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A 24-year-old woman presents 2 months postpartum with symptoms of hyperthyroidism. She does not have evidence of Graves' ophthalmopathy. Her TSH level is undetectable, and free T4 is two times the upper limit of normal.
1. What are the possible causes for her thyrotoxicosis?
2. What tests would be useful to sort out the cause of her thyrotoxicosis?
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- A 24-year-old woman presents 2 months postpartum with symptoms of hyperthyroidism. She does not have evidence of Graves' ophthalmopathy. Her TSH level is undetectable, and free T4 is two times the upper limit of normal. What are the possible causes for her thyrotoxicosis? What tests would be useful to sort out the cause of her thyrotoxicosis?1. In a tabular form, enumerate other hormones aside from insulin that regulates blood glucose levels. Include the gland which produces the said hormones, the hormone action, and its effect on the blood glucose level. 2. How does Diabetes mellitus differ from Diabetes insipidus? 3. What are the sources of errors in Glucose oxidase and Hexokinase methods? 4. Describe each of the following blood determination for glucose. a.) RBS b.) FBS c.) 2-hr PPT d.) OGTTOne of the indications for prescribing nateglinide is:A. Depletion of pancreatic beta-cellsB. Significant postprandial hyperglycemiaC. Tendency to develop lactic acidosisD. Resistance to sulfonylureasE. Insulin resistance
- 25. Patient a., 28 y/o, has been diagnosed with Ishchenko-Cushing’s disease. Which methods of treatment of Ishchenko-Cushing’s disease listed below can be referred to etiological? A. Unilateral adrenalectomyB. Bilateral adrenalectomyC. Gamma ray teletherapy of the pituitary gland areaD. All the above mentionedA 20-year-old woman notices a swelling in her neck, just to the left of the midline. Physical examination suggests a nontender 1.5-cm thyroid lesion, and thyroid function tests reveal normal serum thyroid hormone levels. A radioisotope scintiscan demonstrates very little uptake of the iodine in the nodule, consistent with a nonfunctioning nodule, or "cold" nodule. What are the diagnostic considerations? What is the prognosis for these disorders?Answer the following: 1.) an indirect agonist that mimics the action of epinephrine and norepinephrine and either stimulate release or block the reuptake of the naturally occuring sympathomimetics 2.) Toxic concentration of alprazolam 3. The only approved indications for use of this drug is for the treatment of attention-deficit hyperactivity disorder (ADHD) 4. An elevated acetylsalicylic acid serum concentration will decrease serum pH and contributes to 5. the metabolism of acute salicylate poisoning follows what order of metabolism kinetic? 6. In TCA poisoning, why is hemodialysis not recommended as a way of treating patient? 7. after an IV administration of this drug an individual feels a pleasurable experience 8, First generation of the tricyclic antidepressant agents 9. An antidote of choice for iron overdose/poisoning 10. Pediatric toxic dose of salicylates 11. Lethal dose of Amphetamine for children
- 7. Name the hormone(s) produced in inadequate amounts that directly result in the following conditions. 1. diabetes insipidus 2. tetany 3. diabetes mellitus 4. abnormally small stature, normal proportions 5. myxedema (a lower-than-normal metabolic rate) 8. Name the hormone(s) produced in excessive amounts that directly result in the following conditions. 1. in the adult: large bones of the hands, feet, and face 2. nervousness, irregular pulse rate, sweating 3. demineralization of bones, spontaneous fractures8 Which of the following statements) is/are descriptive of diabetes mellitus? I. It results from decrease in insulin production by the pancreas or the cell's insensitivity to insulin. TI. It may manifest as polyphagia and polydipsia. III. It leads to fatal complications like chronic renal failure and cardiovascular diseases. Select the correct response: Ionly Ill only Il only 1, ll, and Ill Il and Ill I and IlI I and IIType- 2 diabetes mellitus is: 1.both a secondary pathology and usually the result of inappropriate hormone secretion 2.both a secondary pathology and usually the result of abnormal target cell responsiveness 3.usually the result of inappropriate hormone secretion 4.a secondary pathology 5.usually the result of abnormal target cell responsiveness
- A 50 year old male is experiencing fatigue, dizziness, and headaches with a rapid decline in his visual acuity. He treats his hypertension and type 2 diabetes with medications. His brow and jaw are enlarged (proganthism), his hands and feet and fingers are wide. His wedding ring no longer fits on his finger. He is obese and has a deep voice. What hormones are of greatest concern of this person? a.) GSH B.) ACTH C.) Prolactin d.) GH1. A group of nursing students have been assigned a presentation during postclinical conference on the pathophysiology of diabetes mellitus and why diabetics must take insulin.a. List five key bullet points about the pathophysiology of diabetes mellitus.Explain in three bullet points how insulin helps the body (nursing)A 46-year-old woman is experiencing fatigue and weight gain despite decreased food intake. Her hair is thinning and her skin is very dry. She reports that she has had mild swelling in her legs. She also reports feeling irritable and depressed. Laboratory tests reveal a low serum T4 level and an elevated serum TSH level. What is the likely diagnosis and what information can the nurse provide to the patient about her condition?