Cushing's Syndrome and Disease Quiz

<p>50% (B)</p> Signup and view all the answers

<p>Up to 10 years (A)</p> Signup and view all the answers

<p>Ketoconazole, Metyrapone, Mitotane (A)</p> Signup and view all the answers

<p>Gastrointestinal complaints (C)</p> Signup and view all the answers

<p>To prevent thinning of the bone (B)</p> Signup and view all the answers

<p>To identify potential side effects, such as liver damage (B)</p> Signup and view all the answers

<p>Metyrapone (C)</p> Signup and view all the answers

<p>It is a less invasive procedure compared to other options (A)</p> Signup and view all the answers

<p>Excess hair growth (D)</p> Signup and view all the answers

<p>To monitor for possible tumor enlargement in the pituitary gland (D)</p> Signup and view all the answers

<p>Pasireotide (C)</p> Signup and view all the answers

<p>These medications can increase the risk of birth defects or abortion (D)</p> Signup and view all the answers

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

<p>To regulate salt and water balance in the body (D)</p> Signup and view all the answers

<p>Mifepristone (C)</p> Signup and view all the answers

<p>20% (D)</p> Signup and view all the answers

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

<p>70-90% (B)</p> Signup and view all the answers

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

<p>The tumor was not completely removed. (A)</p> Signup and view all the answers

<p>To block the effects of cortisol in the body (A)</p> Signup and view all the answers

<p>Continuous glucocorticoid and mineralocorticoid therapy (A)</p> Signup and view all the answers

<p>Anti-diuretic hormone (C)</p> Signup and view all the answers

<p>MRI imaging (C)</p> Signup and view all the answers

<p>Frequent urination (C)</p> Signup and view all the answers

<p>Visual loss or stroke (C)</p> Signup and view all the answers

<p>Second surgical operation (D)</p> Signup and view all the answers

<p>Anti-diuretic hormone (D)</p> Signup and view all the answers

<p>Radiation therapy (B)</p> Signup and view all the answers

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

<p>Headaches. (C)</p> Signup and view all the answers

<p>Observing the patient's response to treatment for other potential causes. (B)</p> Signup and view all the answers

<p>Excess cortisol interferes with the body's ability to produce protein. (D)</p> Signup and view all the answers

<p>Irregular periods. (C)</p> Signup and view all the answers

<p>Managing stress and inflammation. (A)</p> Signup and view all the answers

<p>Mifepristone blocks the action of cortisol at its receptor sites throughout the body (D)</p> Signup and view all the answers

<p>Directly inhibiting ACTH production and tumor growth (B)</p> Signup and view all the answers

<p>Cushing's disease is caused by a tumor of the pituitary gland producing excessive ACTH, while Cushing's syndrome encompasses any reason for cortisol overproduction. (A)</p> Signup and view all the answers

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

<p>The adrenal glands are responsible for converting ACTH into cortisol. (D)</p> Signup and view all the answers

<p>An increase in cortisol production (D)</p> Signup and view all the answers

<p>To test for pituitary-dependent Cushing's disease (C)</p> Signup and view all the answers

<p>Production of ACTH from a site other than the pituitary gland. (B)</p> Signup and view all the answers

A condition caused by excess cortisol in the body, often due to ACTH levels.

Adrenocorticotropic hormone, which stimulates cortisol production in the adrenal glands.

A surgical method to remove tumors causing Cushing's disease, though not always 100% successful.

A treatment for Cushing's disease that may damage other pituitary cells, affecting hormone production.

Therapy needed by up to 50% of radiation therapy patients due to pituitary damage.

Drugs like ketoconazole and metyrapone reduce cortisol production from the adrenal glands.

Additional treatments for Cushing's symptoms, including diabetes and high blood pressure management.

The best method to cure pituitary tumors related to Cushing's disease.

An antifungal medication that can harm the liver, requiring blood tests.

A drug that may cause excess hair growth and high blood pressure.

A less invasive surgery through the nose to remove pituitary tumors.

Eliminates cortisol production, requires lifelong hormone replacement.

A hormone that helps control salt and water balance after adrenal removal.

A condition caused by excess cortisol, often needing surgical or medical treatment.

A medication that may stop tumor growth and reduce ACTH production.

Periodic imaging to monitor pituitary tumor size after surgery.

Normal cortisol levels decrease when regulated properly.

Conditions mimicking Cushing's syndrome but are caused by other issues.

Symptoms include weight gain, high blood pressure, mood changes.

Often characterized by trunk obesity without arm gain.

Tests to differentiate Cushing's syndrome from other conditions.

Cushing's can lead to changes in memory and mood.

Loss of protein in body tissues can cause weakness.

A medication for Cushing's disease taken by mouth that normalizes urine cortisol in about 40% of patients.

A medication that blocks cortisol effects but does not affect the tumor itself.

The return of tumors in up to 15% of patients after initial surgery.

The effectiveness of tumor removal, ranging from 70-90% depending on surgeon's skill.

The goal of certain medications for reducing cortisol levels in Cushing's patients.

A specialist appropriate for managing treatments for conditions like Cushing's disease.

Prolonged increase in hydrocortisone may need evaluation and tapering.

MRI is used to monitor pituitary gland tumors post-surgery.

A condition where excessive urination occurs due to anti-diuretic hormone loss.

Hormone that controls water reabsorption in the kidneys.

Pituitary surgery can risk damage to optic nerves and carotid arteries.

A second surgery may be needed if the first does not find the tumor.

Radiation to the pituitary could affect other hormone-producing cells.

Glands located above the kidneys that produce hormones like cortisol and aldosterone.

A hormone produced by adrenal glands, crucial during stress and illness situations.

Production of ACTH from a tumor outside the pituitary gland.

Surgical procedure to remove the adrenal glands, often to treat excessive cortisol production.

Hormone from the hypothalamus that stimulates ACTH release from the pituitary gland.

Form of Cushing’s syndrome caused specifically by a pituitary tumor producing excess ACTH.