EXAM 2 NUR 524 Questions With Verified
Answers.
Addison's disease, what hormone level am I looking at? - answerCortisol
Suppression of cortisol
Autoimmune attack on adrenal cells
How do patients present with cortisol suppression? - answertired/lethargic
Weakness
Poor appetite
Weight loss
S...
Addison's disease, what hormone level am I looking at? - answer✔Cortisol
Suppression of cortisol
Autoimmune attack on adrenal cells
How do patients present with cortisol suppression? - answer✔tired/lethargic
Weakness
Poor appetite
Weight loss
Skin changes such as hyperpigmentation on extremities
What is going to happen to labs in addsions? - answer✔Free cortisol low
Potassium elevated
Sodium low
Cushings is an excess of what? - answer✔cortisol
What other comorbidities can cushing's cause? - answer✔Osteoporosis
DM II
Hypertension
Diabetes is a insulin secretion problem or insulin use problem - answer✔Insulin secretion
problem= type I
Insulin use problem= type II
What medication would you start on an obese patient who is sedentary and has a poor diet. You
need to control sugar and have them loose weight. - answer✔GLP 1 (ozempic, wygovy)
SE: gastroparesis, have to stop for week to have colonoscopy or any sedation
When should you screen for DM? - answer✔BMI
Overweight >25
Obese >30
Any person >45 years old should be screened for DM q3 years
Screening is A1C (gold standard)
Fasting plasma glucose >126
Random glucose >200
For a person with DM II on insulin therapy, what do we want the A1C to be? - answer✔Long
acting insulin <7
Rapid acting insulin 7-7.5
Pheochromocytoma, What can this disease mimic? - answer✔hyperthyroidism
Pheochromocytoma, What hormone is released? - answer✔Catecholamines secreted from a
tumor
What is the difference between a nodule and a goiter? - answer✔Malignancy associated with
nodules specifically cold spot
Adrenal crisis with super low BP and cortisol is almost nothing; what med do you give? -
answer✔Hydrocortisone
Know difference between graves and hashimotos - answer✔Graves is hyper
Hashimotos is hypo
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