GROWTH HORMONE, ADH DRUGS - DR. DAVIS

A 44 year-old woman comes into your office complaining of thickening of her fingers, hands and feet. Her brow and lower jaw are protruding and disfigured. She has been noticing these changes over the last few months and decided to finally get them checked out. She has also been recently diagnosed with HTN and DM. Which of the following would be the best treatment option for her condition?

A. human recombinant growth hormone
B. mecasermin
C. somatotrophin
D. pegvisomant
E. recombinant IGF-1

A woman brings her 8 year-old son into your office because she is concerned that he is too tall for his age and may have some type of hormone condition. She says that he towers over his classmates at school and has really big hands and feet. Although the boy's father is thrilled with his height, because he wants his son to become a basketball player, the mother is worried. Blood labs are ordered and a few weeks later come back with elevated levels of growth hormone. What is the most likely diagnosis for the young boy?

A. Laron-type dwarfism
B. Noonan syndrome
C. acromegaly
D. gigantism
E. none of the above

All of the following are possible side effects of somatostatin analogs EXCEPT:

A. acromegaly
B. nausea
C. gallstones
D. flatulence
E. all of the above are possible side effects

A 35 year-old woman is rushed into the ER after being involved in a serious car accident. She has lost a significant amount of blood due to hemorrhage. She has no history of coronary artery or renal disease. Which of the following should be adminstered immediately?

A. somatostatin
B. somatotrophin
C. furosemide
D. desmopressin

You have been out partying all night with your friends at a post-exam party and have had several alcoholic beverages. Through out the night you have made numerous trips to the restroom (#1, not #2). Release of which of the following is most likely being inhibited by the ethanol?

A. growth hormone
B. IGF-1
C. vasopressin
D. somatostatin
E. none of the above

All of the following are adverse effects of desmopressin EXCEPT:

A. vasoconstriction
B. water intoxication
C. hypernatremia
D. all of the above are possible adverse effects