EXAM 3 AGPCNP II- ENDOCRINE QUESTIONS WITH CORRECT ANSWERS

EXAM 3 AGPCNP II: ENDOCRINE QUESTIONS
WITH CORRECT ANSWERS

Cushing'sAsyndromeA-AcorrectAanswer-endocrineAdisorderAcausedAbyAhighAlevelsAofAcortisolA
-risk:A20-50,Aobesity,ApoorlyAcontrolledADMIIAwithAHTN


essentialsAofAdiagnosisAforAcushingsA-AcorrectAanswer--
centralAobesity,AmuscleAwasting,Ahirsutism,ApurpleAstriae
-psychologicalAchanges
-osteoporosis,AHTN,ApoorAwoundAhealing
-hyperglycemia,Aleukocytosis,Alymphocytopenia,Ahypokalemia
-elevatedAserumAcortisolAandAurinaryAfreeAcortisol
-lackAofAnormalAsuppressionAbyAdexamethasone


cushing'sAs/sA-AcorrectAanswer--fatigue,AreducedAendurance
-buffaloAhump,AmoonAface,AcentralAobesityA
-amenorrheaAorAerectileAdysfunction
-thirst,Apolyuria,ArenalAcalculi


adrenalAcarcinomasA-AcorrectAanswer--usuallyAhaveAgrossAmetastasisAbyAdiagnosis


labAfindingsAcushingsA-AcorrectAanswer--leukocytosis,Ahypokalemia


diagnosticsAforAcushingsA-AcorrectAanswer--
AlateAnightAsalivaryAcortisolA(consistentlyAgreaterAthanA250Aabnormal)



-overnightAdexamethoasoneAsuppressionAtest
-24AhoursAurinaryAfreeAcortisolAandAcreatinine


diagnosticsAforAsourceAofAhypercortisolismA-AcorrectAanswer--plasmaAACTH
-plasmaADHEAS

, imagingAforAcushingsA-AcorrectAanswer--ACTH-independentA=ACTAofAadrenals
-ACTH-dependentA=AMRIAofApituitary


treatmentAforAcushingsA-AcorrectAanswer--boneAdensityA
-pituitaryAisAbestAtreatedAwithAtranssphenoidalAselectiveAresectionAofAtheApituitaryAadenoma
-benignAadrenalAadenomasAmayAbeAresectedAlaproscopically
-adrenocorticalAcarcinomasAresectedAsurgically


-treatAunderlyingAcause
-therapyAwithAmifepristone,Apasireotide,AketoconazoleApriorAtoAsx
-surgery
-pituitaryAradiation
-post-surgicalAcorticosteroidAreplacement


cortisolAwithdrawalAsyndromeA-AcorrectAanswer-
hypotension,Anausea,Afatigue,Aarthralgia,Amyalgia,Apruritus,AflakingAskin


mineralocorticoidAhtnAcanAbeAtreatedAwithA-AcorrectAanswer-
spironolactone,Aelperenone,AandAdihydropyridineACCBs


whenAtoAreferAforAcushingsA-AcorrectAanswer-whenAdexamethasoneAsuppressionAtestAisAabnormal


follow-upAforAcushingsA-AcorrectAanswer--screeningAeveryA6-12Amonths
-morningAcortisolAlevelAcheckedAafterAcorticosteroidAuse
-routineAtestingAforAHTN,ADMAandAosteoporosis


Addison'sA(primaryAadrenalAinsufficiency)A-AcorrectAanswer-
causesAdecreasedAproductionAofAadrenocorticalAhormonesA(cortisol,Aaldosterone,AandAdehydoepiandroster
one)