Question 1

Which of the following stimulates secretion of aldosterone?

Accepted Answer

A)  stress 
B)  hypoglycemia 
C)  a decrease in renal blood pressure 
D)  an increase in renal blood pressure 
A)  stress 
B)  hypoglycemia 
C)  a decrease in renal blood pressure 
D)  an increase in renal blood pressure C

Question 2

Which of the following is true of the physiologic actions of cortisol?

Accepted Answer

A)  insulin agonist 
B)  increases blood pressure 
C)  anti-inflammatory action 
D)  a and b 
E)  b and c 
A)  insulin agonist 
B)  increases blood pressure 
C)  anti-inflammatory action 
D)  a and b 
E)  b and c E

Question 3

Which of the following is the most reliable and most commonly used laboratory test to determine adrenal insufficiency?

Accepted Answer

A)  dexamethasone suppression test 
B)  CRH test 
C)  synthetic ACTH (cosyntropin) stimulation test 
D)  insulin tolerance test 
A)  dexamethasone suppression test 
B)  CRH test 
C)  synthetic ACTH (cosyntropin) stimulation test 
D)  insulin tolerance test C

Question 4

Primary adrenocortical insufficiency is known as ________.

Accepted Answer

A)  Addison's disease 
B)  Cushing's syndrome 
C)  hypoglycemia 
D)  hyperglycemia 
A)  Addison's disease 
B)  Cushing's syndrome 
C)  hypoglycemia 
D)  hyperglycemia

Question 5

According to current recommendations,which of the following groups of patients should receive additional (supplemental)corticosteroids to prevent adrenal crisis during and after surgery?

Accepted Answer

A)  Patients with either primary adrenal insufficiency or secondary adrenal insufficiency should receive additional corticosteroids. 
B)  Patients with primary adrenal insufficiency, but not patients with secondary adrenal insufficiency, should receive additional corticosteroids. 
C)  Patients with secondary adrenal insufficiency, but not patients with primary adrenal insufficiency, should receive additional corticosteroids. 
D)  Neither patients with primary adrenal insufficiency nor patients with secondary adrenal insufficiency should receive additional corticosteroids. 
A)  Patients with either primary adrenal insufficiency or secondary adrenal insufficiency should receive additional corticosteroids. 
B)  Patients with primary adrenal insufficiency, but not patients with secondary adrenal insufficiency, should receive additional corticosteroids. 
C)  Patients with secondary adrenal insufficiency, but not patients with primary adrenal insufficiency, should receive additional corticosteroids. 
D)  Neither patients with primary adrenal insufficiency nor patients with secondary adrenal insufficiency should receive additional corticosteroids.

Question 6

"Moon facies" is associated with ________.

Accepted Answer

A)  mineralocorticoid excess 
B)  mineralocorticoid deficiency 
C)  glucocorticoid excess 
D)  glucocorticoid deficiency 
A)  mineralocorticoid excess 
B)  mineralocorticoid deficiency 
C)  glucocorticoid excess 
D)  glucocorticoid deficiency

Question 7

Which of the following is the predominant product of the zona glomerulosa of the adrenal cortex?

Accepted Answer

A)  glucocorticoids 
B)  aldosterone 
C)  androgens 
D)  epinephrine 
A)  glucocorticoids 
B)  aldosterone 
C)  androgens 
D)  epinephrine

Question 8

Immediate treatment during an adrenal crisis consists of the administration of ________.

Accepted Answer

A)  1000 µg beclomethasone dipropionate 
B)  100 mg of hydrocortisone or 4 mg of dexamethasone IV 
C)  30 mg cortisone 
D)  0.2 mg fludrocortisone 
A)  1000 µg beclomethasone dipropionate 
B)  100 mg of hydrocortisone or 4 mg of dexamethasone IV 
C)  30 mg cortisone 
D)  0.2 mg fludrocortisone

Question 9

Which of the following is the most common cause of secondary adrenal insufficiency?

Accepted Answer

A)  structural lesions of the hypothalamus or pituitary gland 
B)  administration of specific drugs 
C)  administration of exogenous corticosteroids 
D)  a critical illness 
A)  structural lesions of the hypothalamus or pituitary gland 
B)  administration of specific drugs 
C)  administration of exogenous corticosteroids 
D)  a critical illness

Question 10

Hyperpigmentation of the skin and mucous membranes is associated with a deficiency of ________.

Accepted Answer

A)  androgen 
B)  estrogen 
C)  mineralocorticoid 
D)  cortisol 
A)  androgen 
B)  estrogen 
C)  mineralocorticoid 
D)  cortisol

Which of the following stimulates secretion of aldosterone?

Which of the following is true of the physiologic actions of cortisol?

Which of the following is the most reliable and most commonly used laboratory test to determine adrenal insufficiency?

Primary adrenocortical insufficiency is known as ________.

According to current recommendations,which of the following groups of patients should receive additional (supplemental)corticosteroids to prevent adrenal crisis during and after surgery?

"Moon facies" is associated with ________.

Which of the following is the predominant product of the zona glomerulosa of the adrenal cortex?

Immediate treatment during an adrenal crisis consists of the administration of ________.

Which of the following is the most common cause of secondary adrenal insufficiency?

Hyperpigmentation of the skin and mucous membranes is associated with a deficiency of ________.

Patient Evaluation and Risk Assessment

Infective Endocarditis

Hypertension

Ischemic Heart Disease

Cardiac Arrhythmias

Heart Failure or Congestive Heart Failure

Pulmonary Disease

Smoking and Tobacco Use Cessation

Sleep-Related Breathing Disorders

Liver Disease

Gastrointestinal Disease

Chronic Kidney Disease and Dialysis

Sexually Transmitted Diseases

Diabetes Mellitus

Thyroid Diseases

Pregnancy and Breast Feeding

Aids, HIV Infection, and Related Conditions

Allergy

Rheumatologic and Connective Tissue Disorders

Organ and Bone Marrow Transplantation

Disorders of Red Blood Cells

Disorders of White Blood Cells

Acquired Bleeding and Hypercoagulable Disorders

Congenital Bleeding and Hypercoagulable Disorders

Cancer and Oral Care of the Cancer Patient

Neurologic Disorders

Anxiety, eating Disorders, and Behavioral Reactions to Illness

Psychiatric Disorders

Drug and Alcohol Abuse

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Exam 15: Adrenal Insufficiency

Which of the following stimulates secretion of aldosterone?

Which of the following is true of the physiologic actions of cortisol?

Which of the following is the most reliable and most commonly used laboratory test to determine adrenal insufficiency?

Primary adrenocortical insufficiency is known as ________.

According to current recommendations,which of the following groups of patients should receive additional (supplemental)corticosteroids to prevent adrenal crisis during and after surgery?

"Moon facies" is associated with ________.

Which of the following is the predominant product of the zona glomerulosa of the adrenal cortex?

Immediate treatment during an adrenal crisis consists of the administration of ________.

Which of the following is the most common cause of secondary adrenal insufficiency?

Hyperpigmentation of the skin and mucous membranes is associated with a deficiency of ________.

Patient Evaluation and Risk Assessment

Infective Endocarditis

Hypertension

Ischemic Heart Disease

Cardiac Arrhythmias

Heart Failure or Congestive Heart Failure

Pulmonary Disease

Smoking and Tobacco Use Cessation

Sleep-Related Breathing Disorders

Liver Disease

Gastrointestinal Disease

Chronic Kidney Disease and Dialysis

Sexually Transmitted Diseases

Diabetes Mellitus

Thyroid Diseases

Pregnancy and Breast Feeding

Aids, HIV Infection, and Related Conditions

Allergy

Rheumatologic and Connective Tissue Disorders

Organ and Bone Marrow Transplantation

Disorders of Red Blood Cells

Disorders of White Blood Cells

Acquired Bleeding and Hypercoagulable Disorders

Congenital Bleeding and Hypercoagulable Disorders

Cancer and Oral Care of the Cancer Patient

Neurologic Disorders

Anxiety, eating Disorders, and Behavioral Reactions to Illness

Psychiatric Disorders

Drug and Alcohol Abuse

Filters