NU185 Exam 4 review Questions and
Correct Answers/ Latest Update / Already
Graded
Hyperpituitary
Ans: Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism
Ans: Never fuses (elongated bones)
Acromegaly (enlarged bones)
Ans: enlargement of the extremities
Hypopituitary
Ans: Dehydration
Addison (secondary)
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amenorrhea
Headaches
Visual disturbances
Ans: S/S of hyperpituitary
Test to diagnose Cushing disease
Ans: Dexamethasone suppression test
Steps for a dexamethasone test
Ans: NPO
Blood specimen collected (1st thing)
Pheochromcytoma
Ans: tumor of the adrenal medulla
S/S of pheochromcytoma
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Ans: Severe HTN & tachycardia
Catecholamine (EPI & NONEPI)
Ans: What is secreted from a pheochromcytoma
SIADH (soaked inside)
Ans: Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH
Ans: JVD, crackles, ABD distention
Increased specific gravity
Ans: Fluid overload
Drop in urine specific gravity
Ans: Fluid overload
Treatment for SIADH
Ans: Tolvaptan
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DI (dry inside) (primary DI)
Ans: Decreased production of ADH (dilute urine)
Secondary DI
Ans: TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI
Ans: Excessive fluid intake
Nephrogenic DI
Ans: kidneys don't respond properly to ADH
Drug related DI
Ans: Lithium, demeclocycline
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