Nursing Pharmacology: Hypothalamic and Pituitary Practice
Questions
G protein-coupled hormone receptor system(s):
- GHRH
- somatostatin
- thyrotropin-releasing hormone
- FSH
- all the above
Primary target organ for adrenocorticotropin (ACTH):
- liver
- adrenal cortex
- thyroid
- gonads
- breast
Primary target organ for leutinizing hormone:
- liver
- adrenal cortex
- thyroid
- gonads
- breast
Hypothalamic hormone linked to the pituitary hormone prolactin
- growth hormone releasing hormone
- corticotropin-releasing hormone
- dopamine
- gonadotropin-releasing hormone
- somatotropin release-inhibiting hormone (somatostatin, SRIH)
In short children with subnormal GH responses to oral L-DOPA, a normal response following GHRH infusion suggests:
- pituitary or hypothalamic dysfunction
- growth hormone deficiency due to hypothalamic dysfunction
- both
- neither
Somatostatin vs. octreotide: longer serum half-life:
- somatostatin
- octreotide
Clinical uses for the somatostatin analog, octreotide:
- acute bleeding control from esophageal varices
- carcinoid syndrome symptoms
- gastrinoma symptoms
- acromegaly symptoms
- all the above
Effects of growth hormone:
- adipose tissue lipolysis
- skeletal muscle atrophy
- both
- neither
Most common cause of congenital growth hormone deficiency:
- craniopharyngiomas and other hypophyseal-pituitary region disease
- lack of hypothalamic growth hormone-releasing factors
- high-level of serum growth hormone antibodies
Recombinant DNA technology growth hormone for pharmacological use:
- somatotropin
- somatrem
- both
- neither
Clinical factors that may impair growth hormone response:
- hypothyroidism
- diabetes insipidus
- diabetes mellitus
- A & B
- A, B & C
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