Deck 23: Endocrine System Drugs

Question 1

Results from diminished or absent secretion of thyroid hormones

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Answer 1

Hypoglycemia

Question 2

Indicates strength or concentration of insulin; syringe AND insulin must match

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Answer 2

U-100

Question 3

Match the following endocrine glands with hormones produced.
T3 and T4

A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Pancreas (Islets of Langerhans)

Answer 3

Pancreas (Islets of Langerhans)

Question 4

Match the following endocrine glands with hormones produced.
Corticosteroids

A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Pancreas (Islets of Langerhans)

Question 5

Used to relieve the symptoms of hyperthyroidism

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Question 6

Match the following endocrine glands with hormones produced.
ACTH

A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Pancreas (Islets of Langerhans)

Question 7

Substance that suppresses a body's response to infection or trauma

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Question 8

Administered to lower blood glucose levels

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Question 9

Intermediate action

A)Novolog
B)Humulin R
C)NPH
D)Lantus

Question 10

Chemical messenger produced by a ductless gland that travels to target tissues via the bloodstream

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Question 11

Match the following endocrine glands with hormones produced.
TSH

A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Pancreas (Islets of Langerhans)

Question 12

Medication used to suppress the body's response to infection or trauma

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Question 13

The hormones secreted by the pituitary gland include ___________.

A) ACTH
B) corticosteroids
C) thyroid
D) insulin

Question 14

Long-acting

A)Novolog
B)Humulin R
C)NPH
D)Lantus

Question 15

Rapid action

A)Novolog
B)Humulin R
C)NPH
D)Lantus

Question 16

Short-action

A)Novolog
B)Humulin R
C)NPH
D)Lantus

Question 17

Match the following endocrine glands with hormones produced.
Insulin

A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Pancreas (Islets of Langerhans)

Question 18

Decreased blood sugar

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Question 19

Elevated blood glucose

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Question 20

Body control system that internally secretes directly into the blood stream

A)Antithyroid
B)Corticosteroid
C)hormone
D)Hyperglycemia
E)Endocrine
F)Hypoglycemia
G)Hypothyroidism
H)Immunosuppressant
I)Antidiabetic
J)U-100

Question 21

The hormones secreted by the islets of Langerhans in the pancreas include _______.

A) FSH, LH, and LTH
B) corticosteroids
C) thyroid
D) insulin

Question 22

Serious side effects of long-term steroid therapy are ___________.

A) cardiac arrhythmia, increased blood pressure, weight loss, and menstrual irregularities
B) rash, urticaria, pruritus, and blood dyscrasias
C) hepatic dysfunction, blood dyscrasias, hypoglycemia, and increased risk of cardiovascular death
D) fluid and electrolyte imbalance, osteoporosis, psychosis, and increased intraocular pressure

Question 23

The hormones secreted by the adrenal glands include _______.

A) FSH and LTH
B) thyroid
C) corticosteroids
D) insulin

Question 24

The hormones secreted by the thyroid gland include _________.

A) ACTH and LTH
B) corticosteroids
C) thyroid
D) insulin

Question 25

The meglitinides work by __________.

A) increasing insulin production and by improving peripheral insulin activity
B) delaying digestion of complex carbohydrates
C) decreasing hepatic glucose output and enhancing insulin sensitivity in the muscles
D) stimulating the beta cells of the pancreas to produce insulin
E) decreasing insulin resistance/improving sensitivity to insulin in muscle and adipose tissue

Question 26

The sulfonylureas work by ________.

A) increasing insulin production and by improving peripheral insulin activity
B) delaying digestion of complex carbohydrates
C) decreasing hepatic glucose output and enhancing insulin sensitivity in the muscles
D) stimulating the beta cells of the pancreas to produce insulin
E) decreasing insulin resistance/improving sensitivity to insulin in muscle and adipose tissue

Question 27

Rejection of transplanted organs may be prevented by the use of _________.

A) antithyroid therapies
B) sulfonylurea
C) antidiabetics
D) corticosteroids

Question 28

Side effects of thyroid agents may include

A) cardiac arrhythmia, insomnia, excessive sweating, and menstrual irregularities.
B) rash, urticaria, and pruritus
C) stunting of growth in children
D) polyuria

Question 29

Intermediate-acting insulins _________.

A) onset in 10-30 minutes and peak in 1-2 hours, last 3-8 hours.
B) onset in 1/2 to 1 hour and peak in 1-5 hours, last 6-10 hours.
C) onset in 1-3 hours and peak in 6-12 hours, last 18-24 hours.
D) onset in 1-2 hours, don't peak, and last up to 24 hours.

Question 30

Long-acting insulins:

A) onset in 10-30 minutes and peak in 1-2 hours, last 3-8 hours.
B) onset in 1/2 to 1 hour and peak in 1-5 hours, last 6-10 hours.
C) onset in 1-3 hours and peak in 6-12 hours, last 18-24 hours.
D) onset in 1-2 hours, don't peak, and last up to 24 hours.

Question 31

Short-acting insulins ___________.

A) onset in 10-30 minutes and peak in 1-2 hours, last 3-8 hours
B) onset in 1/2 to 1 hour and peak in 1-5 hours, last 6-10 hours
C) onset in 1-3 hours and peak in 6-12 hours, last 18-24 hours
D) onset in 1-2 hours, don't peak, and last up to 24 hours

Question 32

The biguanides work by ____________.

A) increasing insulin production and by improving peripheral insulin activity
B) delaying digestion of complex carbohydrates
C) decreasing hepatic glucose output and enhancing insulin sensitivity in the muscles
D) stimulating the beta cells of the pancreas to produce insulin
E) decreasing insulin resistance/improving sensitivity to insulin in muscle and adipose tissue

Question 33

Rapid-acting insulins _________.

A) onset in 10-30 minutes and peak in 1-2 hours, last 3-8 hours.
B) onset in 1/2 to 1 hour and peak in 1-5 hours, last 6-10 hours.
C) onset in 1 to 3 hours and peak in 6-12 hours, last 18-24 hours.
D) onset in 1-2 hours, don't peak and last up to 24 hours.

Question 34

Corticosteroids may be used to treat __________.

A) inflammation associated with status asthmaticus
B) cretinism
C) myxedema
D) hyperthyroidism

Question 35

An important practice in corticosteroid therapy is _________.

A) diagnosis with blood tests
B) it must be administered parenterally because it is destroyed in the GI tract
C) tapering, weaning off with step-down dosage
D) it should be prescribed by an endocrinologist

Question 36

Side effects of antithyroid agents may include _________.

A) palpitations, tachycardia, cardiac arrhythmia, and increased blood pressure
B) nervousness, tremor, headache, and insomnia
C) weight loss, diarrhea, and abdominal cramps
D) rash, urticaria, and pruritus

Question 37

The thiazolidinediones work by _________.

A) increasing insulin production and by improving peripheral insulin activity
B) delaying digestion of complex carbohydrates
C) decreasing hepatic glucose output and enhancing insulin sensitivity in the muscles
D) stimulating the beta cells of the pancreas to produce insulin
E) decreasing insulin resistance/improving sensitivity to insulin in muscle and adipose tissue

Question 38

Corticosteroids act on the immune system to _________.

A) assist in the diagnosis of adrenocortical insufficiency
B) regulate growth
C) treat allergic reactions
D) relieve the symptoms of hyperthyroidism

Question 39

The alpha-glucosidase inhibitors work by ________.

A) increasing insulin production and by improving peripheral insulin activity
B) delaying digestion of complex carbohydrates
C) decreasing hepatic glucose output and enhancing insulin sensitivity in the muscles
D) stimulating the beta cells of the pancreas to produce insulin
E) decreasing insulin resistance/improving sensitivity to insulin in muscle and adipose tissue

Question 40

Classic symptoms of hyperglycemia include _________.

A) increased perspiration
B) irritability, confusion, or bizarre behavior
C) unexplained weight gain
D) excessive thirst, polyuria, and fruity breath

Question 41

Corticosteroid therapy is considered curative.

Question 42

Incretin therapy is indicated in type 2 diabetics who have not achieved glycemic control on metformin, sufonylurea, or both.

Question 43

The black box warning added to product labeling for thiazoladinediones reference increased risk for GI bleeding.

Question 44

Which of the following is a macrovascular complication of diabetes?

A) Myocardial infarction
B) Retinopathy
C) Nephropathy
D) Neuropathy

Question 45

Which of the following is a microvascular complication of diabetes?

A) Myocardial infarction
B) Deep vein thrombosis
C) Cerebrovascular accident
D) Retinopathy

Question 46

Regular insulin is the same as corrective action insulin.

Question 47

The incretin therapies actions include _________.

A) increasing insulin production and by improving peripheral insulin activity
B) increasing satiety, reduction of food intake and glucagon production, delay gastric emptying
C) decreasing hepatic glucose output and enhancing insulin sensitivity in the muscles
D) stimulating the beta cells of the pancreas to produce insulin
E) decreasing insulin resistance/improving sensitivity to insulin in muscle and adipose tissue

Question 48

Which comments by a diabetic patient during teaching indicate a need for follow-up?

A) "It is important to follow my diet and medication plans."
B) "If I have symptoms of hypoglycemia, I will drink a diet pop."
C) "I need to get regular exercise and maintain proper weight."
D) "I need to take careful care of my feet."

Question 49

All types of insulins may be administered intravenously in an emergency.

Question 50

The SGL2T inhibitors work by _______.

A) increasing insulin production and by improving peripheral insulin activity
B) delaying digestion of complex carbohydrates
C) decreasing hepatic glucose output and enhancing insulin sensitivity in the muscles
D) stimulating the beta cells of the pancreas to produce insulin
E) decreasing glucose absorption in the kidneys

Question 51

Symptoms of hypoglycemia include ______.

A) dehydration and excessive thirst
B) irritability, confusion, perspiration, pallor, hunger
C) anorexia and unexplained weight loss
D) ketoacidosis

Question 52

The use of thyroid agents for increasing metabolism as a part of a weight reduction program is an excellent adjunctive therapy in euthyroid persons.

Question 53

Incretin therapies are a first-line option in the treatment of type 1 diabetes.

Question 54

Which of the following is an important consideration in a patient's self-administration of insulin?

A) Opened vials must always be refrigerated.
B) Administration sites should be rotated with each injection.
C) Insulin pens may be shared between patients as long as cartridges are changed.
D) Clear and cloudy insulin products should not be mixed in a syringe.