1. Which of the following cells release insulin
    Beta Cells
  2. What long term effect can increased fat metabolism cause for a patient with diabetes?
    Severe atherosclerosis
  3. Signs and symptoms of hypoglycemia may include:
    Combative behaviour
  4. 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:
  5. Glyburide and glipizide are examples of:
    Oral hypoglycemic agents
  6. Which of the following conditions is present due to the decreased production of corticosteroids?
    Addison's disease
  7. Type I diabetes is caused by:
    Inadequate production of insulin
  8. The primary functions of insulin are to:
    Transport flucose into the cells
  9. The medical term for abnormally large fluid output is:
  10. A dibetic patient exhibits Kussmaul breathing to:
    Compensate for metabolic acidosis
  11. In acute episodes of thyroid storm, symptoms resemble:
    Adrenergic hyperactivity
  12. Endocrine glands secrete their hormones into the:
  13. 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
  14. Under the influence of insulin, fatty acids are converted to:
  15. A major effect of glucagon is to:
    Stimulate glygogen levels
  16. Your EKG shows a rate of 150 with narrow QRS waves. The R-R interval is grossly irregular. This rhythm is:
    Atrial Fibrillation
  17. Which of the following is characteristic of Tyoe I diabetes?
    It has a heritable component
  18. The loss of glucose in the urine prevents tubular reabsorption of fluid, known as:
    Osmotic diuresis
  19. 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:
  20. The medical term for excessive thirst is:
  21. The end product of glycogenolysis is:
  22. Your EKG shows a regular rhythm at 60 with a PTI of 0.22. What is this rhythm?
    First degree heart block
  23. Acini are glands that produce:
    Pancreatic juice
  24. A woman in her 40's who reports a thickening of the skin on her nose and lips may have:
  25. A hormone that opposes the effects of insulin is:
    Growth hormone
  26. Administration of dextrose 50% can precipitate neurological complications in:
  27. Glucose not needed for immediate energy is stored in the _________ as _________
    Liver; Glocogen
  28. Glucagon is effective in treating hypoglycemia because it stimulates the:
    Break down of liver glucogen
  29. Which hormones is produced by the pituitary gland and stimulates growth of the adrenals?
  30. Addison's disease is potentially life threatening because it causes a deficiency in:
    Cortison and aldosterone
  31. Muscle glycogen is:
    Used by muscle for energy
  32. Compared to patients with DKA, patients with hyperosmolar hyperglycemic nonketotic coma (HHNK) often have:
    Higher serum glucose levels
  33. You would suspect hypoglycemia in a diabetic patient who:
    is a chronic alcoholic
  34. 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!)
  35. Oral hypoglycemic agents:
    Stimulate the release of insulin
  36. Type II diabetes is caused by:
    Decreased production of insulin
  37. Glucagon should be considered when:
    An IV line cannot be established
  38. Signs and symptoms of diabetic ketoacidosis include:
    Warm, dry skin and Kussmaul respirations
  39. The type of diabetes that causes the body to destroy its own insulin-producing cells is:
    Type I
  40. Your patient reports developing symptoms over a 12- to 48-hour period, which is consistent with:
  41. 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
  42. Diabetes is caused primarily by a disorder of the:
  43. Which of the following is a steriod hormone?
  44. In a patient with diabetes, DKA is likely to result from:
  45. Thyroid hormones are responsible for:
    Regulating the basal metabolic rate
  46. 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
  47. When testing a patient's blood glucose level, you obtain a reading of 120 mg/dL. This reading is:
    The high end of normal
  48. The first food component to enter the bloodstream after a meal is ingested is:
  49. The reason hypoglycemic patients have rapid changes in their levels of consciousness is that:
    The brain uses only serum glucose
  50. 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:
  51. Which of the following hormones is secreted when serum glucose levels rise?
  52. Which of the following is true of the regulation of hormone secretion?
    Negative feedback is the most common feedback mechanism
  53. Compared to an endocrine gland, an exocrine gland:
    Secrete chemicals through a duct to the target tissue
Card Set
Paramedic endocrine quiz