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MS2 Q6- Pituitary, Adrenal, Thyroid & Parathyroid Disorders Exam with precise answers, Exams of Medicine

Southwest Virginia Community CollegeMedicine

MS2 Q6- Pituitary, Adrenal, Thyroid & Parathyroid Disorders Exam with precise detailed solutions

Typology: Exams

2024/2025

Available from 07/07/2025

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MS2 |! Q6- |! Pituitary, |! Adrenal, |! Thyroid |!
& |! Parathyroid |! Disorders |! Exam |! with |!
precise |! detailed |! solutions
What |! should |! preoperative |! teaching |! for |! a |! patient |! scheduled |! for |! a |!
transsphenoidal |! hypophysectomy |! include |! that |! the |! patient |! should |! do |!
postoperatively? |! - |! Correct |! answer |! ✔Avoid |! sneezing
What |! causes |! large, |! flattened |! features |! of |! a |! patient |! with |! acromegaly? |! - |!
Correct |! answer |! ✔Growth |! hormone
What |! are |! the |! classis |! symptoms |! of |! diabetes |! insipidus? |! - |! Correct |! answer |!
✔Diuresis, |! tachycardia |! and |! weakness
A |! patient |! with |! Addison's |! disease |! asks |! why |! she |! must |! take |! hydrocortisone. |!
What |! should |! the |! nurse |! relate |! that |! the |! action |! of |! hydrocortisone |! is |! with |!
Addison's |! disease? |! - |! Correct |! answer |! ✔Regulates |! the |! excretion |! of |! potassium |!
and |! sodium
A |! patient |! stated |! that |! he |! is |! confused |! because |! the |! physician |! told |! him |! that |!
his |! diabetes |! insipidus |! is |! nephrogenic. |! What |! should |! the |! nurse |! state |! when |!
describing |! the |! difference |! between |! nephrogenic |! DI |! and |! neurogenic |! DI? |! - |!
Correct |! answer |! ✔Nephrogenic |! DI |! does |! not |! respond |! to |! ADH
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MS2 |! Q6- |! Pituitary, |! Adrenal, |! Thyroid |!

& |! Parathyroid |! Disorders |! Exam |! with |!

precise |! detailed |! solutions

What |! should |! preoperative |! teaching |! for |! a |! patient |! scheduled |! for |! a |! transsphenoidal |! hypophysectomy |! include |! that |! the |! patient |! should |! do |! postoperatively? |! - |! Correct |! answer |! ✔Avoid |! sneezing What |! causes |! large, |! flattened |! features |! of |! a |! patient |! with |! acromegaly? |! - |! Correct |! answer |! ✔Growth |! hormone What |! are |! the |! classis |! symptoms |! of |! diabetes |! insipidus? |! - |! Correct |! answer |! ✔Diuresis, |! tachycardia |! and |! weakness A |! patient |! with |! Addison's |! disease |! asks |! why |! she |! must |! take |! hydrocortisone. |! What |! should |! the |! nurse |! relate |! that |! the |! action |! of |! hydrocortisone |! is |! with |! Addison's |! disease? |! - |! Correct |! answer |! ✔Regulates |! the |! excretion |! of |! potassium |! and |! sodium A |! patient |! stated |! that |! he |! is |! confused |! because |! the |! physician |! told |! him |! that |! his |! diabetes |! insipidus |! is |! nephrogenic. |! What |! should |! the |! nurse |! state |! when |! describing |! the |! difference |! between |! nephrogenic |! DI |! and |! neurogenic |! DI? |! - |! Correct |! answer |! ✔Nephrogenic |! DI |! does |! not |! respond |! to |! ADH

A |! 14-year-old |! adolescent |! male |! patient |! has |! been |! diagnosed |! with |! Addison's |! disease. |! Which |! effect |! of |! Addison's |! should |! this |! patient |! be |! aware |! of? |! - |! Correct |! answer |! ✔He |! will |! not |! develop |! pubic |! hair What |! is |! the |! cardinal |! indication |! of |! a |! pheochromocytoma? |! - |! Correct |! answer |! ✔Significant |! hypertension A |! nurse |! is |! caring |! for |! a |! patient |! diagnosed |! with |! Addison |! disease. |! Which |! signs |! and |! symptoms |! should |! lead |! the |! nurse |! to |! suspect |! an |! adrenal |! crisis? |! - |! Correct |! answer |! ✔Confusion |! and |! tachycardia A |! patient |! inquiry |! about |! the |! purpose |! of |! the |! lab |! test |! to |! measure |! the |! serum |! level |! of |! adrenocorticotropic |! hormone |! (ACTH). |! What |! should |! a |! nurse |! respond |! to |! that |! the |! lab |! test |! will |! determine? |! - |! Correct |! answer |! ✔The |! pituitary |! gland |! is |! sending |! the |! correct |! message |! to |! the |! adrenal |! glands A |! nurse |! includes |! in |! the |! discharge |! plan |! for |! a |! patient |! with |! Addison |! disease, |! "Risk |! for |! injury." |! What |! should |! the |! nurse |! measure |! to |! deal |! with |! this |! include? |! - |! Correct |! answer |! ✔Rising |! slowly |! from |! a |! lying |! position A |! family |! member |! of |! a |! patient |! who |! is |! in |! adrenal |! crisis |! asks |! why |! the |! IV |! cortisone |! is |! continued |! after |! the |! initial |! IV |! push |! of |! Solu-Cortef, |! which |! seemed |! to |! stopped |! the |! symptoms. |! What |! is |! the |! best |! explanation |! by |! the |! nurse? |! - |! Correct |! answer |! ✔Solu-Cortef |! has |! a |! very |! brief |! therapeutic |! period |! and |! needs |! a |! maintenance |! IV |! infusion |! to |! keep |! up |! the |! level

A |! patient |! with |! hypopituitarism |! must |! take |! medications |! for |! the |! rest |! of |! his |! or |! her |! life. |! What |! should |! the |! patient |! teaching |! plan |! include? |! - |! Correct |! answer |! ✔"You |! must |! become |! familiar |! with |! the |! sigs |! and |! symptoms |! of |! inadequate |! of |! excessive |! hormone |! replacement" A |! patient |! is |! receiving |! the |! medication |! octreotide |! (Sandostatin) |! as |! a |! treatment |! for |! acromegaly. |! What |! should |! the |! nurse |! explain |! regarding |! this |! medication? |! - |! Correct |! answer |! ✔It |! suppressess |! the |! growth |! hormone Two |! days |! after |! a |! hypophysectomy |! a |! patient |! complains |! of |! a |! headache |! and |! nuchal |! rigidity. |! What |! action |! should |! the |! nurse |! take |! based |! on |! these |! assessments? |! - |! Correct |! answer |! ✔Report |! suspected |! meningitis |! to |! the |! head |! nuse What |! symptoms |! should |! a |! nurse |! expect |! a |! patient |! with |! the |! diagnosis |! of |! SIADH |! to |! report |! during |! an |! intake |! interview? |! (SATA-4) |! - |! Correct |! answer |! ✔1. |! headache

  1. |! weight |! gain
  2. |! muscle |! cramps |!
  3. |! weakness An |! 18 |! year |! old |! is |! diagnosed |! with |! adenoma |! of |! the |! anterior |! pituitary |! gland. |! What |! classic |! signs |! of |! this |! diagnosis |! should |! the |! nurse |! assess? |! (SATA-4) |! - |! Correct |! answer |! ✔1. |! cessation |! of |! menses
  4. |! milk |! production
  5. |! changing |! facial |! features
  6. |! weight |! gain

Which |! instruction |! should |! a |! nurse |! provide |! when |! a |! patient |! starts |! taking |! a |! saturated |! solution |! of |! potassium |! iodide? |! (SSKI) |! - |! Correct |! answer |! ✔Sip |! medication |! through |! a |! straw |! to |! prevent |! staining |! of |! the |! teeth A |! patient |! with |! a |! hyperthyroid |! complains |! of |! fatigue |! but |! still |! cannot |! get |! to |! sleep. |! What |! is |! the |! best |! suggestion |! by |! the |! nurse? |! - |! Correct |! answer |! ✔Adhering |! to |! a |! bedtime |! ritual A |! nurse |! is |! explaining |! Grave's |! diseases |! to |! a |! newly |! diagnosed |! patient. |! Which |! statement |! by |! the |! nurse |! best |! clarifies |! the |! pathophysiologic |! changes |! of |! Grave's |! disease? |! - |! Correct |! answer |! ✔"Your |! thyroid |! gland |! is |! overactive, |! but |! there |! are |! ways |! to |! treat |! it |! through |! medicine |! or |! surgery" A |! patient |! has |! been |! given |! an |! anti-thyroid |! drug |! called |! propylthiouracil. |! What |! appropriate |! nursing |! implementations |! should |! be |! included? |! - |! Correct |! answer |! ✔Teaching |! her |! to |! watch |! for |! and |! report |! any |! signs |! and |! symptoms |! of |! hypothyroidism |! or |! infections A |! patient |! newly |! diagnosed |! with |! hypothyroidism |! is |! anxious |! to |! begin |! her |! drug |! regimen. |! What |! should |! the |! nurse's |! instructions |! relative |! to |! hormone |! replacement |! include? |! - |! Correct |! answer |! ✔"Know |! the |! signs |! and |! symptoms |! of |! hyperthyroidism" On |! returning |! from |! surgery |! after |! undergoing |! a |! thyroidectomy, |! a |! patient |! is |! alarmed |! about |! the |! large |! tracheostomy |! tray |! on |! the |! bedside |! table. |! What |! is |! the |! nurse's |! most |! reassuring |! response |! when |! the |! patient |! asks |! why |! is |! it |! there?

  1. |! jaundice
  2. |! blood |! in |! the |! stool
  3. |! rash