DOH Endocrine & Diabetes Nursing Practice Questions

1. Which set of findings is expected in a patient with hyperthyroidism (Graves' disease)?

1. A. Cold intolerance, weight gain and bradycardia
2. B. Heat intolerance, weight loss and tachycardia
3. C. Hyperpigmentation, hypotension and salt craving
4. D. Moon face, purple striae and central obesity

2. The nurse taps in front of the ear over the facial nerve of a patient after thyroidectomy, and the corner of the mouth twitches. What does this indicate?

1. A. Bell's palsy due to surgical nerve damage
2. B. Positive Trousseau sign suggesting hypokalaemia
3. C. Normal facial nerve reflex
4. D. Positive Chvostek sign suggesting hypocalcaemia

3. Which laboratory pattern is typical of primary hypothyroidism?

1. A. Normal TSH with raised free T4
2. B. Low TSH with low free T4
3. C. Low TSH with raised free T4
4. D. Raised TSH with low free T4

4. A patient with type 2 diabetes treated with insulin tells the nurse she intends to fast during Ramadan. What is the most appropriate advice?

1. A. Avoid checking blood glucose while fasting
2. B. Arrange a pre-Ramadan assessment to review risk and adjust medicines
3. C. Continue the usual insulin doses at the usual times without change
4. D. Stop all diabetes medicines for the whole month

5. A patient with central diabetes insipidus is started on desmopressin. Which finding indicates a possible adverse effect of treatment?

1. A. Rising serum sodium and urine specific gravity of 1.001
2. B. Increased thirst and urine output
3. C. Weight loss and dry mucous membranes
4. D. Headache, weight gain and falling serum sodium