Chapter 9 MC
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Questions and Answers

What are the symptoms associated with hyperthyroidism mentioned in the text?

  • Fever, joint pain, and dry skin
  • Heat intolerance, anxiety, muscle weakness, and hair loss (correct)
  • Weight gain, constipation, and cold intolerance
  • Sensitivity to cold, fatigue, and weight loss

Which antibodies are usually present in cases of autoimmune attack on the thyroid gland?

  • Anticoagulant antibodies
  • Antimicrosomal and antithyroglobulin antibodies (correct)
  • Antibodies to insulin
  • Antihistamine antibodies

What is a common symptom of excess cortisol production according to the text?

  • Profound weight loss
  • High blood calcium levels
  • Proximal muscle weakness (correct)
  • Low blood sugar levels

What is one of the treatment options mentioned for excess cortisol production?

<p>Medication to stop steroid production (D)</p> Signup and view all the answers

What can be a consequence of untreated hyperthyroidism in older individuals?

<p>Cardiac arrhythmias and coma (C)</p> Signup and view all the answers

What is the major hormone produced by the adrenal gland mentioned in the text?

<p>Aldosterone (B)</p> Signup and view all the answers

What causes menstrual irregularities and galactorrhea in women with prolactinoma?

<p>Excess prolactin (C)</p> Signup and view all the answers

Which drugs are commonly used to treat small prolactinomas?

<p>Bromocriptine, pergolide, cabergoline (C)</p> Signup and view all the answers

What hormone can be replaced to restore normal water balance in diabetes insipidus?

<p>Desmopressin (B)</p> Signup and view all the answers

Which disorder is characterized by increased heart rate, contractility, and growth?

<p>Acromegaly (A)</p> Signup and view all the answers

What are the symptoms of excessive T4 and T3 levels?

<p>Enhanced lipolysis and growth and development (B)</p> Signup and view all the answers

How can physicians diagnose autoimmune thyroid disease?

<p>By evaluating a thyroid nodule or glandular enlargement radiologically (D)</p> Signup and view all the answers

What is the primary hormone responsible for increasing serum calcium concentrations when levels are low?

<p>Parathyroid hormone (C)</p> Signup and view all the answers

Which condition may result in symptoms like polyuria, thirst, abdominal pain, and constipation due to hypercalcemia?

<p>Primary hyperparathyroidism (A)</p> Signup and view all the answers

Which glands are typically removed during surgery for hyperparathyroidism?

<p>Parathyroid glands (A)</p> Signup and view all the answers

Which of the following hormones regulate glucose levels by having opposing synthesis?

<p>Insulin and glucagon (B)</p> Signup and view all the answers

Which hormone is primarily associated with the regulation of calcium excretion by the kidneys?

<p>Parathyroid hormone (C)</p> Signup and view all the answers

What percentage of pheochromocytomas occur in children?

<p>10% (B)</p> Signup and view all the answers

Which hormone has anticatabolic properties by sparing protein catabolism and lipolysis?

<p>Cortisol (C)</p> Signup and view all the answers

How does cortisol act on the alpha and beta cells?

<p>Acting in a paracrine manner (A)</p> Signup and view all the answers

What is a possible outcome of insulin binding problems to the insulin receptor?

<p>Hyperglycemia (C)</p> Signup and view all the answers

Which type of diabetes involves individuals with antibodies to insulin and islet cells, presenting like type 2 diabetics?

<p>Double Diabetes (C)</p> Signup and view all the answers

Why can insulin only be administered by injection?

<p>It undergoes rapid degradation by stomach acid and enzymes (D)</p> Signup and view all the answers

What is the criterion for impaired glucose tolerance during an oral glucose tolerance test?

<p>$140$ mg/dl or more but less than $200$ mg/dl (A)</p> Signup and view all the answers

What is the goal of providing insulin replacement?

<p>To replicate normal physiologic secretion (C)</p> Signup and view all the answers

Which type of insulin can be given by subcutaneous injection?

<p>Rapid-acting insulin (A)</p> Signup and view all the answers

What technology has allowed for improvements in insulin pump therapy?

<p>Improved glucose monitoring systems (B)</p> Signup and view all the answers

What is the main cause of insulin resistance in many type 2 diabetics?

<p>Genetic predisposition (C)</p> Signup and view all the answers

How often must type 1 diabetics monitor their blood glucose levels?

<p>Several times a day (A)</p> Signup and view all the answers

Which ethnic groups are at a higher risk for type 2 diabetes?

<p>Africans and Hispanics (B)</p> Signup and view all the answers

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