Exam (elaborations)
Endocrine System
This exam covers questions on endocrine sysytem well tested and approved 2024/2025
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KMTC/QP-07/TISENDOCRINE CONDITIONS
EXAMINATION
PART ONE: MCQS (MULTIPLE CHOICE QUESTIONS) ENDOCRINE– 10 MARKS
Q.1. Complications of diabetic mellitus is mainly due to:
(a) High blood sugars.
(b) Raised serum lipids.
(c) Raised glucagons.
(d) Raised urine sugars. Answer (a) high blood sugar
Q.2. Confirmatory signs of hyperthyroidism include:
(a) Extreme coldness, generalized osteoitis, fibrosa cystica.
(b) Loss of weight, increased neuromuscular excilibility, tachycardia.
(c) Warm skin, exophthalmos, painful finger spasms.
(d) Sweating, decreased metabolic rate. Answer(b) Loss of weight, increased
neuromuscular excilibility, tachycardia
Q.3. The following is true about dwarfism:
(a) Only generic.
(b) Characteristic of adult height of 147 cm.
(c) Characterized by adult height of more than 4ft and 7 inches.
(d) Poor nutrition during pregnancy is not a cause. Answer © Characterized by
adult height of more than 4ft and 7 inches.
Q.4. Growth hormone levels increase during the following except:
(a) Rest.
(b) Exercise.
(c) Starvation.
(d) Sleep. Answer (a) rest
Q.5. Somalostalin is secreted by:
(a) Liver.
(b) Pancreas.
(c) Duodenum.
(d) Thyroid. Answer (d) Thyroid
PART TWO: SHORT ANSWER QUESTIONS – ENDOCRINE – 20 MARKS
Q.1. State three (3) causes of Simmonds’s disease. Answer
• Pituitary tumor
• Head trauma
• Radiation therapy to the head or neck area
1
, KMTC/QP-07/TIS
Q.2. State three (3) complications of dwarfism. 6 marks
Answer
.Delayed puberty
• Short stature
• Increased risk for obesity
Q.3. Explain health messages given to patients with diabetic mellitus. 6 marks
Answer Health messages given to patients with diabetes mellitus include maintaining a
healthy diet low in sugar and carbohydrates, regular physical activity/exercise regimen,
monitoring blood glucose levels regularly with proper medication adherence as prescribed
by healthcare provider
Q.4. Differentiate diabetic mellitus and diabetic inspidus. 4 marks
Answer : Diabetes mellitus is due to insufficient insulin production or ineffective use of
insulin leading to high blood sugar levels while diabetes insipidus results from inadequate
anti-diuretic hormone (ADH), causing excessive urination and extreme thirst without
affecting blood sugar levels.
Q.5. State pathophysiology of Addison’s disease. 3 marks
PART THREE: LONG ANSWER QUESTIONS – ENDOCRINE – 20 MARKS
Q.1. Master Kennedy has just been admitted to your institution with a diagnosis of
gigantism.
(a) Compare and contrast gigantism and acromegaly. 4 marks
Answer Gigantism occurs before epiphyseal plate closure during growth spurts
resulting in proportional overgrowth whereas acromegaly happens after this
period leading to disproportionate enlargement mainly seen in hands, feet &
face
(b) State four (4) signs and symptoms of gigantism. Answer Signs/symptoms may
include accelerated growth rate; enlarged organs such as heart & kidneys; joint
pain/swelling especially knees/ankles/hands; thickened facial features like
jawline/brow ridge/enlarged nose/tongue etc 4 marks
(c) State five (5) goals of management of gigantism. Answers Goals involve
controlling excess GH secretion through surgery/radiation/medications if
needed;
Preventing complications related organ enlargements/imbalances caused by
hormonal changes;
Monitoring patient’s overall health status including bone density/cardiovascular
risks/diabetes management among others;
(d)Outline the specific nursing management of gigantism. Answer Nursing care
includes close monitoring for signs/symptoms progression/regression post-
treatment interventions,
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