Adrenal Insufficiency vs Addison's Disease
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Questions and Answers

Which hormone helps the kidneys retain sodium and excrete potassium in normal physiological conditions?

  • Epinephrine
  • ACTH
  • Cortisol
  • Aldosterone (correct)

How does a reduced aldosterone production impact sodium and potassium levels in Addison's disease?

  • Decreases sodium retention and increases potassium excretion (correct)
  • Increases sodium retention and increases potassium excretion
  • Increases sodium retention and decreases potassium excretion
  • Decreases sodium retention and decreases potassium excretion

What is the primary function of mineralocorticoid replacement therapy in Addison's disease treatment?

  • Enhancing stress response
  • Controlling electrolyte levels (correct)
  • Regulating metabolism
  • Boosting immune function

How does increased salt intake help compensate for the loss of sodium in Addison's disease?

<p>It counters reduced aldosterone production (D)</p> Signup and view all the answers

Which medical condition can arise when a blood clot forms in a blood vessel and impedes the flow of blood?

<p>Thromboembolic phenomena (B)</p> Signup and view all the answers

What role does hydrocortisone play in Addison's disease treatment?

<p>Substitutes for cortisol (C)</p> Signup and view all the answers

What is a symptom of Cushing's syndrome related to electrolyte imbalance?

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

How does dexamethasone suppress cortisol production in the low-dose dexamethasone suppression test?

<p>By decreasing ACTH levels (D)</p> Signup and view all the answers

What is a common symptom of adrenal corticosteroid deficiency as seen in Addison's disease?

<p>Hyperpigmentation of the skin (D)</p> Signup and view all the answers

In Addison's disease, why do cortisol levels remain low despite the body needing it?

<p>Damaged adrenal glands unable to produce enough cortisol (D)</p> Signup and view all the answers

Which system mainly stimulates the production of aldosterone in response to low blood pressure?

<p>Renin-angiotensin system (A)</p> Signup and view all the answers

What is the main trigger for aldosterone release as per the text?

<p>High potassium levels (C)</p> Signup and view all the answers

How does aldosterone impact the kidneys?

<p>Promotes excretion of potassium and conserves sodium (C)</p> Signup and view all the answers

Which adrenal gland section synthesizes aldosterone?

<p>Zona glomerulosa layer (D)</p> Signup and view all the answers

How does aldosterone affect blood pressure?

<p>Increases blood pressure by promoting water retention (C)</p> Signup and view all the answers

How do corticosteroids primarily contribute to the treatment of skin conditions such as eczema and psoriasis?

<p>By leveraging their anti-inflammatory properties (A)</p> Signup and view all the answers

In what way do corticosteroids affect blood pressure when used for medical purposes?

<p>They can lead to hypertension due to fluid retention (A)</p> Signup and view all the answers

What is a significant risk associated with the pharmacological use of corticosteroids if not carefully managed?

<p>High blood sugar levels leading to hyperglycemia (C)</p> Signup and view all the answers

What distinguishes corticosteroids from other adrenal hormones in terms of their effects on the immune system?

<p>Corticosteroids suppress immune system activity (C)</p> Signup and view all the answers

How do corticosteroids impact electrolyte balance, particularly in relation to sodium and potassium levels?

<p>They increase sodium reabsorption by the kidneys and enhance potassium excretion (D)</p> Signup and view all the answers

Which hormone acts on the distal tubules and collecting ducts of the kidney to increase sodium and water reabsorption?

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

What is the primary effect of aldosterone on blood pressure?

<p>Maintaining blood volume by increasing sodium and water reabsorption (A)</p> Signup and view all the answers

Which adrenal gland hormone is pivotal for controlling fluid and electrolyte balance?

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

Apart from mineral balance, what is a key role of cortisol, another adrenal cortex hormone?

<p>Regulating glucose metabolism (B)</p> Signup and view all the answers

Which adrenal gland hormone modulates the immune response by reducing inflammation?

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

What does a lack of cortisol increase following an ACTH stimulation test indicate?

<p>Primary adrenal insufficiency (B)</p> Signup and view all the answers

In Addison's disease, why are ACTH levels typically elevated?

<p>To compensate for low cortisol levels (A)</p> Signup and view all the answers

What would contradict the expectation of Addison's disease in someone being evaluated for it?

<p>High cortisol levels post-ACTH stimulation (D)</p> Signup and view all the answers

In secondary adrenal insufficiency, what is the primary issue that leads to low cortisol levels?

<p>Low ACTH production by the pituitary gland (D)</p> Signup and view all the answers

How do ACTH levels differ between primary Addison's disease and secondary adrenal insufficiency?

<p>High in primary Addison's, low in secondary adrenal insufficiency (C)</p> Signup and view all the answers

In individuals with excessive thyroid hormone levels, what effect on skin hydration is typically observed?

<p>Thin, warm, and moist skin (A)</p> Signup and view all the answers

How does excessive thyroid hormone levels affect cholesterol in the body?

<p>Decrease cholesterol levels (C)</p> Signup and view all the answers

What role do thyroid hormones play in bone turnover in adults?

<p>Accelerate bone loss (C)</p> Signup and view all the answers

What gastrointestinal effect is associated with hyperthyroidism?

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

How do thyroid hormones influence muscle strength and control?

<p>Increase muscle weakness (A)</p> Signup and view all the answers

What are the effects of excessive thyroid hormone on heart function?

<p>Contribute to heart disease (A)</p> Signup and view all the answers

Which characteristic is commonly observed in individuals with hypothyroidism affecting the skin?

<p>Cold and coarse skin (A)</p> Signup and view all the answers

What effect does thyroid hormone have on nerve conduction when levels are excessive?

<p>Cause anxiety or nervousness (A)</p> Signup and view all the answers

How do thyroid hormones impact fat metabolism?

<p>Increase fat mobilization (C)</p> Signup and view all the answers

What is the effect of thyroid hormones on cholesterol synthesis?

<p>Increase cholesterol synthesis (A)</p> Signup and view all the answers

What is a common symptom of a hypotonic colon?

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

How does a hypotonic colon affect bowel movements?

<p>Slows down bowel movements (A)</p> Signup and view all the answers

What is the main purpose of a long-term indwelling catheter in managing urinary retention?

<p>Providing a direct route for urine to flow out of the body (B)</p> Signup and view all the answers

Why does a hypotonic colon lead to abdominal discomfort?

<p>Reduced effectiveness in pushing stool toward the rectum (A)</p> Signup and view all the answers

How does a hypotonic colon differ from a normal colon in terms of muscle tone?

<p>Reduced muscle tone in a hypotonic colon (D)</p> Signup and view all the answers

What term is often used to describe a hypotonic colon?

<p>Lazy colon (B)</p> Signup and view all the answers

How does reduced muscle tone in a hypotonic colon affect bowel movements?

<p>Slows down bowel movements (C)</p> Signup and view all the answers

What is the primary purpose of using a long-term indwelling catheter for managing urinary retention?

<p>Directing urine flow out of the body continuously (B)</p> Signup and view all the answers

Which symptom is often associated with a hypotonic colon?

<p>Abdominal discomfort (D)</p> Signup and view all the answers

In the context of the text, what does a hypotonic colon struggle to effectively do?

<p>Contract to push stool towards the rectum (D)</p> Signup and view all the answers

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