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Which of the following cells release insulin
Beta Cells
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What long term effect can increased fat metabolism cause for a patient with diabetes?
Severe atherosclerosis
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Signs and symptoms of hypoglycemia may include:
Combative behaviour
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You are called for suspected overdose of a teenage girl experiencing palpitations, diaphoresis, weight loss, and heat intolerance. She informs you that she has been taking an unknown pill to make her feel better and more alert. You would suspect that pill contains:
Synthroid
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Glyburide and glipizide are examples of:
Oral hypoglycemic agents
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Which of the following conditions is present due to the decreased production of corticosteroids?
Addison's disease
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Type I diabetes is caused by:
Inadequate production of insulin
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The primary functions of insulin are to:
Transport flucose into the cells
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The medical term for abnormally large fluid output is:
Polyuria
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A dibetic patient exhibits Kussmaul breathing to:
Compensate for metabolic acidosis
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In acute episodes of thyroid storm, symptoms resemble:
Adrenergic hyperactivity
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Endocrine glands secrete their hormones into the:
Bloodstream
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If needed (as in the absence of insulin), fatty acids in the liver can be metabolized and used for energy. The eventual breakdown products of fatty acids in the liver are known as:
Ketone bodies
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Under the influence of insulin, fatty acids are converted to:
Triglycerides
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A major effect of glucagon is to:
Stimulate glygogen levels
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Your EKG shows a rate of 150 with narrow QRS waves. The R-R interval is grossly irregular. This rhythm is:
Atrial Fibrillation
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Which of the following is characteristic of Tyoe I diabetes?
It has a heritable component
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The loss of glucose in the urine prevents tubular reabsorption of fluid, known as:
Osmotic diuresis
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You are called to treat a 13 year old girl with a history of diabetes. Her mother said she began acting strange then lapsed into unconsciousness. You treat her by admisnistering:
Glucose
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The medical term for excessive thirst is:
Polydipsia
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The end product of glycogenolysis is:
Glucose
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Your EKG shows a regular rhythm at 60 with a PTI of 0.22. What is this rhythm?
First degree heart block
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Acini are glands that produce:
Pancreatic juice
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A woman in her 40's who reports a thickening of the skin on her nose and lips may have:
Myxedema
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A hormone that opposes the effects of insulin is:
Growth hormone
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Administration of dextrose 50% can precipitate neurological complications in:
Alcoholics
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Glucose not needed for immediate energy is stored in the _________ as _________
Liver; Glocogen
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Glucagon is effective in treating hypoglycemia because it stimulates the:
Break down of liver glucogen
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Which hormones is produced by the pituitary gland and stimulates growth of the adrenals?
ACTH
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Addison's disease is potentially life threatening because it causes a deficiency in:
Cortison and aldosterone
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Muscle glycogen is:
Used by muscle for energy
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Compared to patients with DKA, patients with hyperosmolar hyperglycemic nonketotic coma (HHNK) often have:
Higher serum glucose levels
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You would suspect hypoglycemia in a diabetic patient who:
is a chronic alcoholic
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Your DKA patient is severly dehydrated. The physician orders you infuse 3L of NSS during your one hour transport. You only have a "blood set" available that delivers 10 gtts / ml. How fast do you run the drip? (Number only!)
500
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Oral hypoglycemic agents:
Stimulate the release of insulin
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Type II diabetes is caused by:
Decreased production of insulin
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Glucagon should be considered when:
An IV line cannot be established
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Signs and symptoms of diabetic ketoacidosis include:
Warm, dry skin and Kussmaul respirations
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The type of diabetes that causes the body to destroy its own insulin-producing cells is:
Type I
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Your patient reports developing symptoms over a 12- to 48-hour period, which is consistent with:
DKA
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You observe a patient with a very round face, thick trunk, and extremely thin arms and legs. He tells you he has an adrenal gland disorder. You suspect:
Cushings syndrome
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Diabetes is caused primarily by a disorder of the:
Pancreas
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Which of the following is a steriod hormone?
Progesterone
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In a patient with diabetes, DKA is likely to result from:
Infection
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Thyroid hormones are responsible for:
Regulating the basal metabolic rate
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You are evaluating a young woman with a history of Graves' disease. She is currently experiencing agitation and abdominal pain. Her skin is warm and dry, and her heart rate is 120. You suspect
Thyroid storm
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When testing a patient's blood glucose level, you obtain a reading of 120 mg/dL. This reading is:
The high end of normal
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The first food component to enter the bloodstream after a meal is ingested is:
Carbohydrates
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The reason hypoglycemic patients have rapid changes in their levels of consciousness is that:
The brain uses only serum glucose
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You are called to treat a patient with a known history of diabetes and alcoholism. The patients friend reports that he didnt eat all day while they were attending a tailgate party. The patient ingested mixed drinks. The patient is currently unresponsive. You note that he has an insulin pump in place. Before administering dextrose, you should consider administering:
Thiamine
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Which of the following hormones is secreted when serum glucose levels rise?
Insulin
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Which of the following is true of the regulation of hormone secretion?
Negative feedback is the most common feedback mechanism
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Compared to an endocrine gland, an exocrine gland:
Secrete chemicals through a duct to the target tissue
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