Endocrine Advanced Pathophysiology Test

Endocrine Advanced Pathophysiology Test 1. Mr. Smith was recently diagnosed with hypothyroidism. What should be expected regarding his thyroid stimulating hormone levels? a. The thyroid stimulating hormone level should be normal b. The thyroid stimulating hormone level should be below normal c. The thyroid stimulating hormone level should be above normal d. The thyroid stimulating hormone level is not used in diagnosing hypothyroidism 2. Mr. Jackson was recently diagnosed with Addison’s. He has been asked to temporarily monitor his blood sugar. Why? a. The increased levels of cortisol can result in hypoglycemia b. The elevated levels of aldosterone can result in hyperglycemia c. The decreased levels of aldosterone can result in hypoglycemia d. The decreased levels of cortisol can result in hypoglycemia 3. The salt cravings in the setting of Addison’s disease are due to a. An excess of aldosterone b. An excess of cortisol c. A deficiency in aldosterone d. A deficiency in anti-diuretic hormone e. 4. ________and_______would be expected in SIADH a. hypervolemia and hyponatremia b. polyuria and hyponatremia c. oliguria and hypernatremia d. hyperglycemia and hypovolemia 5. A patient has been recently diagnosed with an anterior pituitary tumor. What would be expected to be seen with the ACTH and cortisol levels a. ACTH will be below normal and the cortisol levels will be elevated b. ACTH will be above normal and the cortisol levels will be below normal c. ACTH will be above normal and the cortisol levels will be above normal d. Both of the levels will not be affected  It increases GH and prolactin, but in severe cases can decrease ACTH and cortisol 6. A patient is status post-operative Day 5 for the removal of a pituitary tumor. You are reviewing his flow sheets and notice his output is significantly greater than his intake and his serum sodium and osmolarity are trending upwards. What would you consider asking the medical team? a. Obtaining TSH, T3 and T4 levels b. Having serum anti-diuretic hormone levels drawn c. Completing renal function labs d. Replacing the high output with two liters of normal saline