Deck 11: Assessment of the Endocrien System

Question 1

The single most important function of antidiuretic hormone (ADH)is to conserve water by reducing the loss of water in the urine.

Answer 1

True

Question 2

Midline defects often associated with growth hormone deficiency (GHD)are cleft palate, choanal atresia, optic nerve hypoplasia, and single upper central incisor.

Answer 2

True

Question 3

Children with growth hormone deficiency GHD will present with an increased height-to-weight ratio.

Answer 3

False

Question 4

Delayed puberty (failure along the hypothalamic-pituitary-gonadal axis)is characterized by absence of breast budding by age 13 in females or the lack of testicular enlargement by age 14 in males.

Question 5

Precocious (premature)puberty occurs before a male reaches 9 years old or a female reaches 8 years old.

Question 6

Match each item to the statement or sentence listed below.

-Lip pursing

A)Hirsutism
B)Gynecomastia
C)Chvostek's sign
D)Ovoid facies

Question 7

Match each item to the statement or sentence listed below.

-Long, thin face

A)Hirsutism
B)Gynecomastia
C)Chvostek's sign
D)Ovoid facies

Question 8

Match each item to the statement or sentence listed below.

-Temporary imbalance between estrogen and testosterone levels.

A)Hirsutism
B)Gynecomastia
C)Chvostek's sign
D)Ovoid facies

Question 9

Match each item to the statement or sentence listed below.

-Occurs under the chin, on the cheeks, between the breasts, across the chest, on the shoulders, on the back, on the linea alba, across the abdomen, on the inner thighs, and on the extremities and digits.

A)Hirsutism
B)Gynecomastia
C)Chvostek's sign
D)Ovoid facies

Question 10

Match each item to the statement or sentence listed below.

-Must be differentiated from lipoma and fatty tissue in obese patients.

A)Hirsutism
B)Gynecomastia
C)Chvostek's sign
D)Ovoid facies

Question 11

Congenital hypothyroidism and thyroid-stimulating hormone (TSH)deficiency at an early age are the major causes of cretinism. A child with hypothyroidism has insidious changes that could include all the following except:

A)Croaky voice.
B)Bradycardia.
C)Periorbital puffiness.
D)Hyperreflexive deep tendon reflexes.

Question 12

A child with hyperthyroidism usually:

A)Is restless and irritable.
B)Is constipated.
C)Blinks a lot.
D)Has equal extraoccular muscle function.

Question 13

Hypocalcemia due to hypoparathyroidism will present as all of the following except:

A)Hyporeflexic knee jerk.
B)Trousseau's sign (carpal spasm).
C)Chvostek's sign (lip pursing).
D)Hand and feet cramps.

Question 14

Cushing's syndrome is caused by too much glucocorticoid and cortisol. It can also occur due to increased adrenocorticotrophic hormone (ACTH), producing a pituitary tumor that would present as all of the following except:

A)Recent weight gain and poor statural growth.
B)Fatigue and mood changes.
C)Acne and blackheads.
D)Buffalo hump and purple striae.

Question 15

Which of the follow is not a symptom of diabetes mellitus?

A)Polydipsia, polyuria, polyphagia
B)Nausea and vomiting
C)Fatigue and irritability
D)Weight loss

Question 16

Thymus disorders cannot cause:

A)Immune system dysfunction.
B)Cancer.
C)Recurrent and persistent bacterial and/or viral illnesses.
D)Acne.

Question 17

Common concerns are that the child is too small, too heavy, too thin, too tall, or is developing sexually in a ______________ fashion.

Question 18

Symptoms of _____________________ include limping, glassy eyes, stupor, and possible unresponsiveness to verbal commands.

Question 19

Always investigate a growth of less than ____ cm per year in children from the age of 5 until puberty.

Question 20

In the older child, GHD is usually due to a _________________________ and manifests as new-onset growth failure.

Question 21

Hypocalcemia due to pseudoparathyroidism or a deficit of ______________ will present as moderate obesity and ovoid facies (long, thin face). Mild to moderate intellect deficit and short fourth and/or fifth metacarpals often occur.

Question 22

Diabetes mellitus type 2 is more common in adults; however, it is seen more often in children due to the ___________ epidemic.