Understanding Pathophysiology – ANZ adaptation 2E – Craft – Test Bank

Craft, Gordon: Understanding Pathophysiology, 2nd Edition

 Chapter 11: Alterations of endocrine function across the life span

 Test Bank

 MULTIPLE CHOICE

1. Abnormal responses to a hormone by target cells include:

 

a.	abnormal receptor activity.
b.	abnormal hormone levels.
c.	increased synthesis of second messengers.
d.	extracellular electrolyte alterations.

 

ANS: A                              REF: p 245

 

2. The most common cause of elevated levels of antidiuretic hormone (ADH) secretion is:

 

a.	autoimmune disease.
b.	cancer.
c.	pregnancy.
d.	heart failure.

 

ANS: B                              REF: p 246

 

3. A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?

 

a.	hyponatraemia
b.	hyperkalaemia
c.	hypernatraemia
d.	hypokalaemia

 

ANS: A                              REF: p 246

 

4. A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following clinical manifestations would be expected in this patient?

 

a.	peripheral oedema
b.	tachycardia
c.	low blood pressure
d.	concentrated urine

 

ANS: D                              REF: p 246

 

5. A severe consequence of SIADH is:

 

a.	stroke.
b.	diabetes insipidus.
c.	neurologic damage.
d.	renal failure.

 

ANS: C                              REF: p 246

 

6. A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should be anticipated?

 

a.	dilutional hyponatraemia
b.	dehydration from polyuria
c.	cardiac arrest from hyperkalaemia
d.	metabolic acidosis

 

ANS: B                              REF: p 246

 

7. A side effect of some general anesthetic agents is _____ diabetes insipidus.

 

a.	neurogenic
b.	nephrogenic
c.	psychogenic
d.	allogenic

 

ANS: B                              REF: p 247

 

8. Clinical manifestations of diabetes insipidus include:

 

a.	polyuria and intense thirst.
b.	concentrated urine and hypertension.
c.	pitting oedema and dyspnoea.
d.	full bounding pulse and vomiting.

 

ANS: D                              REF: p 247

 

9. A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following would this treatment be effective?

a.	neurogenic diabetes insipidus
b.	psychogenic diabetes insipidus
c.	nephrogenic diabetes insipidus
d.	syndrome of inappropriate antidiuretic hormone

 

ANS: A                              REF: p 248

 

10. The most common cause of primary hyperaldosteronism (Conn’s syndrome) is:

 

a.	pituitary failure.
b.	benign adrenal adenoma.
c.	excessive salt ingestion.
d.	chronic hypertension.

 

ANS: B                              REF: p 248