623 Adult - Endocrine Addison/Cushing - NP Certification, Fitzgerald 4th ed.

c. a benign pituitary tumor

Cushing's disease is the specific type of Cushing's syndrome that is caused by: a. long-term exposure to corticosteroids b. a benign tumor of the adrenal gland c. a benign pituitary tumor d. an ectopic tumor that produces ACTH

c. cortisol

Cushing's syndrome results from an excess of: a. luteinizing hormone b. follicle stimulating hormone c. cortisol d. aldosterone

c. ensuring an ample amt of sodium is ingested

a 24 y/o female runner is dx with Addison's disease. In counseling her about exercise, you recommend: a. tapering her running to only 10 min per day for 2 to 3 days per week b. ceasing any prolonged strenuous exercise c. ensuring an ample amt of sodium is ingested d. switching to a non-impact exercise

d. folate

a 34 y/o woman c/o of progressive weakness, fatigue, poor appetite, and weight loss. She has also noticed the development of hyperpigmentation, mainly on theknuckles, elbows, and knees. All of the following blood tests can be used to help confirm a dx of Addison's disease EXCEPT: a. sodium b. potassium c. cortisol d. folate

d. hydrocortisone

a 43 y/o man is experiencing an acute adrenal crisis and presents with prominent nausea, vomiting, and low blood pressure. He appears cyanotic and confused. The most appropriate txment is an injection of: a. epinephrine b. insulin c. adrenaline d. hydrocortisone

b. Cushing's syndrome

a 46 y/o woman c/o fatigue, weakness, lethargy, decreased concentration and memory, and increased facial hair over the past 2 months. She also reports gaining over 30 pounds in the past 2 months. She has a hx of asthma with repeated flares during the past 6 months requiring multiple courses of prednisone tx. A likely dx for this pt is: a. type 2 diabetes b. Cushing's syndrome c. Cushing's disease d. central obesity

a. gradually tapering corticosteroid use

a first line approach to tx Cushing's syndrome in a 56 y/o woman who has been taking oral corticosteroids to tx rheumatoid arthritis for the past 2 yrs is: a. gradually tapering corticosteroid use b. referral for surgery c. consider radiation tx d. prescribe mifepristone

b. rehydration

intervention for pts with heatstroke includes: a. total body ice packing b. rehydration c. fluid restriction d. potassium supplementation

a. elevated total creatine kinase

lab findings in heatstroke usually include: a. elevated total creatine kinase b. anemia c. metabolic alkalosis d. hypokalemia

a. rhabdomyolysis

possible adverse outcomes from heatstroke include: a. rhabdomyolysis b. anemia c. hypernatremia d. leukopenia

d. use of a vasodilator

risk factors for heatstroke include all of the following exept: a. obesity b. use of beta-adrenergic antagonists c. excessive activity d. use of a vasodilator

a. pituitary gland

secondary adrenal insufficiency can occur with the presence of a diseased or malfunctioning: a. pituitary gland b. thyroid c. pancreatic beta cells d. hypothalamus

b. maintenance of thyroid function

the hormone cortisol plays a role in all of the following processes EXCEPT: a. maintaining glucose control b. maintenance of thyroid function c. suppressing the immune response d. helping the body respond to stress

d. surgical intervention

the most commonly recommended txment of Cushing's disease is: a. tapering or ceasing corticosteroid use b. eliminating trigger medications c. antineoplastic tx d. surgical intervention

a. rheumatoid arthritis

untreated Cushing's syndrome can lead to all of the following EXCEPT: a. rheumatoid arthritis b. hypertension c. type 2 diabetes d. osteoporosis

b. aldosterone

which of the following is a mineralocorticoid? a. cortisol b. aldosterone c. insulin d. hydrocortisone