ATI RN
Endocrine Pharmacology NCLEX Questions Questions
Question 1 of 5
A patient presents with increased growth of skeletal and soft tissue, hypertension, arthritis, menstrual disturbances, and diabetes mellitus. Upon administration of oral glucose, which of the following levels would increase?
Correct Answer: B
Rationale: This patient has acromegaly (excess growth hormone). Oral glucose suppresses GH in healthy individuals but not in acromegaly; IGF-1 (stimulated by GH) remains elevated and increases further post-glucose.
Question 2 of 5
A patient presents with polyuria and thirst, stones, and nephrocalcinosis. He also has muscle weakness and bone cysts. All of the following is associated with his disease except:
Correct Answer: D
Rationale: Hyperparathyroidism (high PTH) causes hypercalcemia, stones, and bone cysts. Excessive vitamin D and high bone turnover fit; Paget's is related but less directly. Less sunlight (low vitamin D) opposes this.
Question 3 of 5
A patient presents with a decreased amount of T cells in the body. He presents with tetany , parasthesias, and muscle cramps. His condition has similarities to all of the following except:
Correct Answer: D
Rationale: Hypoparathyroidism (low PTH, low calcium) causes tetany and T-cell issues (DiGeorge syndrome). Rickets, osteomalacia, and pancreatitis can lower calcium; hypercalcemia (high calcium) opposes this.
Question 4 of 5
Which of the following produced only by large amounts of glucocorticoids?
Correct Answer: D
Rationale: Only large (supraphysiologic) glucocorticoid doses inhibit inflammation; others occur at physiologic levels.
Question 5 of 5
Mole for mole, which of the following has the greatest effect on plasma osmolality?
Correct Answer: C
Rationale: Vasopressin (ADH) regulates water reabsorption, most directly affecting plasma osmolality.