4) As part of her treatment, Ms.

4) As part of her treatment, Ms. Brown undergoes a surgical procedure to remove the entire thyroid gland. Unfortunately, this procedure also removes the parathyroid glands embedded in the thyroid, resulting in hypoparathyroidism. As a result of hypoparathyroidism, Ms. Brown’s new lab findings will likely show which of the following? (Select all that apply) select all that apply -hypercalcemia -hypocalcemia -hypophosphatemia -hyperphosphatemia -hyperphosphaturia (increased phosphate in the urine) 5) If the iatrogenic hypoparathyroidism is left untreated, Ms. Brown may experience which of the following symptoms? Select all that apply. -muscle spasms, tetany -osteoporosis and bone fractures -excess bone resorption -dry skin 6) A 7-year-old boy is brought to the emergency department by his grandmother. She informs the staff that she is her grandson’s guardian and that he is breathing heavily and smells funny. Laboratory tests confirm that the child is in diabetic ketoacidosis (DKA). During DKA, insulin counterregulatory hormones, such as catecholamines and cortisol, increase. Profound insulin deficiency results in which of the following? Select all that apply. Group of answer choices -Activation of glucose-forming pathways in �the liver -Increased glucose uptake -Activation of bicarbonate buffering -increased fat mobilization with the release of fatty acids 7) While her grandson is in the hospital, the 60-year-old grandmother has been drinking coffee in an attempt to stay awake at the bedside. She begins to complain of a severe headache. She informs the staff that the headache is usually related to an increase in her blood pressure. Although she has been prescribed medication and has been taking it regularly, she continues to have issues. She is sweating and feels her heart racing. She is transported to the emergency department. She undergoes a barrage of tests and, 2 days later, her physician is ready to discuss her diagnosis of pheochromocytoma. Her symptoms are caused by excessive production of: Group of answer choices ( CHOOSE ALL THAT APPLY) -norepinephrine -cortisol -growth hormone -thyroid-stimulating immunoglobulins 8) It is expected that after BJ’s transsphenoidal hypophysectomy, all of his anterior pituitary hormones will be deficient (panhypopituitarism). Which of the following hormones will he likely need to be replaced for the rest of his life? Select all that apply. Choose all that apply -thryoid hormone -glucocorticoids -testosterone -estrogen 9) Ms. Rogers was always an avid tennis player; she was fit, deeply tan, and full of energy. Lately, however, she has started to lose weight and feel weak. When you ask for more specifics, she replies, “I have no appetite lately except for salty foods. My stomach hurts and I feel nauseous most of the time. And in the last week or so, I’ve been getting dizzy.” While taking Ms. Daniels’ vital signs, you notice that her blood pressure is very low and her pulse is rapid and weak. Her hands show unusually heavy pigmentation on her knuckles. While Ms. Daniels is talking, you notice that her gums also show spots of pigmentation although they appear healthy. Her bloodwork reveals hypoglycemia and hyperkalemia. Urinalysis shows low urinary potassium and low sodium. Based on the information presented in this case study, deficiency of which of the following hormone groups is(are) producing the problem in Ms. Rogers’ case? Select all that apply. -gonadocorticoids -mineralocorticoids -glucocorticoids -ACTH

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