A&P 1 MA278/BSC2 Module 10 Quiz

A&P 1 MA278/BSC2 Module 10 Quiz • Question 1

• out of 1 points

Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes

her vital signs before doing further testing. Here are her results: BP 124/74,

Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds.

Edna’s doctor is worried about her endocrine function. Which of the following glands is most likely causing her symptoms?Selected

Answer:

Thyroid gland

Answers:

Pineal gland Thymus gland

• Question 2 Thyroid gland Adrenal gland

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Edna’s symptoms are similar to those present in Grave’s disease.

Selected

Answer:

Fals

e

Answers: True

Fals e • Question 3

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During Edna’s physical exam, her physician notes an enlargement of her thyroid gland. What is this called and why is it important in her case?

Selected

Answer:

A goiter- these goiters can be relatively no issues if they're small enough but when they get too enlarged they can cause weight gain because they're pushing on the thyroid gland which helps regulate metabolism. They can also affect her feeling rested, or in her case sluggish and always tired needing so much caffeine

Correct

Answer:

Goiter- can indicate thyroid dysfunction and help lead her doctor to the correct diagnosis.

Response

Feedback:

[None Given] • Question 4

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Edna’s physician suspects that she may have hypothyroidism. Which of the following tests would be the first step to help confirm that diagnosis?

Selected

Answer:

Blood test for thyroxine and TSH levels

Answers:

Blood test for thyroxine and TSH levels

Fine needle biopsy Thyroidectomy

• Question 5 Ultrasound of the thyroid

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Edna’s test results showed that her T4 level was below normal. Why might her TSH level be elevated?

Selected

Answer:

Correct Hypothyroidism would show T4 levels down, this would alert the pituitary gland to send TSH to thryoid to make more- basically a lot of TSH trying to get T4 levels up but T4 isn't being made as fast as TSH

Answer:

When TH is low, the negative feedback loop tells the hypothalamus to release more TRH, which tells the pituitary to release more TSH.

Response

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[None Given] • Question 6

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If Edna’s condition goes untreated, she may experience more severe symptoms. List 3 symptoms (other than those given in her history) that often accompany untreated hypothyroidism.

Selected

Answer:

to cold Puffy face Muscle weakness Increased sensitivity

Constipation Dry skin

Correct Answer:

Response

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• Question 7

Weight gain, dry skin, constipation, etc.[None Given]

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Which of the following is the most likely and effective form of treatment for Edna’s condition?Selected

Answer:

Life-long oral medication, such as levothyroxine

Answers:

Life-long oral medication, such as levothyroxine

Dietary changes, including elimination of caffeine

Thyroidectomy

• Question 8 Two week prescription of thyroid medication

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Why would Edna’s doctor inquire about her iodine intake? (Explain why iodine is pertinent in this case and how it affects the thyroid.) Selected

Answer:

Correct A goiter is an enlarged thyroid gland which is caused by a decrease level of iodine. Iodine is needed within TH for the body to recognize it as functional.

Answer:

Iodine plays an important role in the function of the thyroid gland. It is the chief component of thyroid hormones, and is essential for their production. Iodine is obtained from the water we drink and the food we eat.

Response

Feedback:

[None Given]

• Question 9

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If Eda is prescribed a synthetic thyroid medication, which of the following would be a sign that her dosage is too high?

Selected

Answer:

Anxiety

Answers: Decrease basal

metabolic rate

Cold intolerance Weight gain

• Question 10 Anxiety

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If Edna’s symptoms are related to Hashimoto’s thyroiditis, should her daughters be concerned about their own thyroid health? Why or why not?Selected

Answer:

Correct yes, Hashimoto's is hereditary and affects females more than males. If she does have this, her daughters are at higher risk

Answer:

Although truly genetic causes of thyroiditis would have shown symptoms in infancy, there is certainly a chance that her daughters will experience thyroid issues in the future. While the cause is not well understood, having a mother with a history of thyroid disease increases your chance of developing thyroid disease, too. Edna’s daughters should monitor their thyroid health when they reach adulthood.

Response

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[None Given] • Question 11

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Elaine just turned 50 years old and had all of the recommended screening tests at her annual physical. She was surprised to learn that she had an abnormal blood glucose result. She has had blood sugar tests in the past and her results were always within normal limits. Her doctor asked her to follow-up with further testing.

Elaine’s doctor wants to know more about her family history of endocrine disorders. Why would her physician ask her about this?Selected

Answer:

Pancrease is a part of endocrine, if her blood sugars were abnormally high she could have a disorder affecting her pancreas which kicks out insulin that helps regulate the blood sugar. If her pancreas isn't working it either isn't kicking out insulin to bring those sugars back