1) BJ is a 54-year-old attorney who

1) BJ is a 54-year-old attorney who for several months has been experiencing generalized headaches that have responded poorly to nonnarcotic analgesics. He is also experiencing visual disturbances, including blurred vision and double vision. On questioning, BJ reports that he has gained 20 pounds over 2 years despite having had no change in activity or eating patterns. About his weight gain, BJ jokes, “I guess it’s all in my feet. I had to buy new shoes, and my shoe size went from a size 10 to a size 12.” Based on his symptoms of headache, visual disturbances, weight gain, and increased foot size, the most likely diagnosis for BJ is which of the following? Group of answer choices a) Hypersecretion of growth hormone b)Addison’s disease c)Graves disease resulting in hypersecretion of thyroid hormone d)Cushing’s disease 2) 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 3)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 DKA. During DKA, insulin counterregulatory hormones, such as catecholamines and cortisol, increase. Profound insulin deficiency results in: SELECT ALL THAT APPLY – Decreased fat mobilization -Activation of glucose-forming pathways in the liver – Increased glucose uptake – Activation of bicarbonate buffering 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

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