Podcast
Questions and Answers
What is the primary cause of addisonian crisis in patients with adrenocortical insufficiency?
What is the primary cause of addisonian crisis in patients with adrenocortical insufficiency?
- Bilateral adrenalectomy
- Sudden withdrawal of corticosteroid hormone therapy (correct)
- Infection
- Sudden withdrawal of anticoagulant therapy
Which of the following is NOT a common manifestation of adrenocortical insufficiency?
Which of the following is NOT a common manifestation of adrenocortical insufficiency?
- Hypertension (correct)
- Anorexia
- Skin hyperpigmentation
- Weight loss
What is the result of a positive response to ACTH stimulation in patients with adrenocortical insufficiency?
What is the result of a positive response to ACTH stimulation in patients with adrenocortical insufficiency?
- A 5% increase in plasma cortisol levels (correct)
- Low plasma cortisol levels
- A definitive diagnosis of addisonian crisis
- A normal response to vasopressors and fluid replacement
What is the primary site of skin hyperpigmentation in patients with adrenocortical insufficiency?
What is the primary site of skin hyperpigmentation in patients with adrenocortical insufficiency?
Which of the following is a life-threatening complication of adrenocortical insufficiency?
Which of the following is a life-threatening complication of adrenocortical insufficiency?
What is the typical response to vasopressors and fluid replacement in patients with adrenocortical insufficiency experiencing circulatory collapse?
What is the typical response to vasopressors and fluid replacement in patients with adrenocortical insufficiency experiencing circulatory collapse?
Which of the following is NOT a trigger for addisonian crisis in patients with adrenocortical insufficiency?
Which of the following is NOT a trigger for addisonian crisis in patients with adrenocortical insufficiency?
What percentage of Addison disease cases in the United States are caused by an autoimmune response?
What percentage of Addison disease cases in the United States are caused by an autoimmune response?
Which of the following hormones are usually sufficient in secondary adrenocortical insufficiency?
Which of the following hormones are usually sufficient in secondary adrenocortical insufficiency?
What is the term for Addison disease presenting along with other endocrine disorders?
What is the term for Addison disease presenting along with other endocrine disorders?
What is the result of an autoimmune response in Addison disease?
What is the result of an autoimmune response in Addison disease?
Which of the following is NOT a cause of Addison disease?
Which of the following is NOT a cause of Addison disease?
What is the term for the lack of pituitary adrenocorticotropic hormone (ACTH) secretion?
What is the term for the lack of pituitary adrenocorticotropic hormone (ACTH) secretion?
What is the percentage of the book that is left to read?
What is the percentage of the book that is left to read?
What is the primary source of androgen production in women?
What is the primary source of androgen production in women?
What is the primary goal of administering large volumes of 0.9% saline solution and 5% dextrose to a patient in addisonian crisis?
What is the primary goal of administering large volumes of 0.9% saline solution and 5% dextrose to a patient in addisonian crisis?
What is the primary reason patients with Addison disease cannot cope with stress?
What is the primary reason patients with Addison disease cannot cope with stress?
What is the recommended approach to caring for a patient with Addison disease in a hospital setting?
What is the recommended approach to caring for a patient with Addison disease in a hospital setting?
What is the expected outcome of IV high-dose hydrocortisone replacement in a patient hospitalized due to an adrenal crisis?
What is the expected outcome of IV high-dose hydrocortisone replacement in a patient hospitalized due to an adrenal crisis?
What is the primary focus of patient and caregiver teaching for individuals with Addison disease?
What is the primary focus of patient and caregiver teaching for individuals with Addison disease?
What is the recommended action for patients taking mineralocorticoid therapy?
What is the recommended action for patients taking mineralocorticoid therapy?
What is the primary reason for teaching patients with Addison disease to wear a medical identification bracelet and carry a wallet card?
What is the primary reason for teaching patients with Addison disease to wear a medical identification bracelet and carry a wallet card?
What is the recommended action for patients with Addison disease who experience vomiting or diarrhea?
What is the recommended action for patients with Addison disease who experience vomiting or diarrhea?
What is the purpose of carrying an emergency kit with 100mg of IM methylprednisolone (Solu-Medrol), syringes, and instructions for use?
What is the purpose of carrying an emergency kit with 100mg of IM methylprednisolone (Solu-Medrol), syringes, and instructions for use?
Why is it necessary to teach patients with Addison disease about prevention of infection and prompt treatment of existing infections?
Why is it necessary to teach patients with Addison disease about prevention of infection and prompt treatment of existing infections?
What is the recommended action for patients with Addison disease who engage in rigorous physical activity, such as playing sports on a hot day or distance running?
What is the recommended action for patients with Addison disease who engage in rigorous physical activity, such as playing sports on a hot day or distance running?
Why is it essential to provide management instructions for patients with diabetes who take corticosteroids?
Why is it essential to provide management instructions for patients with diabetes who take corticosteroids?
What is the purpose of teaching patients with Addison disease to recognize the signs and symptoms of corticosteroid deficiency and excess?
What is the purpose of teaching patients with Addison disease to recognize the signs and symptoms of corticosteroid deficiency and excess?
Which laboratory finding is typically associated with adrenocortical insufficiency?
Which laboratory finding is typically associated with adrenocortical insufficiency?
What is the purpose of giving glucocorticoids in divided doses in adrenocortical insufficiency treatment?
What is the purpose of giving glucocorticoids in divided doses in adrenocortical insufficiency treatment?
What is the most commonly used form of hormone therapy in adrenocortical insufficiency treatment?
What is the most commonly used form of hormone therapy in adrenocortical insufficiency treatment?
Why is the dosage of glucocorticoids increased in stressful situations in patients with adrenocortical insufficiency?
Why is the dosage of glucocorticoids increased in stressful situations in patients with adrenocortical insufficiency?
What is the purpose of replacing mineralocorticoids with fludrocortisone in adrenocortical insufficiency treatment?
What is the purpose of replacing mineralocorticoids with fludrocortisone in adrenocortical insufficiency treatment?
What is the reason for increased BUN levels in patients with adrenocortical insufficiency?
What is the reason for increased BUN levels in patients with adrenocortical insufficiency?
What is the purpose of using CT and MRI in patients with adrenocortical insufficiency?
What is the purpose of using CT and MRI in patients with adrenocortical insufficiency?
Why is it important to manage the underlying cause of adrenocortical insufficiency?
Why is it important to manage the underlying cause of adrenocortical insufficiency?
What is the benefit of giving mineralocorticoids in the morning in adrenocortical insufficiency treatment?
What is the benefit of giving mineralocorticoids in the morning in adrenocortical insufficiency treatment?
What is the result of a lack of cortisol and aldosterone in the urine of patients with adrenocortical insufficiency?
What is the result of a lack of cortisol and aldosterone in the urine of patients with adrenocortical insufficiency?
