An adolescent is being seen in the clinic for evaluation of acromegaly. The nurse understands that which occurs with acromegaly?
a. There is a lack of growth hormone (GH) being produced.
b. There is excess growth hormone (GH) after closure of the epiphyseal plates.
c. There is an excess of growth hormone (GH) before the closure of the epiphyseal plates.
d. There is a lack of thyroid hormone being produced.
ANS: B
Excess GH after closure of the epiphyseal plates results in acromegaly. A lack of growth hormone results in delayed growth or even dwarfism. Gigantism occurs when there is hypersecretion of GH before the closure of the epiphyseal plates. Cretinism is associated with hypothyroidism.
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