AACN AGACNP Review questions with correct 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. 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.
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