Thursday, November 6, 2008

Pre 10 hormones/osteo

Which of the following is an adverse effect of the oral contraceptives?

A. hypertension
B. acne
C. decrease in breast size
D. pregnancy



Which of the following reflects adverse effects of oral contraceptives?

A. hypoglycemia
B. bronchospasm
C. blood clots
D. atrophy of secondary sex organs



Your cousin has complained of fatigue for some time. You notice she is gaining weight and that her skin has become very dry. She is cold all the time and is not as sharp mentally as she used to be. Her primary care provider says she has a thyroid problem that needs pharmacological support. Which of the following drugs should she take?

A. progesterone
B. a sympathomimetic drug
C. methimazole (TAPAZOLE)
D. levothyroxine (SYNTHROID)



K.R. is a 30 year old type 1 diabetic. He takes regular insulin four times a day. He is complaining that he is really hungry, feels weak, and has a headache. You notice that he is confused and his heart rate is increased and he is sweating. The most likely reason for these symptoms is

A. allergy.
B. hypoglycemia.
C. hyperglycemia.
D. lipodystrophy.



Production of thyroid hormones requires adequate dietary intake of

A. calcium.
B. vitamin B12.
C. iodine/iodide.
D. cholesterol



A patient should be told to take rosiglitizone:

1. 3x/day, 30 minutes after each meal.
2. Without regard to meals.
3. By injecting it into a different site each day.
4. 3x/day, 30 minutes before each meal.



Which of the following would be expected in a patient who needed a higher dose of thyroid hormone replacement?

A. weight loss
B. cough
C. fatigue
D. tachycardia



If you client received too much NPH insulin at 8am, you would anticipate a hypoglycemic reaction would occur

A. between 0800 (8 am) and 1400 (2pm)
B. between 1200 (noon) and 2000 (8 pm)
C. between 2000 (8 pm) and 2400 (midnight) that night
D. NPH does not usually cause hypoglycemia



A patient should be told to take insulin glargine:

A. 5-10 minutes before a meal.
B. Once a day at bedtime.
C. 30 minutes before a meal.
D. 60 minutes before the morning meal.



If your client took regular insulin at 0700 (7am) but forgot to eat, what time would a hypoglycemic reaction be most likely to occur?

A. 0900 (9am)
B. 1500 (3pm)
C. 1800 (6 pm)
D. 2100 (9 pm)



Inadequate dietary intake of iodide/iodine would result in defective production of

A. T3 and T4
B. aldosterone.
C. calcitonin.
D. insulin.


Thanks Nazia Khan for the extra question, we really appreciate it!!!

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