Deck 26: Endocrine Emergencies

Question 1

The endocrine system includes the following, EXCEPT:

A) Pineal gland
B) Hypothalamus
C) Spleen
D) Pancreas

Answer 1

Spleen

Question 2

Describe the most important regulatory mechanism of the endocrine system:

A) Positive feedback loop
B) Negative feedback system
C) Autoregulation
D) All are correct

Answer 2

Negative feedback system

Question 3

This is characterised by high blood sugar levels with accompanying acidosis, and is a life-threatening condition:

A) Diabetic ketoacidosis
B) Diabetes type 1
C) Diabetes type 2
D) Diabetes insipidus

Answer 3

Diabetic ketoacidosis

Question 4

The type of diabetes characterised mainly due to insulin resistance:

A) Diabetes type 2
B) Diabetes type 1
C) Diabetic ketoacidosis (DKA)
D) Diabetes insipidus

Question 5

In a patient who is diagnosed with DKA who hasbeen resuscitated, what should be regularly monitored?

A) Blood glucose levels and creatine
B) Blood glucose levels and urea
C) Blood glucose levels and ketones
D) Blood glucose level and potassium levels

Question 6

Which of the following is a possible presentation of diabetic ketoacidosis?

A) Kussmaul respirations
B) Bradycardia
C) Hypertension
D) Anuria

Question 7

Aside from assessing ABCD, what is the priority management in DKA?

A) Fluid replacement
B) Electrolyte balance restoration
C) Maintaining blood glucose levels
D) All are correct

Question 8

A condition with presenting hyperglycaemia, high plasma osmolarity but without significant ketone accumulation or acidosis, and typically occurs in type 2 diabetes:

A) Diabetic ketoacidosis
B) Hyperglycaemic, hyperosmolar syndrome
C) Diabetes insipidus
D) All are correct

Question 9

A diabetic patient is experiencing hypoglycaemia. She is conscious and able to follow commands. What would be the most likely intervention?

A) Give insulin to re-establish sugar level parameters
B) Give fast-acting glucose-containing food
C) Administer IV glucose
D) All are correct

Question 10

Following large amounts of alcohol intake, the patient presents in ED with very low blood sugar levels, and increased ketone levels. He is not a known diabetic. What is this condition referred to?

A) DKA
B) HHS
C) Alcoholic ketoacidosis
D) Hypoglycaemia