Adrenal Gland Disorder

Adrenal Gland Disorder

University

40 Qs

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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

immunosuppression

Control Sodium & potassium balance

Fight-flight response of SNS

increase osteoclast activity

Androgens

Testosterone & estradiol

Glucocorticoid

increase glucagon secretion

Catecholamine

Noradrenaline & adrenaline

decrease insulin secretion

Cortisol

Modulate primary & secondary sex characterizations

Increase gluconeogenesis

Mineralocorticoid

Metabolised carbs, protein, and lipid

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

Stimulates adrebal gland causing bilateral adrenal hyperplasia

Adrenal nodular hyperplasia

Adrenal carcinoma

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

Pituitary adenoma: Secretes excess ACTH

Cushing's disease

Iatrogenic: exogenous glucocorticoid

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
bone thining
striae
weight gain
easy bruising
moon face
thin extremities
buffalo hump

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