MDC II TEST 2 FINAL SCRIPT 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ *▪ Muscle weakness*
▪ Muscle/joint pain
▪ Fatigue. Answer: *Addison's Disease*
▪ Neuromuscular S/S
◉ *▪ Hypertension*
▪ Dependent edema
▪ Bruising
▪ Petechiae. Answer: *Cushing's Disease aka hypercortisolism*
▪ Cardiovascular S/S
◉ *INCREASED*
• blood glucose level
• sodium level
• late-night salivary cortisol
**• urine cortisol**
,*DECREASED*
• lymphocyte count
• calcium level. Answer: *Cushing's Disease aka hypercortisolism*
▪ Laboratory Tests
◉ *INCREASED*
*▪ potassium (K)*
▪ calcium (Ca)
▪ BUN
*DECREASED*
▪ serum cortisol
▪ salivary cortisol
▪ fasting blood glucose
*▪ sodium (Na)*. Answer: *Addison's Disease*
▪ Laboratory Tests
◉ Sodium increases
,Potassium decreases. Answer: In *hyperaldosteronism* what
happens with potassium and sodium? (Remember...it's the opposite
of Addison's disease)
◉ *Heat intolerance* - they are sweaty!. Answer: *Hyperthyroidism
aka Grave's disease*
▪ Hallmark assessment
◉ Pheochromocytoma. Answer: a benign tumor of the adrenal
medulla that causes the gland to produce excess epinephrine, so you
are in a constant fight/flight state.
◉ ▪ Do not smoke
▪ Do not drink caffeine
▪ Do not change position suddenly
▪ Eat a diet rich in calories, vitamins, and minerals (avoid tyramine
foods)
Any of the above can cause a hypertensive crisis (closely monitor
their BP!)
*never palpate or can give pt a massive rush of catecholamines
(epinephrine)*. Answer: *Pheochromocytoma*
, ▪ Patient Education
◉ *Cold intolerance*
Other S/S:
▪ think dehydration: fatigue, weakness, lethargy, constipation, dry
skin
▪ poor memory
▪ fatigue
▪ lack of energy -> sleeping more frequently
▪ muscle aches
▪ stiff muscles. Answer: *Hypothyroidism*
▪ Hallmark assessment
◉ Improvement usually occurs within 2 weeks. Answer: *Thyroid
Therapy*
▪ When will a patient feel therapeutic effects?
WITH ANSWERS GRADED A+
◉ *▪ Muscle weakness*
▪ Muscle/joint pain
▪ Fatigue. Answer: *Addison's Disease*
▪ Neuromuscular S/S
◉ *▪ Hypertension*
▪ Dependent edema
▪ Bruising
▪ Petechiae. Answer: *Cushing's Disease aka hypercortisolism*
▪ Cardiovascular S/S
◉ *INCREASED*
• blood glucose level
• sodium level
• late-night salivary cortisol
**• urine cortisol**
,*DECREASED*
• lymphocyte count
• calcium level. Answer: *Cushing's Disease aka hypercortisolism*
▪ Laboratory Tests
◉ *INCREASED*
*▪ potassium (K)*
▪ calcium (Ca)
▪ BUN
*DECREASED*
▪ serum cortisol
▪ salivary cortisol
▪ fasting blood glucose
*▪ sodium (Na)*. Answer: *Addison's Disease*
▪ Laboratory Tests
◉ Sodium increases
,Potassium decreases. Answer: In *hyperaldosteronism* what
happens with potassium and sodium? (Remember...it's the opposite
of Addison's disease)
◉ *Heat intolerance* - they are sweaty!. Answer: *Hyperthyroidism
aka Grave's disease*
▪ Hallmark assessment
◉ Pheochromocytoma. Answer: a benign tumor of the adrenal
medulla that causes the gland to produce excess epinephrine, so you
are in a constant fight/flight state.
◉ ▪ Do not smoke
▪ Do not drink caffeine
▪ Do not change position suddenly
▪ Eat a diet rich in calories, vitamins, and minerals (avoid tyramine
foods)
Any of the above can cause a hypertensive crisis (closely monitor
their BP!)
*never palpate or can give pt a massive rush of catecholamines
(epinephrine)*. Answer: *Pheochromocytoma*
, ▪ Patient Education
◉ *Cold intolerance*
Other S/S:
▪ think dehydration: fatigue, weakness, lethargy, constipation, dry
skin
▪ poor memory
▪ fatigue
▪ lack of energy -> sleeping more frequently
▪ muscle aches
▪ stiff muscles. Answer: *Hypothyroidism*
▪ Hallmark assessment
◉ Improvement usually occurs within 2 weeks. Answer: *Thyroid
Therapy*
▪ When will a patient feel therapeutic effects?
