Endocrine Glucocorticoid Disorders Lecture 7
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Questions and Answers

What is the primary cause of Cushing syndrome?

  • Hypersecretion of glucocorticoids in the adrenal gland (correct)
  • Hyposecretion of glucocorticoids
  • Hypersecretion of CRH in the hypothalamus
  • Hyposecretion of ACTH in the pituitary gland

What is the effect of glucocorticoid hypersecretion on collagen fibers in the subcutaneous tissue?

  • Altered collagen fibers leading to skin pigmentation
  • Decreased collagen fibers leading to fragile skin (correct)
  • No effect on collagen fibers
  • Increased collagen fibers leading to thicker skin

What is the result of protein loss from muscles in Cushing syndrome?

  • Gain of muscle mass and mild weakness
  • Gain of muscle mass and strength
  • No change in muscle mass or strength
  • Loss of muscle mass and severe weakness (correct)

What is the characteristic distribution of fat in Cushing syndrome?

<p>Mobilization of fat from the lower part of the body, with extra-deposition of fat in the thoracic and upper abdominal regions (C)</p> Signup and view all the answers

What is the effect of glucocorticoid hypersecretion on blood glucose concentration?

<p>Increased blood glucose concentration (D)</p> Signup and view all the answers

What is the effect of glucocorticoid hypersecretion on tissue proteins?

<p>Decreased tissue proteins everywhere in the body except the liver (B)</p> Signup and view all the answers

What is the consequence of high blood glucose on beta cells of Langerhans?

<p>Destruction of beta cells leading to frank diabetes mellitus (B)</p> Signup and view all the answers

What is the reason for hypertension in 80% of patients with Cushing syndrome?

<p>Water retention due to mineralocorticoid effects of cortisol (A)</p> Signup and view all the answers

Which of the following is a characteristic of Cushing syndrome?

<p>Mild polycythemia leading to plethoric face (B)</p> Signup and view all the answers

What type of Cushing syndrome arises from abnormalities in the adrenal glands themselves?

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

What is the reason for muscle weakness and thin limbs in Cushing disease?

<p>Decreased tissue proteins (D)</p> Signup and view all the answers

What is a complication of Cushing disease that can delay healing of wounds?

<p>Delayed wound healing (A)</p> Signup and view all the answers

What is the consequence of Addison's disease on blood sugar levels between meals?

<p>Gluconeogenesis from protein and fat is impaired. (B)</p> Signup and view all the answers

What is the effect of cortisol deficiency on protein and fat mobilization in Addison's disease?

<p>Suppressed metabolic functions due to decreased protein and fat mobilization. (D)</p> Signup and view all the answers

What is the characteristic skin pigmentation pattern in Addison's disease?

<p>Blotchy pigmentation in thin skin areas. (A)</p> Signup and view all the answers

What is the primary cause of melanin deposition in Addison's disease?

<p>Loss of normal negative feedback to the hypothalamus and anterior pituitary. (C)</p> Signup and view all the answers

What is the association between Addison's disease and blood pressure?

<p>Addison's disease is often associated with low blood pressure. (C)</p> Signup and view all the answers

What is the consequence of mineralocorticoids deficiency in Addison's disease?

<p>Electrolyte imbalance and dehydration. (A)</p> Signup and view all the answers

What is the primary function of androgens?

<p>Promoting protein anabolism and growth (D)</p> Signup and view all the answers

What is the main source of androgenic activity in males?

<p>Testosterone secreted by the testes (C)</p> Signup and view all the answers

What stimulates the secretion of adrenal androgens?

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

What is the most likely diagnosis for a female with excessive facial hair and a deepened voice?

<p>Adrenogenital syndrome (AGS) (C)</p> Signup and view all the answers

What is the likely cause of rapid development of male sexual organs and virilization in a prepubertal boy?

<p>A virilizing adrenal tumor (B)</p> Signup and view all the answers

Why is diagnosing AGS in adult males challenging?

<p>Androgen levels are naturally high in males (A)</p> Signup and view all the answers

What can be a life-threatening consequence for a person with Addison's disease experiencing a minor infection?

<p>The body has a reduced ability to handle stress. (C)</p> Signup and view all the answers

What causes the darkening of the skin and mucous membranes in Addison's disease?

<p>Elevated MSH stimulating melanin production (B)</p> Signup and view all the answers

What is Addison's disease primarily a deficiency of?

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

What is often associated with a deficiency of in Addison's disease?

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

What is the characteristic of primary Addison's disease?

<p>Cortisol is low, and ACTH is high. (C)</p> Signup and view all the answers

Why is hyponatremia common in Addison's disease?

<p>The kidneys lose sodium due to mineralocorticoid deficiency. (A)</p> Signup and view all the answers

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