Adrenal Gland Disorder

Adrenal Gland Disorder

University

40 Qs

quiz-placeholder

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Adrenal Gland Disorder

Adrenal Gland Disorder

Assessment

Quiz

Science

University

Practice Problem

Hard

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40 questions

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1.

CLASSIFICATION QUESTION

10 sec • 1 pt

Adrenal can be categorized into several areas

Groups:

(a) Zona glomerulosa

,

(b) Zona fasciculata

,

(c) Zona reticularis

,

(d) Medulla

Aldosterone

Androgens

Mineralocorticoid

increase glucagon secretion

Fight-flight response of SNS

Control Sodium & potassium balance

Catecholamine

decrease insulin secretion

Testosterone & estradiol

increase osteoclast activity

Glucocorticoid

Modulate primary & secondary sex characterizations

immunosuppression

Metabolised carbs, protein, and lipid

Noradrenaline & adrenaline

Increase gluconeogenesis

Cortisol

2.

MULTIPLE SELECT QUESTION

10 sec • 1 pt

The following is an example of diseases under adrenal hyperfunction

Cushing's syndrome

Hyperaldosteronism

Pheochromocytoma

Adrenal insufficiency

Addison's disease

3.

MULTIPLE SELECT QUESTION

10 sec • 1 pt

The following is true regarding area-hormone-disease pairs of adrenal gland disorder

Zona glomerulosa - mineralocorticoid - hyperaldosteronism

Zona fasciculata - glucocorticoid - Cushing's syndrome, Addison's disease

Zona reticularis - androgens - Adrenal insufficiency

Medulla - catecholamines - pheochromocytoma

All of the above

4.

MULTIPLE SELECT QUESTION

10 sec • 1 pt

The following is true regarding Cushing's syndrome

caused by exposure to high circulating levels of cortisol

resulted from exogenous administration

resulted from endogenous overproduction by adrenal gland

resulted from abnormal adrenocortical tissues

may interchangeably called hyperaldosteronism

5.

CLASSIFICATION QUESTION

10 sec • 1 pt

The following is the etiology of Cushing's syndrome

Groups:

(a) ACTH-dependent

,

(b) ACTH-independent

Ectopic ACTH production: tumor of pancreas, thyroid, or lungs

Iatrogenic: exogenous glucocorticoid

Cushing's disease

Adrenal carcinoma

Pituitary adenoma: Secretes excess ACTH

Stimulates adrebal gland causing bilateral adrenal hyperplasia

Adrenal nodular hyperplasia

Adrenal adenoma

6.

MULTIPLE SELECT QUESTION

10 sec • 1 pt

First line tests in suspected Cushing's syndrome includes

Overnight PO dexamethasone 1mg suppression test at midnight and measured at 8am

24-H urinary free cortisol (UFC) normal <280nmol/24H

48-H dexamethasone suppression test

Performed after iatrogenic etiology is ruled out

Should be performed prior to drug history taking

7.

LABELLING QUESTION

10 sec • 1 pt

The following is symptoms of Cushing's syndrome

a
b
c
d
e
f
g
easy bruising
buffalo hump
moon face
bone thining
striae
thin extremities
weight gain

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