Ssc Ams Test 4 - Adrenal Problems

Front 1

If an adrenal tumor is inoperable, these are used to treat it (not treatment of choice):

Back 1

Alpha and beta-adrenergic blockers

Front 2

What must be stabilized before surgery is performed to remove an adrenal tumor?

Back 2

BP

Front 3

Can you palpate the abdomen of a patient with a pheochromocytoma? Why or why not?

Back 3

No! You can stimulate the release of epinephrine and cause severe HTN

Front 4

A mostly benign tumor of the adrenal medulla; produces, stores, and releases epinephrine and norepinephrine. Causes HTN, headache, profuse diaphoresis, flushing, apprehension, and sense of doom:

Back 4

Pheochromocytoma

Front 5

An adrenal cytotoxic agent used for inoperable adrenal tumors that cause hypercortisolism:

Back 5

Lysodren

Front 6

Drug given to interfere with ACTH production, therefore reducing levels:

Back 6

Periactin

Front 7

What is the treatment goal of Cushing's disease?

Back 7

To decrease cortisol level, remove tumor, and restore body appearance to normal or acceptable standards

Front 8

Will a patient with Cushing's disease retain or excrete fluids?

Back 8

Retain

Front 9

Test used to diagnose Cushing's disease:

Back 9

Dexamethasone suppression testing

Front 10

Are lymphocytes, calcium, and potassium values elevated or deficient in Cushing's disease?

Back 10

Deficient

Front 11

Are blood glucose and sodium levels increased or decreased in Cushing's disease?

Back 11

Increased

Front 12

Are cortisol levels elevated or deficient in Cushing's disease?

Back 12

Increased

Front 13

Moon face, buffalo hump, truncal obesity, HTN, dependent edema, increased risk for bleeding, muscle atrophy, osteoporosis, thin skin, striae, increased skin pigmentation, increased risk for infection, and a decreased immune function are caused in this adrenal gland malfunction:

Back 13

Cushing's disease

Front 14

Type of Cushing's disease that stems from use of mineral corticoids for diseases like asthma, organ transplants, chemo, allergic reactions, and chronic fibrosis:

Back 14

Exogenous oversecretion

Front 15

Type of Cushing's disease that stems from adrenal hyperplasia, pituitary tumors, and cancer of lungs, GI, pancreas, and adrenal gland:

Back 15

Endogenous oversecretion

Front 16

Excessive secretion of cortisol which affects metabolism, increases body fat, and leaves the patient prone to infection (kills off lymphocytes):

Back 16

Cushing's disease

Front 17

What two things given for an adrenal crisis will help push potassium back into the cells?

Back 17

Insulin and D50W

Front 18

True or false: An adrenal crisis (Addison's disease) is life threatening and emergent.

Back 18

True

Front 19

This mineralocorticoid causes sodium reabsorption and potassium excretion:

Back 19

Florinef

Front 20

When, in relation to the time of day, does the body produce cortisol?

Back 20

While we sleep

Front 21

The increased potassium level seen in Addison's disease may cause these serious cardiac complications:

Back 21

Dysrhythmias

Front 22

Cortisol is needed for regulation of this; if deficient, patient will show signs of hypoglycemia:

Back 22

Blood glucose

Front 23

Will skin pigmentation be lighter or darker with Addison's disease?

Back 23

Darker

Front 24

Levels of this hormone are deficient in Addison's disease; if the patient doesn't get this, they will die:

Back 24

Cortisol

Front 25

Which electrolyte level(s) are increased in Addison's? Decreased?

Back 25

Increased: K, CA
Decreased: Na

Front 26

Muscle weakness, fatigue, joint/muscle pain, anorexia, N/V, constipation/diarrhea, weight loss, salt cravings, vitiligo, increased skin pigmentation, anemia, and hypotension are seen in this adrenal gland disorder:

Back 26

Addison's disease

Front 27

Pituitary tumors, hypophysectomy, and high doses of radiation cause this type of Addison's disease:

Back 27

Secondary

Front 28

Autoimmune, AIDS, TB, cancer, hemorrhage, gram-negative sepsis, adrenaectomy, abdominal radiation, fungus, and some drugs can cause this type of Addison's disease:

Back 28

Primary

Front 29

What are the goals of treatment for Addison's disease?

Back 29

Fluid balance, prevent hypoglycemia

Front 30

Adrenal insufficiency; caused by inadequate secretion of ACTH by the hypothalamus and pituitary gland:

Back 30

Addison's disease

Front 31

These hormones affect carbohydrate, fat, and protein metabolism, the body's response to stress, emotional stability, and immune function:

Back 31

Glucocorticoids

Front 32

Hormone that promotes sodium and water reabsorption and potassium excretion in the kidney tubules:

Back 32

Aldosterone

Front 33

Gland that secretes mineralocorticoids which control the body's fluid and electrolyte balance:

Back 33

Adrenal gland