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AACN AGACNP Review Exam 2025 Questions and Answers

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AACN AGACNP Review Exam 2025 Questions and Answers

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AACN AGACNP Review Exam
2025 Questions and Answers


Cushing's Syndrome/Disease - ANSWER✔✔-cortisol excess typically caused by

pituitary adenoma 60-70% of cases.




Central obesity w/ extremity wasting.


dorsocervical fat pad.


rounded facies.


spontaneous bruising.


purple striae


hyperpigmentation


poor wound healing/ skin infections.




Dexamethasone suppression test.



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, 1mg dexamethasone at 2300 hours and measure serum cortisol at 0800.




Remove sources of excess and manage consequences ( HTN, hypokalemia,

hyperglycemia.)


Addison's disease - ANSWER✔✔-Primary


Caused by damage to the adrenal cortex (autoimmune, TB, metastatic disease,

deposition diseases, and drug induced) leading to a decrease in cortisol production.




Secondary


Caused by pituitary failure to release ACTH (in any hypopituitary disorder) causing a

decrease in cortisol production.


Sudden withdrawal of systemic corticosteroids leading to a decrease in cortisol

production from induced corticosteroid suppression.


diabetes insipidus (DI) - ANSWER✔✔-Insufficient ADH or decreased sensitivity to

ADH




Nephron cannot conserve water.




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