RRB Nsg. Superintendent 21 July 2019 (shift 1st)
Medical Surgical Nursing
Easy

Wermer's syndrome is considered as?

Appeared in: RRB Nsg. Superintendent 21 July 2019 (shift 1st)

Explanation

  • Wermer's syndrome is the established eponym for Multiple Endocrine Neoplasia type 1 (MEN I).
  • This is an autosomal dominant disorder, meaning an affected individual has a 50% chance of passing the condition to each child.
  • The classic presentation involves tumors of the Parathyroid, Pancreas, and Pituitary glands, commonly remembered by the mnemonic '3 Ps'.

Why Other Options Were Wrong

  • Option B: MEN II, also known as MEN 2A or Sipple's syndrome, has a different constellation of tumors.
  • Option C: MEN IV is a more recently described and rarer syndrome with a different genetic cause and tumor profile.
  • Option D: MEN III is an older term for what is now classified as MEN 2B.

Related Visual

Visual explanation — Related Visual
  • Visual 1: Diagram - An infographic illustrating the endocrine glands affected in MEN I (Parathyroid, Pancreas, Pituitary), MEN 2A, and MEN 2B to visually differentiate the syndromes.
Clinical Relevance
  • Nursing practice connection: Knowing Classification and eponyms of Multiple Endocrine Neoplasia (MEN) syndromes helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Recognizing eponyms like Wermer's syndrome is crucial for accurate communication and understanding of a patient's diagnosis.
  • A diagnosis of any MEN syndrome necessitates lifelong surveillance for tumors in the associated glands, as well as genetic counseling and screening for first-degree relatives.
  • Nursing care involves patient education about the genetic nature of the disease, the importance of regular follow-ups, managing symptoms of hormone excess, and providing psychosocial support.
How to Approach the Question
  • First, identify the keyword in the question, which is 'Wermer's syndrome'.
  • Recognize that this is a factual recall question asking for the classification of a named syndrome.
  • Access your knowledge of endocrine disorders and their eponyms.
  • Associate 'Wermer's syndrome' with MEN type 1.
  • Use the '3 Ps' mnemonic (Parathyroid, Pancreas, Pituitary) to confirm the characteristics of MEN I and differentiate it from other MEN types.
  • Evaluate the given options and select the one that correctly matches the eponym.
Concept Tested & Keywords
  • Concept Tested: Classification and eponyms of Multiple Endocrine Neoplasia (MEN) syndromes.
  • Stem keywords: Wermer's syndrome
  • Lead-in keywords: is considered as

Question ID

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