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FSCJ-NUR1460 Term 2 Final exam Child with Endocrine Dysfunction Questions With Complete Solutions

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FSCJ-NUR1460 Term 2 Final exam Child with Endocrine Dysfunction Questions With Complete Solutions

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FSCJ-NUR1460 Term 2 Final exam Child with Endocrine
Dysfunction Questions With Complete Solutions

A sex is assigned to the child with this Correct Answers
adrenogenital hyperplasia that is consistent with the genotype

Acanthosis nigricans may be found in as many as 90% of
children with type two diabetes and is characterized by velvety
hyperpigmentation.
T or F Correct Answers True

Acromegaly Correct Answers includes typical facial features
of the head, lips, nose, tongue, jaw, and paranasal and mastoid
sinuses overgrowth; separation and malocclusion of the teeth in
the enlarged jaw; disproportion of the face to the cerebral
division of the skull; increased facial hair; thickened, deeply
creased skin; and an increased tendency toward hyperglycemia
and diabetes mellitus

Adrenocorticotropic hormone (ACTH) - adrenal cortex
s/s of hyperfunction Correct Answers Cushing syndrome

Adrenocorticotropic hormone (ACTH) - adrenal cortex
s/s of hypofunction Correct Answers 1) Acute adrenocortical
insufficiency (Addison disease)
2) Hypoglycemia
3) Increased skin pigmentation

agranulocytosis (severe leukopenia) Correct Answers The
most serious side effect of antithyroid drugs used to treat Graves
disease

,Alteration in serum and tissue potassium can lead to cardiac
arrest.
T or F Correct Answers True

Antidiuretic hormone (ADH) vasopressin - target: renal tubules
s/s of hyperfunction Correct Answers 1) syndrome of
inappropriate antidiuretic hormone secretion (SIADH)
2) fluid retention
3) hyponatremia

Antidiuretic hormone (ADH) vasopressin - target: renal tubules
s/s of hypofunction Correct Answers diabetes insipidus

arises because of insulin resistance, in which the body fails to
use insulin properly, combined with rel- ative (rather than
absolute) insulin deficiency. People with type 2 can range from
being predominantly insu- lin resistant with relative insulin
deficiency to being predominantly deficient in insulin secretion
with some insulin resistance. It typi- cally occurs in those who
are over 45 years of age, are overweight and sedentary, and have
a family history of diabetes. Correct Answers Type 2 diabetes

characterized by destruction of the pancreatic cells, which
produce insulin; this usually leads to absolute insulin deficiency.
Type 1 DM has two forms. Immunemediated DM results from
an autoimmune destruction of the cells; it typically starts in
children or young adults who are slim, but it can arise in adults
of any age. Idiopathic type 1 refers to rare forms of the disease
that have no known cause. Correct Answers Type 1 diabetes

, Classic forms of hypoparathyroidism in childhood Correct
Answers 1) idiopathic (deficient production of parathyroid
hormone)
2) pseudohypoparathyroidism (increased parathyroid hormone
production with end-organ unresponsiveness to parathyroid
hormone)

Clinical manifestations are indicative of acute adrenocortical
insufficiency of the adrenal gland (Cushing syndrome). Correct
Answers Increased irritability, headache, diffuse abdominal
pain, weakness, nausea and vomiting, diarrhea, fever, and
central nervous system (CNS) symptoms

Clinical manifestations are indicative of hyperfunction of the
adrenal gland (Cushing syndrome). Correct Answers
Centripetal fat distribution, "moon" face, muscular wasting, thin
skin and subcutaneous tissue, poor wound heal- ing, increased
susceptibility to infection, decreased inflammatory response,
excessive bruising, petechial hem- orrhages, facial plethora,
reddish purple abdominal striae, hypertension, hypokalemia,
alkalosis, osteoporosis, hypercalciuria and renal calculi,
psychoses, peptic ulcer, hyperglycemia, virilization,
amenorrhea, and impotence

Cortisone Correct Answers This is administered to suppress
the abnormally high secretions of adrenocorticotropic hormone
(ACTH)

Cushing syndrome Correct Answers a characteristic group of
manifestations caused by excessive circulating free cortisol

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