Which diagnostic test measures the concentration of electrolytes, such as sodium and potassium, in the blood and may reveal abnormalities related to fluid and electrolyte balance in diabetes insipidus?
Glucose tolerance test.
Serum electrolyte panel.
Water deprivation test.
Desmopressin stimulation test.
The Correct Answer is B
A serum electrolyte panel measures the concentration of various electrolytes in the blood and can reveal abnormalities related to fluid and electrolyte balance, which may be present in diabetes insipidus.
Incorrect choices:
a. This choice is incorrect. The glucose tolerance test is used to diagnose diabetes mellitus, not diabetes insipidus.
c. This choice is incorrect. The water deprivation test is used to diagnose diabetes insipidus and assess the ability of the kidneys to concentrate urine.
d. This choice is incorrect. The desmopressin stimulation test involves administering synthetic ADH to differentiate between central and nephrogenic diabetes insipidus.
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Correct Answer is D
Explanation
Excessive fluid intake to compensate for fluid loss in diabetes insipidus (DI) can lead to weight loss as the body attempts to excrete excess water.
Incorrect choices:
a. This choice is incorrect. Bradycardia is not typically associated with excessive fluid intake or diabetes insipidus.
b. This choice is incorrect. Hypotension is not typically associated with excessive fluid intake or diabetes insipidus.
c. This choice is incorrect. Edema is not typically associated with excessive fluid intake or diabetes insipidus.
Correct Answer is B
Explanation
Diabetes insipidus is primarily caused by the hyposecretion or inadequate release of antidiuretic hormone (ADH), also known as vasopressin. ADH is responsible for regulating water balance by promoting water reabsorption in the kidneys.
Incorrect choices:
a. This choice is incorrect. Overproduction of ADH would lead to excessive water reabsorption and concentrated urine, which is not characteristic of diabetes insipidus.
c. This choice is incorrect. Hypersecretion of aldosterone would lead to sodium retention and increased fluid volume, which is not characteristic of diabetes insipidus.
d. This choice is incorrect. Impaired function of the thyroid gland would lead to thyroid-related disorders, not diabetes insipidus.
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