortisol & Aldosterone - CORRECT ANSWER-Addison's Disease
Cause for cushing's syndrome ? - CORRECT ANSWER-An out side cause due to medical
treatment such as glucocorticoid therapy.
Prednisone
What therapy would cause a pt to go into cushing's syndrome? - CORRECT ANSWER-Prednisone
(glucocorticoid therapy)
What is the cause for Cushing's Disease? - CORRECT ANSWER-(something happening inside the
body) An inside source producing too much CORTISOL (ex: Pituitary gland secreting too much
ACTH)
,An autoimmune disorder causing body to attack the cortex due to: Cancer, TB, Trauma
(hemorrhaging) - CORRECT ANSWER-Addison's Disease
What has the following characteristics? "Stress"
S: skin that is fragile
T: Truncal Obesity (small arms and legs) thick on abdomen/back
R: Round Face " Moon Face" specially cheeck areas
Reproductictive issues- females menstruation
Males erectile dysfunction
E: Ecchymosis (bruse easly, skin fragile),
E: Elevated blood pressure
S:Striae on the extremities & abdomen (Puplish) strethmarks
S: Sugar extremely high (Hyperglycemia)
excessive body hair, especially women "Hirsutism"
Dorsocervical fat pad (Buffalo Hump)
Depression - CORRECT ANSWER-Cushing's
Low steroids hormones correlate with? - CORRECT ANSWER-Addison's Disease
S/S correlate with what disease:
"STEROID"
S: Sodium & Sugar (low), salt craving
will have hypoglycemia
Hyponetremia
T: Tired & Weak (muscles weaknes)
, E: Electrolyte imbalance (K+ & Ca)
R: Reproductive Changes
women will have scattered periods & males erectile dysfunction
L: LOw blood pressure
at risk for vascular collapse leading to shock
I: Increased pigmentation (brownish skin) HALLMARK SIGN
(hyperpigmentation of the skin)
D: Diarrhea & Nausea, Depression - CORRECT ANSWER-Addison's Disease
Whats the hallmark sign for Addison's disease? - CORRECT ANSWER-Brownish skin
increased skin pigmentation
What is the hallmark for Cushing's? - CORRECT ANSWER-Purple Strae on the skin
Like stretch marks
For what condition would you prep the patient for hypophysectomy to remove the pituitary
tumor? to help bring the cortisol levels down? - CORRECT ANSWER-Cushing's
Prep patient for adrenalectomy correlates with what condition? - CORRECT ANSWER-Cushing's
If a pt get an adrenalectomy what would you teach them? - CORRECT ANSWER-Corticol
replacement therapy after sx
What would you monitor for patients with Cushing's? - CORRECT ANSWER-Hyperglycemia
Low potassium levels
Monitor electrolytes
s/s for infections
