Nurs 251 Final Exam PSU Questions and Correct Answers Score 100% Cover typical blood glucose goals including fasting blood glucose, pre and post prandial blood glucose and HbA1c. - Correct AnsFasting blood glucose = 70-140mg/dL Preprandial (before meal) = 80-130 mg/dL Postprandial (2 hr after meal) = <180 mg/dL HbA1C = < 7%
Describe how glucocorticoids exert their anti-inflammatory effect. - Correct AnsThe glucocorticoids work at the cellular level to bind to receptors that either activate the production of anti-inflammatory proteins or prevent proinflammatory protein production.
Describe the basic pathophysiology of diabetes, specifically in the pancreas. - Correct AnsDiabetes is when the pancreas no longer produces insulin or the cells in the body stop responding to insulin or some combination of the two.
Describe the risks associated with long term use of glucocorticoids. - Correct AnsSymptoms similar to Cushing's disease such as, abnormal fat deposits causing a rounded "moon face" or "buffalo hump" on their shoulders. Steroid psychosis is associated with long term use. Prolonged use will result in increased gluconeogenesis which can lead to obesity or diabetes. It will also lead to increased protein catabolism which will show up as muscle weakness and wasting, thinning of skin, osteoporosis, decreased growth in children, decreased wound healing, increased infections.
Explain the basic mechanism of action around contraceptive medications. - Correct AnsBy taking an oral contraceptive, the women is introducing exogenous estrogen and progesterone into their body that would not normally be there. This is enough of a change to signal the inhibition of FSH and LH resulting in no ovulation as well as changes to the endometrium that prevent implantation.
Hormones associated with the anterior pituitary gland - Correct Ans-Adrenocorticotropic Hormone (ACTH) -Follicle Stimulating Hormone (FSH) -Growth Hormone (GH) -Luteinizing Hormone (LH) -Prolactin (PH) -Thyroid Stimulating Hormone (TSH),
Hormones associated with the posterior pituitary gland - Correct Ans-Antidiuretic Hormone (ADH) -Oxytocin
How does Amylin Agonist work to lower blood glucose? - Correct Ansamylin is a hormone released by the beta cells specifically in response to food. It functions to decrease postprandial glucose levels. This happens in three ways: slows gastric
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