Adrenal Insufficiency: Clinical Manifestations & Management
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Questions and Answers

What is the recommended dose of hydrocortisone for acute management of adrenal insufficiency?

  • 100 mg IV x 1, then 200 mg/d in divided doses (correct)
  • 100 mg/day
  • 200 mg/day
  • 15-25 mg divided doses 2-3 times/day

What is the indication of mineralocorticoid deficiency in primary adrenal insufficiency?

  • Hyperkalemia and hypercalcemia (correct)
  • Hypoglycemia and hyponatremia
  • Fluid restriction
  • Steroid emergency cards

What is the recommended stress dose of hydrocortisone for a major procedure?

  • 100 mg/day
  • 50-100 mg IV/8h (correct)
  • 25 mg IV
  • 50-75 mg IV

What should be done for patients with primary adrenal insufficiency undergoing minor procedures?

<p>Continue usual dosing (D)</p> Signup and view all the answers

What is the recommended duration for giving 2-3x normal dose of glucocorticoids in a major illness?

<p><strong>3 days</strong> (C)</p> Signup and view all the answers

What is a common symptom seen in the acute crisis of primary adrenal insufficiency?

<p>Hyponatremia (A)</p> Signup and view all the answers

Which test is used to assess for destruction and autoimmune Addison disease in primary adrenal insufficiency?

<p>21-hydroxylase antibodies (C)</p> Signup and view all the answers

In the workup of primary adrenal insufficiency, what does an ACTH stimulation test measure?

<p>Cortisol levels (A)</p> Signup and view all the answers

What is a common symptom of chronic primary adrenal insufficiency?

<p>Salt craving (D)</p> Signup and view all the answers

Which imaging study is used to assess the adrenals in the workup of primary adrenal insufficiency?

<p>CT scan (B)</p> Signup and view all the answers

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