WorksheetsDH22 Exam 4
Total questions: 57
Worksheet time: 37mins
Which gland secretes hormones into the bloodstream that help regulate mood, growth, metabolism and reproduction?
(a)
The adrenal cortex manufactures three classes of adrenal steroids. They are all derived from cholesterol and share a common molecular nucleus. Which of the three is a sex hormone?
Aldosterone
Cortisol
Androgens
Mineralocorticoid
The adrenal cortex manufactures three classes of adrenal steroids. Which of the three regulates physiologic levels of sodium and potassium and is relatively independent of pituitary gland feedback?
Aldosterone
Cortisol
Androgens
Mineralocorticoid
Glucocorticoid
The adrenal cortex manufactures three classes of adrenal steroids. Which of the following is the primary glucocorticoid responsible regulation of carbs, fat, and protein metabolism, maintenance of vascular reactivity, inhibition of inflammation, maintenance of homeostasis during stress, and insulin antagonist?
Aldosterone
Cortisol
Androgens
Mineralocorticoid
What gland secretes hormones that specifically regulates temperature, weight, energy, and metabolism?
(a)
The following hormones are secreted by the thyroid gland EXCEPT
thyroxine (T4)
calcitonin
triiodothyronine (T3)
Cortisol
What triggers the pituitary to produce more thyroid hormones?
Low amounts of thyroid hormones
High amounts of thyroid hormones
Hyperthyroidism
Hypothyroidism
Which of the following is a life-threatening condition which occurs most frequently in patients with severe thyrotoxicosis (like Graves Disease) often precipitated by severe illness, infection, or major surgery?
thyroid storm
Thyrotoxic crisis
Hypothyroidism
Hyperthyroidism
(a) is a classic feature of graves disease.
What are the classic signs of hypothyroidism?
bradycardia
dry skin
forgetfulness
low metabolism / weight gain
High metabolism / weight loss
Graves disease is associated with hyperthyroidism which is an over production of and secretion of thyroid hormone. Hashimoto is the cause of hypothyroidism which results from decreased secretion of hypothyroidism.
Both are true
Both are false
First is true, second is false
First is false, second is true
The main function of the (a) is to digest food and regulate blood glucose levels
What hormones do the pancreas produce?
(a)
Insulin is produced when blood glucose levels __a__. Insulin allows the liver and the muscles to store sugar, as well as keep the liver from producing more sugar (t/f).
a. rise
a. drop
True
False
What are the most common signs/symptoms that would lead one to consider a type I diabetes diagnosis?
Dyspnea
Polydipsia
Polyphagia
Polyuria
A patient is feeling sweaty, shaky and anxious. You check their medical history and see that they are a type 1 diabetic. What medical emergency is the patient experiencing?
Hypoglycemia
Insulin shock
Hyperglycemia
Diabetic coma
Whilst doing an E&I check on a patient, you notice they have a dry mouth and strange fruity acetone breath, and the patient kept asking for water. You check their medical history and see that they are diabetic. What medical emergency is the patient experiencing?
Hypoglycemia
Insulin shock
Hyperglycemia
Diabetic coma
Primary adrenal insufficiency is known as __a__ is the progressive destruction of the adrenal cortex thus leading to insufficient production of __b__.
a. Hypothalamic-pituitary disease
a. Addison's disease
b. cortical and aldosterone hormones
b. ACTH (adrenocorticotropic hormone)
Secondary adrenal insufficiency results from __a__ and administration of exogenous corticosteroids where the feedback system senses elevated plasma steroid levels and inhibits __b__.
a. Hypothalamic-pituitary disease
a. Addison's disease
b. cortical and aldosterone hormones
b. ACTH (adrenocorticotropic hormone)
(a) is caused as excess amount of glucocorticoid (endogenous or exogenous). Signs and symptoms include round or moon shaped faces, and Buffalo hump on the back.
What treatment/meds usually given to patients with peptic ulcer disease?
HINT: It's the most effective anti-Helicobacter therapy.
Pepto-Bismol
Tetracycline
Metronidazole
Aspirin
Corticosteroids
All the following oral complications or manifestations might be seen with these patients with gastrointestinal disease EXCEPT?
Gingival hyperplasia
Candidiasis
Median rhomboid glossitis
longer lasting anesthesia due to antacid meds
Inflammatory Bowel Disease:
Ulcerative Colitis is a __a__ disease limited to the __b__
a. mucosal
b. large intestine and rectum
a. transmural process
b. terminal ileum
Inflammatory Bowel Disease:
Crohn's Disease is a __a__ process that may produce ulceration along any point of the alimentary canal from the mouth to the anus, but most commonly involves the __b__
a. mucosal
b. large intestine and rectum
a. transmural
b. terminal ileum
What oral changes or ulcerations are likely to be caused by Ulcerative Colitis? They generally erupt during GI flareup.
aphthous-like lesions
Cobblestone appearance of mucosa
Atypical mucosal ulcerations
Diffuse swelling of lips and cheeks
What oral changes or ulcerations are likely to be caused by Crohn's Disease?
aphthous-like lesions
Cobblestone appearance of mucosa
Atypical mucosal ulcerations
Diffuse swelling of lips and cheeks
Alcoholic Liver Disease of the liver caused by chronic damage to its cells. The last phase of liver disease is cirrhosis which is reversible.
True
False
First is true, second is false
First is false, second is true
Signs and symptoms of Alcoholic Liver Disease include:
Jaundice
Parotid gland enlargement
Spider angiomas
Esophageal varices
Which type of Viral Hepatitis is most likely encountered through needle stick injury?
Hepatitis B
Hepatitis A
Hepatitis C
Non infectious hepatitis
Which type of Viral Hepatitis is non-carrier, food contamination; easily treated?
Hepatitis B
Hepatitis A
Hepatitis C
Non infectious hepatitis
Which type of Viral Hepatitis has carrier status possible; all body fluids transmission?
Hepatitis B
Hepatitis A
Hepatitis C
Non infectious hepatitis
Which type of Viral Hepatitis has carrier status possible; blood to blood transmission; no cure?
Hepatitis B
Hepatitis A
Hepatitis C
Non infectious hepatitis
Which type of Viral Hepatitis is caused by excessive or prolonged use of toxic substances?
Hepatitis B
Hepatitis A
Hepatitis C
Non infectious hepatitis
Infectious hepatitis
Which type of Viral Hepatitis is caused viral conditions such as infectious mononucleosis, secondary syphilis, and TB?
Hepatitis B
Hepatitis A
Hepatitis C
Non infectious hepatitis
Infectious hepatitis
Chronic Active Hepatitis is seen in patients infected with
Hep B
Hep C
Hep D
HBV
HCV
Viral hepatitis
Carrier state can occur in patients infected with
Hep B
Hep C
Hep D
HBV
HCV
Chronic Obstructive Pulmonary disease most important etiologic factor is __a__. Nitrous oxide sedation __b__ recommended.
a. cigarette smoking
a. pollution
b. IS NOT
b. IS
For Asthmatic patients, Nitrous oxide sedation __a__ recommended for
b. well controlled asthmatics only
b. anxious pts to avoid acute asthmatic attack
a. IS NOT
a. IS
Insulin dependent, the pancreas produces little to no insulin
Type 1 diabetes
Type 2 diabetes
Gestational diabetes
Insulin resistant, the body forgets how to use it. Can be controlled by diet and exercise
Type 1 diabetes
Type 2 diabetes
Gestational diabetes
Diagnosis of Diabetes:
Fasting blood glucose level ___ or greater on at least 2 occasions must not eat for at least 8 hours
126mg/dl
200mg/dl
6.5
160-199mg/dl
Diagnosis of Diabetes:
Postprandial blood glucose wait 2 hours and levels need to be at or above __a__. __b__ is ideal.
a. 126mg/dl
a. 200mg/dl
b. 6.5
b. 160-199mg/dl
Diabetes diagnosis:
A HbA1c reading of (a) or greater would signify a diagnosis of diabetes.
A HbA1c glucose reading is a reading for the average blood glucose levels over a period of time (can be up to 12 weeks). The one-time blood stick glucose reading can be done anywhere and at anytime and will tell you exactly what is happening in the moment
Both are true
Both are false
First is true, second is false
First is false, second is true
For patients who have had radiation treatment for oral cancer, frequent recalls are recommended, as ___ tends to build up easier in immunosuppressed patients. They are ____ and should be educated on the importance of meticulous oral hygiene habits at home.
(a)
Which is allergic reaction is related to humoral immune system (response to antigens via circulatory antibodies)?
Type I
Type IV
Which allergic reaction is mediated by lymphocytes (cell mediated) and NOT by
antibodies?
Type I
Type IV
Chronic bronchitis tend to be sedentary, overweight, cyanotic, edematous, and
breathless, productive cough leading to the term (a)
Patients with emphysema exhibit severe exertional dyspnea with a minimal
nonproductive cough and are termed (a) . They become barrel-chested and lose weight as the disease processes.
Which of the following is the causative agent (bacterium) of ulcers?
Helicobacterium Pylori
Mycobacterium Tuberculosis
Clostridium Difficle
Which of the following is the causative agent (bacterium) of TB?
Helicobacterium Pylori
Mycobacterium Tuberculosis
Clostridium Difficle
Which of the following is the causative agent (bacterium) of Pseudomembranous Colitis?
Helicobacterium Pylori
Mycobacterium Tuberculosis
Clostridium Difficle
A patient with what condition should there be no vasoconstrictor since vessels are already constricted and blood flow is poor and clotting is more common?
Sickle Cell Anemia
Hyperthyroidism
Gastric disease patients on antacids
A patient with what condition is highly sensitive to epinephrine because the amines can cause a hyperthyroid crisis that can be fatal?
Sickle Cell Anemia
Hyperthyroidism
Gastric disease patients on antacids
A patient with what condition inhibits the drug metabolism in the liver so local anesth. lasts longer - need to use less since it stays in the body longer?
Sickle Cell Anemia
Hyperthyroidism
Gastric disease patients on antacids
What condition is a deficiency that occurs in utero or shortly after birth? This condition leads to abnormalities in intellectual and physical development.
Myxedema
Cretinism
What condition is a severe form of hypothyroidism which causes a nonpitting edema associated with accumulation of mucopolysaccharides in skin. This condition affects adolescents and adults.
Myxedema
Cretinism
