Endocrine Disorders: Cushing's and Addison's Diseases
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Questions and Answers

What hormone levels are typically associated with Cushing’s Syndrome?

  • High cortisol, low ACTH, low CRH (correct)
  • Low cortisol, low ACTH, high CRH
  • Normal cortisol, high ACTH, low CRH
  • Low cortisol, high ACTH, high CRH
  • What causes Cushing’s Disease?

  • Adrenal tumor producing excess cortisol
  • Pituitary tumor that overproduces ACTH (correct)
  • Autoimmune destruction of adrenal glands
  • Excessive stimulation of zona glomerulosa
  • In Primary Adrenal Insufficiency (Addison’s Disease), which hormone levels are elevated?

  • High ACTH and low CRH
  • Low cortisol and high ACTH (correct)
  • High cortisol and high aldosterone
  • Normal cortisol and high renin
  • What is the primary reason for low ACTH levels in Secondary Adrenal Insufficiency?

    <p>Low ACTH production from pituitary dysfunction</p> Signup and view all the answers

    What characterizes Primary Hyperaldosteronism (Conn’s Syndrome) in terms of hormone levels?

    <p>High aldosterone, low renin, normal cortisol</p> Signup and view all the answers

    What is the underlying cause of Secondary Hyperaldosteronism?

    <p>Renal artery stenosis</p> Signup and view all the answers

    Which condition is characterized by elevated prolactin levels and causes symptoms like galactorrhea?

    <p>Hyperprolactinemia</p> Signup and view all the answers

    In patients with Secondary Adrenal Insufficiency, which hormone level might be considered normal?

    <p>Aldosterone</p> Signup and view all the answers

    What is a common characteristic of hormone levels in Cushing’s Syndrome compared to Cushing’s Disease?

    <p>Cushing's Disease has high ACTH and cortisol</p> Signup and view all the answers

    Study Notes

    Cushing’s Syndrome

    • Caused by an adrenal tumor that produces excess cortisol
    • High cortisol, low ACTH, and low CRH due to negative feedback

    Cushing’s Disease

    • Caused by a pituitary tumor that overproduces ACTH
    • High ACTH, high cortisol, low CRH (from cortisol’s negative feedback)

    Primary Adrenal Insufficiency (Addison’s Disease)

    • Often caused by autoimmune destruction of the adrenal glands
    • Leads to insufficient production of cortisol and aldosterone
    • Low cortisol, low aldosterone, high ACTH, high CRH

    Secondary Adrenal Insufficiency

    • Caused by pituitary dysfunction leading to low ACTH production
    • Low ACTH, low cortisol, normal aldosterone (regulated by RAAS), possibly low or normal CRH

    Primary Hyperaldosteronism (Conn’s Syndrome)

    • Caused by either bilateral adrenal hyperplasia (BAH) or aldosterone-producing adenoma (APA)
    • Leads to excess aldosterone
    • High aldosterone, normal cortisol, low renin (due to feedback)

    Secondary Hyperaldosteronism

    • Caused by excessive stimulation of the zona glomerulosa by high renin, often due to conditions like heart failure or renal artery stenosis
    • High aldosterone and high renin

    Hyperprolactinemia

    • Caused by a pituitary tumor that produces excess prolactin
    • Can cause galactorrhea, amenorrhea in women, and decreased libido in men

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    Description

    This quiz covers key concepts related to adrenal disorders, including Cushing’s Syndrome, Cushing’s Disease, Addison’s Disease, and other related conditions. Test your understanding of hormone regulation and the impact of adrenal dysfunction on the body's physiology.

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