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What is/are the effect(s) of thyrotoxic crisis?


A) hyperthermia and heart failure
B) hypotension and hypoglycemia
C) toxic goiter and hypometabolism
D) decreased stress response

E) A) and B)
F) A) and C)

Correct Answer

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Early signs of hyperglycemia include polyphagia,which means :


A) thirst
B) increased urine output
C) hunger
D) glucose in the urine

E) A) and C)
F) None of the above

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Why does polyuria develop with diabetes mellitus?


A) increased thirst
B) ketoacidosis
C) glucosuria develops
D) diabetic nephropathy

E) None of the above
F) All of the above

Correct Answer

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Why is amputation frequently a necessity in diabetics?


A) necrosis and gangrene in the feet and legs
B) lack of glucose to the cells in the feet and legs
C) severe dehydration in the tissues
D) elevated blood glucose increasing blood viscosity

E) A) and D)
F) C) and D)

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Metabolic syndrome is marked by:


A) abnormal lipid and glucose metabolism
B) periodic hypotension
C) deficit of glucagon
D) early onset on Type I diabetes mellitus

E) B) and C)
F) A) and B)

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Which of the following results from a deficit of antidiuretic hormone (ADH) ?


A) inappropriate ADH syndrome
B) gigantism
C) diabetes insipidus
D) myxedema

E) None of the above
F) B) and C)

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C

Compensation mechanisms occurring in the early stage of diabetic ketoacidosis include:


A) Kussmaul's respirations
B) polydipsia
C) ketonuria
D) seizures

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following may cause insulin shock to develop?


A) recurrent vomiting
B) missing an insulin dose
C) eating excessively large meals
D) sedentary lifestyle

E) C) and D)
F) A) and B)

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Catabolic effects of Cushing's syndrome include:


A) osteoporosis
B) hypertension
C) increased erythrocyte production
D) moon face and buffalo hump

E) A) and B)
F) A) and D)

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Polydipsia occurs with diabetes mellitus when:


A) lack of insulin causes hunger
B) ketone levels rise in the blood
C) polyuria causes dehydration
D) glucosuria causes ketoacidosis

E) A) and C)
F) C) and D)

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Visual impairment may develop in diabetics,primarily because of:


A) abnormal metabolism in the lens
B) macroangiopathy
C) neuropathy affecting cranial nerves
D) development of exophthalmos

E) B) and C)
F) None of the above

Correct Answer

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Diabetic retinopathy results from:


A) degeneration of large blood vessels supplying the eye
B) abnormal metabolism in the lens of the eye
C) neuropathy affecting the optic nerve
D) obstruction or rupture of retinal blood vessels

E) B) and C)
F) All of the above

Correct Answer

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Complications of diabetes mellitus include:


A) peripheral neuropathy
B) frequent infections
C) cataracts
D) a,c
E) a,b,c

F) C) and D)
G) A) and E)

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Which of the following are likely present in a patient immobilized for a long period of time?


A) hypocalcemia and low serum PTH levels
B) hypocalcemia and high serum PTH levels
C) hypercalcemia and low serum PTH levels
D) hypercalcemia and high serum PTH levels

E) A) and B)
F) C) and D)

Correct Answer

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Which of the following may cause hypertension?


A) hypoparathyroidism
B) hypoglycemia
C) pheochromocytoma
D) Addison's disease

E) All of the above
F) A) and C)

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Differences between Type I and Type II diabetes include:


A) Type 1 diabetes weight gain is common,and Type II weight loss often occurs
B) Type 1 diabetes leads to fewer complications than Type II diabetes
C) Type 1 diabetes may be controlled by adjusting dietary intake and exercise,but Type II diabetes requires insulin replacement
D) Type 1 diabetes occurs more frequently in children and adolescents,and Type II diabetes occurs more often in adults
E) None of the above are correct.

F) All of the above
G) B) and D)

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What causes loss of consciousness in a person with diabetic ketoacidosis?


A) toxic effects of excessive insulin
B) excessive glucose in the blood
C) acidosis and hypovolemia
D) lack of glucose in brain cells

E) A) and D)
F) B) and C)

Correct Answer

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All these tissues use glucose without the aid of insulin EXCEPT:


A) liver
B) digestive system
C) exercising skeletal muscle
D) brain

E) None of the above
F) A) and B)

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A

Dwarfism is caused by:


A) excessive levels of somatotropin (GH)
B) a deficit of somatotropin (GH)
C) excessive levels of insulin
D) excessive levels of parathyroid hormone

E) B) and C)
F) None of the above

Correct Answer

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B

Which of the following often causes hyperparathyroidism?


A) a malignant tumor in the parathyroid glands
B) end-stage renal failure
C) osteoporosis
D) radiation involving the thyroid gland and neck area

E) C) and D)
F) All of the above

Correct Answer

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