Urine Osmolality and Specific Gravity Measurement

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30 Questions

Which hormone stimulates growth of bone and muscle?

Growth hormone (GH)

What is the main function of Antidiuretic Hormone (ADH)?

Increases water reabsorption by kidney

Which hormone stimulates the secretion of thyroid hormones?

Thyroid-stimulating hormone (TSH)

What is the function of Prolactin in females?

Prepares female breast for breastfeeding

Which hormone stimulates sperm production in males?

Follicle Stimulating hormone (FSH)

What is the role of Insulin antagonist?

Decreases carbohydrate metabolism

Which medication is initiated for medical management of pheochromocytoma once alpha-adrenergic control is achieved?

Propranolol (Inderal)

What is the alternative treatment for pheochromocytoma if blood pressure control is inadequate or the patient cannot tolerate side effects of Propranolol?

Nifedipine (Adalat)

What procedure is considered the definitive treatment for pheochromocytoma?

Adrenalectomy

What complication can occur during or after adrenalectomy for pheochromocytoma?

Hypertensive crisis

In nursing management of pheochromocytoma, what action should be taken to promote orthostatic decrease in blood pressure during episodes of hypertension or tachycardia?

Instituting bed rest with head of bed elevated

Which clinical condition results from chronic exposure to excess glucocorticoids and affects women more than men?

Cushing's Syndrome

What is the normal range for urine osmolality?

250-900 mOsm/kg

Which condition is characterized by urine osmolality below 300 mOsm/kg after fluid deprivation and above 600 mOsm/kg after desmopressin?

Central Diabetes Insipidus

What does urine specific gravity measure?

The concentration of particles in urine compared to water

Which medication helps decrease thirst associated with central Diabetes Insipidus?

Chlorpropamide (Diabinese)

What is the main purpose of the fluid deprivation test in diagnosing Diabetes Insipidus?

To measure urine osmolality

In Diabetes Insipidus, what is the urine osmolality pattern seen in nephrogenic DI after desmopressin administration?

Which condition is characterized by hypersecretion of growth hormone when the epiphyseal plate is already closed?

Acromegaly

What is the most common cause of acromegaly?

Idiopathic hyperplasia of the APG

Which clinical manifestation is NOT associated with acromegaly?

Acanthosis nigricans

What visual impairment can be a field defect seen in acromegaly?

Hemianopsia

Which hormone is overproduced in acromegaly, leading to connective tissue overgrowth?

IGF-1

What cardiovascular manifestation is commonly seen in acromegaly?

Hypertension

What is the purpose of the Dexamethasone suppression test in the diagnostics of Cushing's Syndrome?

To measure plasma cortisol and ACTH levels

When does post-operative care for adrenal insufficiency typically begin after a transsphenoidal hypophysectomy?

12 to 48 hours after surgery

Which procedure is recommended if the cause of Cushing's Syndrome is an adrenal hypertrophy?

Adrenalectomy

In the collaborative management of Cushing's Syndrome, when are adrenal enzyme inhibitors like Metyrapone and Ketoconazole used?

If ectopic ACTH production is the cause

What is the primary cause of Addison’s Disease?

Adrenal gland damage

What is the purpose of dose reduction in collaborative management of Cushing's Syndrome?

To prevent pituitary tumor growth

Learn about the measurement of urine osmolality and specific gravity, which provide insights into the balance between water and dissolved particles in urine, as well as the kidney's concentration abilities. Get familiar with normal ranges and interpretation of these measurements.

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