12 Questions
Which is the most common cause of primary (nonexogenous) bilateral ACTH deficiency in the United States?
Autoimmune disease
Which condition is associated with local destruction of all zones of the adrenal cortex?
Addison disease
Which condition is NOT a cause of adrenocortical insufficiency?
HIV
Which condition is characterized by enzymatic defects in cortisol synthesis, compensatory elevations in ACTH, and congenital adrenal hyperplasia?
Primary adrenal insufficiency
What can happen when even a minor stress is present in glucocorticoid-deficient patients?
Acute adrenal crisis
What is the recommended perioperative glucocorticoid regimen for patients with adrenal insufficiency?
The patient's usual daily dose plus 50 to 100 mg of hydrocortisone before surgical incision
Which is the leading cause of underproduction of corticosteroids?
Withdrawal of steroids
What is the most common cause of primary (nonexogenous) bilateral ACTH deficiency in the United States?
Autoimmune disease
Which condition is associated with both glucocorticoid and mineralocorticoid deficiency if the insufficiency is bilateral?
Addison disease
Which condition is characterized by compensatory elevations in ACTH and congenital adrenal hyperplasia?
Adrenal insufficiency
What is the most common cause of secondary adrenal insufficiency?
Pituitary or hypothalamic tumor
What is the recommended perioperative glucocorticoid regimen for patients with adrenal insufficiency?
25 mg hydrocortisone phosphate intravenously at the start of the operative procedure
Test your knowledge on Adrenocortical Hormone Deficiency and Glucocorticoid Deficiency with this informative quiz. Learn about the leading causes and management of underproduction of corticosteroids, as well as other factors contributing to adrenocortical insufficiency.
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