Addison's Disease Fitz

Question 1

138. A 34-year-old woman complains of progressive weakness,
     fatigue, poor appetite, and weight loss. She has
     also noticed the development of hyperpigmentation,
     mainly on the knuckles, elbows, and knees. All of the
     following blood tests can be used to help confirm a
     diagnosis of Addison’s disease except:
     A. sodium.
     B. potassium.
     C. cortisol.
     D. folate.

Answer 1

D. folate.

Question 2

139. The hormone cortisol plays a role in all of the
following processes except:
A. maintaining glucose control.
B. maintaining thyroid function.
C. suppressing the immune response.
D. helping the body respond to stress.

Answer 2

B. maintaining thyroid function.

Question 3

140. Which of the following is a mineralocorticoid?
A. cortisol
B. aldosterone
C. insulin
D. hydrocortisone

Answer 3

B. aldosterone

Question 4

141. Secondary adrenal insufficiency can occur with the
     presence of a diseased or malfunctioning:
     A. pituitary gland.
     B. thyroid.
     C. pancreatic beta cells.
     D. hypothalamus.

Answer 4

A. pituitary gland.

Question 5

142. A 43-year-old 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 treatment is an injection of:
     A. epinephrine.
     B. insulin.
     C. adrenaline.
     D. hydrocortisone.

Answer 5

D. hydrocortisone.

Question 6

143. A 24-year-old female runner is diagnosed with
     Addison’s disease. In counseling her about exercise,
     you recommend:
     A. tapering her running to only 10 minutes per day
     for 2 to 3 days per week.
     B. ceasing any prolonged strenuous exercise.
     C. ensuring an ample amount of sodium is ingested.
     D. switching to a nonimpact exercise.

Answer 6

C. ensuring an ample amount of sodium is ingested.