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32 Cards in this Set

  • Front
  • Back
Identify:

Paired endocrine organs situated at the superior poles of the kidneys, consists of two parts.
Adrenal Glands
Identify:

The outer portion of the adrenal gland.
Cortex
Identify:
An area of the adrenal gland that produces epinephrine and nor epinephrine
Medulla
The Cortex of the Adrenal glands secrete?
1- mineralocorticoids
2- glucocorticoids
3- androgens
The Medulla of the adrenal glands produce?
1 - epinephrine
2 - nor epinephrine
Glucocorticoids:

a) contribute to sexual activity in adult women
b) regulate metabolism
c) regulate sodium & potassium balance
b) regulate metabolism
Mineralocorticoids:

a) contribute to sexual activity in adult women
b) regulate metabolism
c) regulate sodium & potassium balance
c) regulate sodium & potassium balance
Mineralocorticoids:

a) contribute to sexual activity in adult women
b) regulate metabolism
c) regulate sodium & potassium balance
a) contribute to sexual activity in adult women
Regulate metabolism:

a) glucocorticoids
b) mineralocorticoids
c) androgens
a) glucocorticoids
Contribute to sexual activity in adult women:

a) glucocorticoids
b) mineralocorticoids
c) androgens
c) androgens
Increase blood glucose levels:

a) glucocorticoids
b) mineralocorticoids
c) androgens
a) glucocorticoids
Contribute to growth & development:

a) glucocorticoids
b) mineralocorticoids
c) androgens
c) androgens
Critical in the physiologic stress response:

a) glucocorticoids
b) mineralocorticoids
c) androgens
a) glucocorticoids
Aldosterone:

a) glucocorticoids
b) mineralocorticoids
c) androgens

a) contribute to sexual activity in adult women
b) regulate metabolism
c) regulate sodium & potassium balance
b) mineralocorticoids
Regulate sodium & potassium balance:

a) glucocorticoids
b) mineralocorticoids
c) androgens
b) mineralocorticoids
Cortisol:

a) glucocorticoids
b) mineralocorticoids
c) androgens
a) glucocorticoids
Aldosterone:

a) glucocorticoids
b) mineralocorticoids
c) androgens

a) contribute to sexual activity in adult women
b) regulate metabolism
c) regulate sodium & potassium balance
b) mineralocorticoids
Cushings syndrome is a disorder of the:

a) adrenal medulla
b) adrenal cortex
b) adrenal cortex

gluco-minero-andro cortex
Cushings Syndrome is a spectrum of clinical abnormalities cause by excess corticosteroids, and particularly:

a) glucocorticosteroids
b) mineralocorticoids
c) androgens
a) glucocorticoids
Which of all of the following causes of Cushings syndrome is the most common exogenous cause?

a) adrenal tumors
b) ACTH-secreting pituitary tumor
c) ectopic production by tumors outside the hypothalamic-pituitaty adrenal axis
d) prolonged administration of high doses of corticostertoids
d) prolonged administration of high doses of corticostertoids

predisone
The most common cause of endogenous Cushings Syndrome (disease) is:

a) adrenal tumors
b) ACTH-secreting pituitary tumor
c) ectopic production by tumors outside the hypothalamic-pituitaty adrenal axis
d) prolonged administration of high doses of corticostertoids
b) ACTH-secreting pituitary tumor
Corticosteroid excess causes pronounced changes in physical appearance . Weight gain, the most common feature, results from the accumulation of adipose tissue in the trunk, face and cervical area. Transient weight gain from sodium & water retention may be present because of:

a) glucocorticoids
b) mineralocorticoids
d) androgens
b) mineralocorticoids
Corticosteroid excess causes pronounced changes in physical appearance . Weight gain, the most common feature, results from the accumulation of adipose tissue in the trunk, face and cervical area. Hyperglycemia occurs because of:

a) glucocorticoids
b) mineralocorticoids
d) androgens
a) glucocorticoids
Corticosteroid excess causes pronounced changes in physical appearance. Weight gain, the most common feature, results from the accumulation of adipose tissue in the trunk, face and cervical area. Protein wasting is caused by:

a) cortisol
b) aldosterone
d) androgens
a) cortisol
Corticosteroid excess causes pronounced changes in physical appearance. Weight gain, the most common feature, results from the accumulation of adipose tissue in the trunk, face and cervical area. Euphoria, irritanility, hypomania to depression, & emotional lability is coused by:

a) glucocorticoids
b) mineralocorticoids
d) androgens
a) glucocorticoids
Corticosteroid excess causes pronounced changes in physical appearance. Weight gain, the most common feature, results from the accumulation of adipose tissue in the trunk, face and cervical area. Hypertension is caused by:

a) glucocorticoids
b) mineralocorticoids
d) androgens
b) mineralocorticoids

S/T fluid retention
With Cushings Syndrome, if the etiology is a tumor in the pituitary, adrenal, or ectopic you would expect which of the following TX:

a) surgery
b) alternate day dosing
c) radiation
d) reduction of steroid dose
e) drug therapy (Lysodren)
f) gradual discontinuation of medication
a) surgery
With Cushings Syndrome, if the etiology is prolonged use of corticosteroids you would expect which of the following TX:

a) surgery
b) alternate day dosing
c) radiation
d) reduction of steroid dose
e) drug therapy (Lysodren)
f) gradual discontinuation of medication
b) alternate day dosing
d) reduction of steroid dose
f) gradual discontinuation of medication
When Cushings syndrome is suspected, you will anticipate that which of the following will occur first:

a) 24 hour urine collection for free cortisol & a low-dose dexamethasone suppression test
b) 24 hour urine collection for free cortisol & a high-dose dexamethasone suppression test
c) CT scan
d) MRI
a) 24 hour urine collection for free cortisol & a low-dose dexamethasone suppression test

if results are borderline then a 24 hour urine collection for free cortisol & a HIGH-dose dexamethasone suppression test

CT & MRI are used for tumor localization
With Cushings syndrome, which of following is used in the presence of an inoperable adrenal cortical carcinoma?

a) Lysodren
b) metyrapone
c) Nizoral
d) Cytaden
a) Lysodren (mitotane)
This drug essentially results in a "medical adrenalectomy"

a) Lysodren
b) metyrapone
c) Nizoral
d) Cytaden
a) Lysodren (mitotane)
With Cushings Syndrome, Lysodren (mitotane) does all of the following except:

a) supresses cortisol production
b) alters peripheral metabolism of cortisol
c) decreases plasma & urine cortiosteroid levels
d) results in a "medical adrenalectomy
e) inhibit cortisol synthesis
e) inhibit cortisol synthesis