Endocrine System Overview
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Questions and Answers

What is the primary hormone secreted by the pineal gland that aids in sleep regulation?

  • Serotonin
  • Melatonin (correct)
  • Cortisol
  • Testosterone
  • Which hormone from the pituitary gland stimulates the secretion of cortisol from the adrenal cortex?

  • Adrenocorticotropic hormone (correct)
  • Thyroid stimulating hormone
  • Antidiuretic hormone
  • Growth hormone
  • What condition is characterized by insufficient antidiuretic hormone (ADH), leading to extreme diuresis?

  • Addison’s disease
  • Hypothyroidism
  • Diabetes insipidus (correct)
  • Cushing's syndrome
  • Which hormone increases the reabsorption of sodium and excretion of potassium in the kidneys?

    <p>Aldosterone</p> Signup and view all the answers

    What is the primary effect of parathyroid hormone (PTH) in the body?

    <p>Increases calcium resorption from bones</p> Signup and view all the answers

    What is a common cause of Cushing's syndrome that results from prolonged steroid use?

    <p>Excess glucocorticoids</p> Signup and view all the answers

    In Addison's disease, what electrolyte imbalance is commonly associated with the condition?

    <p>All of the above</p> Signup and view all the answers

    Which symptom is a characteristic of hyperthyroidism?

    <p>Increased appetite</p> Signup and view all the answers

    What severe complication can occur with untreated Addison’s disease during stress?

    <p>Adrenal crisis</p> Signup and view all the answers

    What is the main diagnostic test for confirming pheochromocytoma?

    <p>24-hour urine catecholamines</p> Signup and view all the answers

    Which substance is essential for the production of thyroid hormones T3 and T4?

    <p>Iodine</p> Signup and view all the answers

    What distinguishes diabetes mellitus from diabetes insipidus?

    <p>High blood glucose levels</p> Signup and view all the answers

    What is a classic sign of Cushing's syndrome?

    <p>Buffalo hump</p> Signup and view all the answers

    What is the first sign that may indicate kidney issues in a patient with hyperparathyroidism?

    <p>Kidney stones</p> Signup and view all the answers

    Which nursing problem is common in both hypoparathyroidism and hyperparathyroidism?

    <p>Risk for injury</p> Signup and view all the answers

    What blood glucose level indicates diabetes during a fasting blood glucose (FBG) test?

    <p>126 mg/dL or higher</p> Signup and view all the answers

    Which sign is associated with hypocalcemia and can be elicited by tapping the cheek?

    <p>Positive Chvostek's sign</p> Signup and view all the answers

    What is the primary treatment for diabetic ketoacidosis (DKA)?

    <p>Insulin injections and IV fluids</p> Signup and view all the answers

    In patients with type 2 diabetes, what primarily causes insulin resistance?

    <p>Sedentary lifestyle and obesity</p> Signup and view all the answers

    What should be monitored closely in patients receiving intravenous calcium gluconate for hypoparathyroidism?

    <p>Serum calcium levels</p> Signup and view all the answers

    Which lifestyle change is recommended to prevent complications of metabolic syndrome?

    <p>Engage in regular physical activity</p> Signup and view all the answers

    What is a common first symptom of reactive hypoglycemia?

    <p>Shakiness or anxiety</p> Signup and view all the answers

    Which medication is recommended for a patient with nephropathy to control blood pressure?

    <p>ACE inhibitors</p> Signup and view all the answers

    What is a major risk factor for developing type 2 diabetes related to lifestyle?

    <p>Sedentary lifestyle</p> Signup and view all the answers

    Which of the following best describes hyperosmolar hyperglycemic state (HHS)?

    <p>Develops slowly without significant insulin deficiency</p> Signup and view all the answers

    When should a patient with diabetes take insulin for best results?

    <p>Before meals or as scheduled</p> Signup and view all the answers

    Study Notes

    Endocrine System Overview

    • The endocrine system consists of glands and organs that produce, store, and secrete hormones
    • These hormones regulate various bodily functions, including body temperature, heart rate, and blood pressure.
    • Nine major glands and organs are involved
    • The system maintains homeostasis

    Pineal Gland

    • Also known as the "third eye" gland
    • Secretes melatonin, a hormone influencing sleep, reproduction, and cancer prevention

    Pituitary Gland (Hypophysis)

    • Controlled by the hypothalamus

    • Anterior lobe:

      • Growth hormone (GH): Controlled by GHRH (releasing hormone) and GHIH/somatostatin; stimulated by the hypothalamus.
      • Thyroid stimulating hormone (TSH): Stimulates thyroid gland growth and secretion, stimulated by TRH (thyrotropin-releasing hormone).
      • Adrenocorticotropic hormone (ACTH): Stimulates cortisol and related hormone secretion from adrenal cortex, stimulated by CRH (corticotropin-releasing hormone).
      • CRH: Released during exercise, stress, disease, or hypoglycemia
    • Posterior lobe:

      • Antidiuretic hormone (ADH, or vasopressin): Increases water reabsorption in kidney tubules, decreasing urine output and maintaining blood pressure

    Thyroid Gland

    • Produces triiodothyronine (T3) and thyroxine (T4), regulating energy and metabolism. Requires iodine intake.
    • Calcitonin, is produced in response to hypercalcemia. It reduces calcium absorption by bone and inhibits resorption of calcium, phosphorous from the blood.
    • Thyroid gland abnormalities can lead to serious health issues (hyper/hypothyroidism

    Parathyroid Gland

    • Secretes parathyroid hormone (PTH), an antagonist to calcitonin, regulating blood calcium and phosphate levels
    • PTH targets bone, small intestines, and kidneys
    • PTH elevates blood calcium and lowers blood phosphate

    Adrenal Glands

    • Composed of adrenal cortex and adrenal medulla
    • Adrenal cortex: Produces steroid hormones (mineralocorticoids, glucocorticoids, and gonadocorticoids)
      • Mineralocorticoids (like aldosterone): Helps in maintaining blood volume/pressure by reabsorbing sodium and excreting potassium in the kidneys
      • Glucocorticoids (e.g., cortisol): Regulate glucose metabolism, stress response, and immune function.
      • Gonadocorticoids: Contribute to libido
    • Adrenal medulla: Produces catecholamines (epinephrine/norepinephrine), involved in the "fight-or-flight" response.

    Pancreas

    • Plays crucial roles in both endocrine and exocrine functions.
    • Secretes both insulin (beta cells), stimulating glucose uptake into body cells and glucagon (alpha cells) stimulated by hypoglycemia and increases glucose levels in bloodstream, through glycogen breakdown.

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    Related Documents

    Module 1 (NHI III) PDF

    Description

    Explore the intricacies of the endocrine system, which consists of various glands that produce hormones vital for regulating bodily functions such as temperature, heart rate, and blood pressure. This quiz covers major components like the pineal and pituitary glands and their roles in maintaining homeostasis.

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