Med Madness
Endocrine Assessment
Thyroid
Pituitary
Misc.
100

Beta blockers, iodide, and glucocorticoids are used for symptomatic treatment of what condition?

Hyperthyroidism

100

Age-related physiologic endocrine changes

Decreased estrogen production, decreased metabolism, decreased glucose tolerance, decreased antidiuretic hormone (ADH) secretion. 

100

A patient comes into the emergency room with slurred speech, a swollen face, and has a blank expression. What disorder does the nurse expect?

Hypothyroidism 

100

Hormones excreted from the posterior pituitary are made where?

Hypothalamus 

100

When our body temperature rises, we sweat and vasodilation occurs to lower our temperature. What is this an example of?

Negative feedback loop

200
Methimazole and proplythiouracil (PTU) are what class of drug?

Anti-thyroid

200

What is the gland that helps with control of calcium and phosphorus balance? 

Thyroid gland 
200

Priority interventions when caring for a patient during a thyroid storm

Maintain a patent airway and adequate ventilation. 

200

Name of the surgery to remove a pituitary tumor

Transsphenoidal surgery
200

Hormones secreted by the posterior pituitary

Vasopressin (anti-diuretic hormone) and oxytocin
300

When taking anti-thyroid drugs, what levels are we assessing?

T3 and T4

300

Physical changes associated with acromegaly

Enlarged face, hands, feet, heart, liver, and lungs. 

300

Controls metabolism, regulates calcium and phosphorus balance, feedback loop between the hypothalamus, pituitary and thyroid glands.

Functions of the thyroid gland 

300
Pre-op teaching for patient receiving a hypophysectomy

No coughing, sneezing, bending forward, blowing nose. Nasal packing and mustache dressing. 

300

Name 3 interventions for SIADH

Restricting fluid, oral care, daily weights, I&O, promote excretion, replace lost sodium, seizure precautions. 

400

What is the first line treatment for Grave's Disease?

Radioactive Iodine

400

Do not palpate or put pressure on the thyroid when suspecting what condition? Why? 

Hyperthyroidism-because it can cause a sudden release of thyroid hormones causing a thyroid storm? 
400

What side effects should the patient taking bromocriptine notify the HCP about?

Chest pain, dizziness, nasal discharge 

400

Name 2-3 symptoms of thyroid-stimulating hormone deficiency.

Weight gain, cold intolerance, hirsutism, alopecia, decreased cognition, lethargy

400

This triggers ovulation, helps with hormone production during pregnancy, and causes testes to produce testosterone. 

What is luteinizing hormone

500

What are 2 adverse effects of anti-thyroid drugs?

Agranulocytosis and hepatoxicity 

500

What is the name of the diagnostic test that stimulates the under active gland? 

Provocative Testing 
500

Name 3 common symptoms of hypothyroidism.

Depression, fatigue, weakness, muscle aches, constipation, anorexia, cold intolerance, decrease libido, infertility, change in menses, impotence 

500

Name of therapy that treats growth deficiency 

Recombinant human growth hormone therapy

500

The adrenal cortex produces what? (3)

Cortisol, aldosterone, testosterone 

M
e
n
u