CMCP exam 4- Questions & Answers
two types of adrenal insufficiency (hypoadrenalism) is Correct Ans-primary (addisons) and
secondary
addisons disease be careful that they don't get Correct Ans-stressed. The body has no cortisol
so the body can't adapt to stress, they may have cortisol with them
secondary adrenal insufficiency results from Correct Ans-administration of exogenous
corticosteroids and is MOST common (more then primary) asthma and immunosuppressant pts
which is more common primary or secondary adrenal insufficency? Correct Ans-secondary
Addison's disease other names are Correct Ans-hypoadrenalism
addisons disease (primary adrenal) signs and symptoms Correct Ans-basic boring signs...
weakness
fatigue
abnormal skin pigment
hypotension
anorexia
weight loss
nausea and vomiting
,stress in patients with addisons can cause ______ if not treated immediately Correct Ans-
death
S+S of secondary insufficiency/hypoadrenalism Correct Ans-usually none unless significant
stress and inadequate cortisol (to balance the stress) ----> lead to adrenal crisis
asthma pt and autoimmune pts (who take exogenous corticosteriods taken) can cause Correct
Ans-secondary hypoadrenalism. taking cortisol causes adrenal glands to become lazy and they
forget how to produce cortisol when it is needed.
hyperadrenalism is also called _________ and caused by Correct Ans-cushings syndrome,
long term corticosterioid (cortisol) treatment
do steroids reduce life span Correct Ans-yes
Cushing's syndrome Correct Ans-Weight gain
Round moon shaped face
Buffalo hump on back
Hypertension
Heart failure
Osteoporosis
Diabetes
,Impaired wound healing
predisposing factors for hyperadrenalism Correct Ans--lack of glucocorticosteriod hormones
-sudden removal of steriod hormones (with primary addisons and secondary insufficiency)
-stress
how is addisons disease treated Correct Ans-Glucocorticoid steriods
max use of glucocorticosteriods is _____mg/day of exogenous hydrocortisone because misuse
can cause atrophy (shrink)of adrenal glands Correct Ans-20
after stopping adrenal insufficiency meds (hydrocortisosteriods) the function of adrenal glands
will return in Correct Ans-2-4 weeks after stopping may take up to a year
S+S of adrenal insufficiency Correct Ans-hypotension
use of steriods long term
mental confusion
abdominal pain
nausea and vomiting
can you go cold turkey and stop steriods suddently Correct Ans-no, the risk of stopping can
cause adrenal crisis so have to be weened off slowly
, oral manifestations of primary insufficiency Correct Ans-brown oral mucosoa
macular pigment
sun exposed skin follows oral pigment
oral manifestations of secondary insufficiency Correct Ans-delayed healing increased
susceptibility to infection
KNOW rules of 2's Correct Ans-if taken over 20 mg for longer then 2 weeks within 2 years
if 2 of rules of 2 need Correct Ans-physic consult
10 mg for 3 weeks 6 months ago is this in rule of twos? Correct Ans-yes
20 mg for a month 6 years ago is this rule of twos? Correct Ans-yes
arthritis is inflammation of the Correct Ans-joint - autoimmune
rheumatoid arthritis Correct Ans-autoimmune disease - inflammation in joints of hands, feet,
and knees. common age 35-50
T/F severe rheumatoid arthritis shortens lifespan Correct Ans-true by 10-15 years
two types of adrenal insufficiency (hypoadrenalism) is Correct Ans-primary (addisons) and
secondary
addisons disease be careful that they don't get Correct Ans-stressed. The body has no cortisol
so the body can't adapt to stress, they may have cortisol with them
secondary adrenal insufficiency results from Correct Ans-administration of exogenous
corticosteroids and is MOST common (more then primary) asthma and immunosuppressant pts
which is more common primary or secondary adrenal insufficency? Correct Ans-secondary
Addison's disease other names are Correct Ans-hypoadrenalism
addisons disease (primary adrenal) signs and symptoms Correct Ans-basic boring signs...
weakness
fatigue
abnormal skin pigment
hypotension
anorexia
weight loss
nausea and vomiting
,stress in patients with addisons can cause ______ if not treated immediately Correct Ans-
death
S+S of secondary insufficiency/hypoadrenalism Correct Ans-usually none unless significant
stress and inadequate cortisol (to balance the stress) ----> lead to adrenal crisis
asthma pt and autoimmune pts (who take exogenous corticosteriods taken) can cause Correct
Ans-secondary hypoadrenalism. taking cortisol causes adrenal glands to become lazy and they
forget how to produce cortisol when it is needed.
hyperadrenalism is also called _________ and caused by Correct Ans-cushings syndrome,
long term corticosterioid (cortisol) treatment
do steroids reduce life span Correct Ans-yes
Cushing's syndrome Correct Ans-Weight gain
Round moon shaped face
Buffalo hump on back
Hypertension
Heart failure
Osteoporosis
Diabetes
,Impaired wound healing
predisposing factors for hyperadrenalism Correct Ans--lack of glucocorticosteriod hormones
-sudden removal of steriod hormones (with primary addisons and secondary insufficiency)
-stress
how is addisons disease treated Correct Ans-Glucocorticoid steriods
max use of glucocorticosteriods is _____mg/day of exogenous hydrocortisone because misuse
can cause atrophy (shrink)of adrenal glands Correct Ans-20
after stopping adrenal insufficiency meds (hydrocortisosteriods) the function of adrenal glands
will return in Correct Ans-2-4 weeks after stopping may take up to a year
S+S of adrenal insufficiency Correct Ans-hypotension
use of steriods long term
mental confusion
abdominal pain
nausea and vomiting
can you go cold turkey and stop steriods suddently Correct Ans-no, the risk of stopping can
cause adrenal crisis so have to be weened off slowly
, oral manifestations of primary insufficiency Correct Ans-brown oral mucosoa
macular pigment
sun exposed skin follows oral pigment
oral manifestations of secondary insufficiency Correct Ans-delayed healing increased
susceptibility to infection
KNOW rules of 2's Correct Ans-if taken over 20 mg for longer then 2 weeks within 2 years
if 2 of rules of 2 need Correct Ans-physic consult
10 mg for 3 weeks 6 months ago is this in rule of twos? Correct Ans-yes
20 mg for a month 6 years ago is this rule of twos? Correct Ans-yes
arthritis is inflammation of the Correct Ans-joint - autoimmune
rheumatoid arthritis Correct Ans-autoimmune disease - inflammation in joints of hands, feet,
and knees. common age 35-50
T/F severe rheumatoid arthritis shortens lifespan Correct Ans-true by 10-15 years
