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WorksheetsQuiz 2: Pituitary Hormones
Total questions: 26
Worksheet time: 13mins
Name
Class
Date
1.
Which of the following physiologic functions is not regulated by anterior pituitary hormones?
a)
Growth
b)
Thyroid function
c)
Sleep
d)
Reproduction
2.
Which of the following clinical characteristics is common to acromegalic patients?
a)
Diarrhea
b)
Alopecia
c)
Weight loss
d)
Increased ring size
3.
The preferred initial treatment option for a patient recently diagnosed with acromegaly is
a)
bromocriptine
b)
octreotide
c)
transsphenoidal surgery
d)
radiation therapy
4.
KL is a 48-year-old woman who was diagnosed recently with acromegaly. Her past medical history is significant for type 2 diabetes, obesity, and cholelithiasis. She is currently complaining of fatigue, joint pain, increased sweating, and headaches. Which of the following treatments is the most appropriate first-line treatment of KL's symptoms?
a)
Bromocriptine
b)
Cabergoline
c)
Octreotide
d)
Octreotide LAR
5.
Which of the following information is most important to provide to an acromegalic patient with a new prescription for octreotide?
a)
Concomitant therapy with ursodeoxycholic acid is needed to prevent gallstones.
b)
The most common adverse effect of octreotide therapy is headache.
c)
A standard multiple vitamin is recommended during therapy.
d)
Gastrointestinal adverse effects should subside within 10 to 14 days of therapy.
6.
Which of the following clinical characteristics is common to patients with growth hormone-deficient short stature?
a)
Normal growth hormone serum concentrations
b)
Physical height less than 2 standard deviations below the population mean
c)
Malnutrition
d)
None of the above
7.
Which of the following assessments are needed to diagnose growth hormone deficiency?
a)
Bone age and growth velocity
b)
Bone age, growth velocity, and growth hormone response to provocative stimuli
c)
Sex hormone priming and growth hormone response to provocative stimuli
d)
Growth hormone response to provocative stimuli
8.
For which of the following conditions does recombinant human growth hormone therapy have a definitive role?
a)
Normal-variant short stature
b)
Growth hormone-deficient short stature
c)
Natural aging
d)
None of the above
9.
Which of the following parameters should be monitored in a patient receiving recombinant human growth hormone therapy?
a)
Alkaline phosphatase
b)
Blood glucose
c)
Thyroid function
d)
All of the above
10.
Which of the following clinical characteristics is common in women with hyperprolactinemia?
a)
Menstrual irregularities
b)
Darkened skin
c)
Dry mouth
d)
Increased blood glucose
11.
Which of the following classes of medications is most likely to cause drug-induced hyperprolactinemia?
a)
Beta-blockers
b)
Antidepressants
c)
Antihistamines
d)
Oral contraceptives
12.
LJ is a 29-year-old woman who has been diagnosed with a prolactin-secreting adenoma that is 8 mm in diameter. She complains of amenorrhea for 1 year and galactorrhea from both breasts. Which of the following treatments is most appropriate for first-line treatment of LJ's symptoms?:
a)
Radiation therapy
b)
Transsphenoidal surgery
c)
Dopamine agonist therapy
d)
Somatostatin analogue therapy
13.
Which of the following dopamine agonists would be an appropriate choice for a noncompliant patient?
a)
Cabergoline
b)
Pergolide
c)
Bromocriptine
d)
All of the above
14.
CM is a 30-year-old woman diagnosed with hyperprolactinemia. She recently began therapy with cabergoline. Which of the following medications should be considered as adjunctive therapy for CM?
a)
Human growth hormone
b)
Oral contraceptives
c)
Multivitamins
d)
Antacids
15.
Which of the following treatment strategies is generally considered first-line for Cushing’s disease?
a)
Trans-sphenoidal pituitary microsurgery
b)
Pituitary irradiation
c)
Bilateral adrenalectomy
d)
Drug therapy
16.
The most common cause of Cushing's Disease is ____________
a)
Alcohol abuse
b)
Steroid use
c)
Genetic disposition
d)
Adenoma (benign tumor)
17.
Adrenocorticotropic hormone (ACTH) from the pituitary stimulates the __________ glands to release _________.
a)
Pineal, cortisol
b)
Adrenal, cortisol
c)
Pineal, TSH
d)
Adrenal, TSH
18.
The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:
a)
Weigh the client
b)
Check the vital signs
c)
Encourage increased fluid intake
d)
Measure the urinary output
19.
A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, which of the following disorders would you suspect?
a)
Diabetes insipidus
b)
Hyperparathyroidism
c)
Hypoparathyroidism
d)
Diabetes mellitus
20.
A priority diagnostic for a client admitted to the hospital with a diagnosis of diabetes insipidus is:
a)
Risk for impaired skin integrity r/t generalized edema
b)
Fluid volume excess r/t intake greater that output
c)
Sleep pattern deprivation related nocturia
d)
Activity intolerance r/t muscle weakness
21.
What drugs antagonize the effects of ADH on the renal tubules, and thus could causenephrogenic diabetes insipidus?
a)
Acetaminophen and isoniazid
b)
Cimetidine and verapamil
c)
Lithium and demeclocycline
d)
Bromocryptine and cabergoline
22.
A client is suspected of developing diabetes insipidus. Which of the following is the most effective assessment?
a)
Measuring urine output hourly
b)
Assessing ABG values every other day
c)
Monitoring blood glucose
d)
Taking vital signs every 4 hours
23.
A client is suspected of developing diabetes insipidus. Which of the following is the most effective assessment?
a)
Below-normal urine and serum osmolality levels
b)
Above-normal urine and serum osmolality levels
c)
Below-normal urine osmolality level, above-normal serum osmolality level
d)
Above-normal urine osmolality level, below-normal serum osmolality level
24.
The drug of choice for central diabetes insipidus is desmopressin (DDAVP). What isthis drug's mechanism of action?
a)
Blocks vasopressin and increases kidney water reabsorption
b)
Mimics vasopressin and increases kidney water reabsorption
c)
Mimics vasopressin and increases kidney salt excretion
d)
Blocks vasopressin and increases kidney salt excretion
25.
Damage to what organ would cause central diabetes insipidus?
a)
Pituitary
b)
Thyroid
c)
Kidneys
d)
Hypothalamus
26.
A client with diabetes insipidus is taking Desmopressin acetate (DDAVP). To determine if the drug is effective, you should monitor the client's:
a)
Pulse rate
b)
Fluid intake and output
c)
Serum glucose
d)
Arterial blood pH
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