NUR215 EXAM QUESTIONS AND ANSWERS A+ GRADED
Endocrine glands include the hypo________, p______, t______, parathyroids,
ad_______, pa_____, ovaries, testes, and pineal gland
hypothalamus, pituitary, thyroid, adrenals, pancreas
___________ ________make and release special chemical messengers called
hormones
endocrine glands
Endocrine Hormones regulate activities of _____and or ______
cells,organs
MSH ( skin m______)
melanin
TSH also regulates men's t________function.
testicular
_________ pituitary deals with - O______ and _____ antidiuretic hormone
posterior, oxytocin, ADH
ADH acts on ______ tubules and ______ smooth muscle. Promotes reabsorption
of ______ from renal tubules and v____________.
renal, vascular, water, vasoconstriction
Effects of aging the endocrine system: Thyroid/ Atrophy of thyroid gland
_____secretion of T3, T4, TSH
Increased ______
lower, nodules
Effects of aging the endocrine system: parathyroid/ _____ Secretion of PTH and
Basal level of PTH , increased Calcium resorption from bone
_______calcemia
increased, hypercalcemia
Effects of aging the endocrine system: Adrenal Cortex/ Adrenal cortex becomes
more fibrotic and slightly smaller
↓ Metabolism of c_________
↓ Plasma levels of adrenal an_______ and aldosterone
cortisol, androgens
Effects of aging the endocrine system: Adrenal Medulla/ ↑ Secretion and basal
level of n__________, ↓ β-Adrenergic receptor response to norepinephrine can
cause h__________
norepinephrine, hypertension
Effects of aging the endocrine system: Pancreas/ ↑ F_____ and fatty deposits in
pancreas
↑ Glucose intolerance with ↓ sensitivity to i_____
fibrosis, insulin
Effects of aging the endocrine system: Gonads/ Women: ↓ _______secretion
Have _______symptoms
↑ Risk for arteriosclerosis and o_________
Men: ↓ _________secretion
Men may or may not have symptoms
, Estrogen, menopausal, osteoporosis, Testosterone
Endocrine system health history: most common presenting problems include
f______, w_________, m________ irregularities, and w______changes. It is
important to determine if the onset of symptoms has been gradual or s______
and what the patient has done about them.
fatigue, weakness, menstrual, weight, sudden
Endocrine system assessment medications: Ask about the use of all medications
(both prescription and over-the-counter), h_____, and dietary supplements.
herbs
Endocrine system assessment medications: Ask about the r______ for taking the
drug, the dosage, and the length of t_____ the drug has been taken
reason,time
Endocrine system assessment medications: In particular, ask about the use of
h_______ replacements. Knowing that the patient is currently taking hormone
replacements, such as i_____, t_____ hormone, or c__________ (e.g.,
prednisone), should alert you to potential adverse drug events.
hormone, insulin, thyroid, corticosteroids
Endocrine system assessment medications: For example, corticosteroids may
increase ______ glucose levels and cause ______ loss with long-term use.
Thyroid preparations may cause t_______ or dysrhythmias. Drug-to-drug
interactions and adverse effects of n________ medications can contribute to
endocrine problems.
blood, bone, tachycardia, nonhormonal
Endocrine assessment surgeries: Ask about past medical, surgical, and o_______
history, including number of p________ and live births.
obstetric, pregnancies
Endocrine assessment surgeries: knowing about radiation therapy to the h_____
and n_____is important when you suspect t______ or pituitary problems.
head, neck,thyroid
Endocrine assessment dietary changes: Changes in appetite and weight can
indicate an e______problem. Ask about a history of weight distribution and
changes.
endocrine
Endocrine disorders may cause changes in mental and emotional status.
Throughout the examination, assess the patient's o________, alertness, memory,
c_______ abilities, a______, personality, and appropriateness of their behavior.
orientation, cognitive, affect
Variations in t______, heart rate, and BP can occur with a variety of endocrine-
related problems
temprature
Signs of fluid overload or heart failure may be present in patients with S_____ or
_____thyroidism.
SIADH, hypothyroidism
Patients with acromegaly from pituitary tumors may have large ____ and _____.
hands, feet
Endocrine glands include the hypo________, p______, t______, parathyroids,
ad_______, pa_____, ovaries, testes, and pineal gland
hypothalamus, pituitary, thyroid, adrenals, pancreas
___________ ________make and release special chemical messengers called
hormones
endocrine glands
Endocrine Hormones regulate activities of _____and or ______
cells,organs
MSH ( skin m______)
melanin
TSH also regulates men's t________function.
testicular
_________ pituitary deals with - O______ and _____ antidiuretic hormone
posterior, oxytocin, ADH
ADH acts on ______ tubules and ______ smooth muscle. Promotes reabsorption
of ______ from renal tubules and v____________.
renal, vascular, water, vasoconstriction
Effects of aging the endocrine system: Thyroid/ Atrophy of thyroid gland
_____secretion of T3, T4, TSH
Increased ______
lower, nodules
Effects of aging the endocrine system: parathyroid/ _____ Secretion of PTH and
Basal level of PTH , increased Calcium resorption from bone
_______calcemia
increased, hypercalcemia
Effects of aging the endocrine system: Adrenal Cortex/ Adrenal cortex becomes
more fibrotic and slightly smaller
↓ Metabolism of c_________
↓ Plasma levels of adrenal an_______ and aldosterone
cortisol, androgens
Effects of aging the endocrine system: Adrenal Medulla/ ↑ Secretion and basal
level of n__________, ↓ β-Adrenergic receptor response to norepinephrine can
cause h__________
norepinephrine, hypertension
Effects of aging the endocrine system: Pancreas/ ↑ F_____ and fatty deposits in
pancreas
↑ Glucose intolerance with ↓ sensitivity to i_____
fibrosis, insulin
Effects of aging the endocrine system: Gonads/ Women: ↓ _______secretion
Have _______symptoms
↑ Risk for arteriosclerosis and o_________
Men: ↓ _________secretion
Men may or may not have symptoms
, Estrogen, menopausal, osteoporosis, Testosterone
Endocrine system health history: most common presenting problems include
f______, w_________, m________ irregularities, and w______changes. It is
important to determine if the onset of symptoms has been gradual or s______
and what the patient has done about them.
fatigue, weakness, menstrual, weight, sudden
Endocrine system assessment medications: Ask about the use of all medications
(both prescription and over-the-counter), h_____, and dietary supplements.
herbs
Endocrine system assessment medications: Ask about the r______ for taking the
drug, the dosage, and the length of t_____ the drug has been taken
reason,time
Endocrine system assessment medications: In particular, ask about the use of
h_______ replacements. Knowing that the patient is currently taking hormone
replacements, such as i_____, t_____ hormone, or c__________ (e.g.,
prednisone), should alert you to potential adverse drug events.
hormone, insulin, thyroid, corticosteroids
Endocrine system assessment medications: For example, corticosteroids may
increase ______ glucose levels and cause ______ loss with long-term use.
Thyroid preparations may cause t_______ or dysrhythmias. Drug-to-drug
interactions and adverse effects of n________ medications can contribute to
endocrine problems.
blood, bone, tachycardia, nonhormonal
Endocrine assessment surgeries: Ask about past medical, surgical, and o_______
history, including number of p________ and live births.
obstetric, pregnancies
Endocrine assessment surgeries: knowing about radiation therapy to the h_____
and n_____is important when you suspect t______ or pituitary problems.
head, neck,thyroid
Endocrine assessment dietary changes: Changes in appetite and weight can
indicate an e______problem. Ask about a history of weight distribution and
changes.
endocrine
Endocrine disorders may cause changes in mental and emotional status.
Throughout the examination, assess the patient's o________, alertness, memory,
c_______ abilities, a______, personality, and appropriateness of their behavior.
orientation, cognitive, affect
Variations in t______, heart rate, and BP can occur with a variety of endocrine-
related problems
temprature
Signs of fluid overload or heart failure may be present in patients with S_____ or
_____thyroidism.
SIADH, hypothyroidism
Patients with acromegaly from pituitary tumors may have large ____ and _____.
hands, feet
