ADRENAL DISORDER Flashcards

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1
Q

center of the gland and secretes
catecholamines

A

ADRENAL MEDULLA

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2
Q

Increased this hormone secretion results in elevated blood
glucose levels.

A

CORTISOL

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2
Q

outer portion of the gland and secretes
steroid hormones

A

ADRENAL CORTEX

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3
Q

stimulates the pituitary gland to secrete ACTH

A

CORTICOTROPIN-RELEASING HORMONE

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3
Q

have an important influence
on glucose metabolism

A

GLUCOCORTICOID

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4
Q

These drugs are given to inhibit the inflammatory response to tissue injury and
to suppress allergic manifestations.

A

CORTICOSTEROID

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5
Q

exert their major effects on electrolyte metabolism

A

MINERALOCORTICOID

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6
Q

cause increased
sodium ion absorption in exchange for excretion of potassium or hydrogen
ions.

A

MINERALOCORTICOID

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7
Q

the third major type of steroid hormones produced by the adrenal cortex, exert effects similar to those of male sex hormones

A

ANDROGEN

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7
Q

Is the main hormone for the long-term regulation of sodium balance.

A

ALDOSTERONE

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7
Q

Refers to masculinization in women, feminization in men, or premature sexual development in children

A

ADRENOGENITAL SYNDROME

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8
Q

is a rare tumor that is usually benign and originates from
the chromaffin cells of the adrenal medulla.

A

PHEOCHROMOCYTOMA

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9
Q

typical triad of symptoms of phechromocytoma

A

HEADACHE
DIAPHORESIS
PALPITATION

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10
Q

Pheochromocytoma is suspected if these signs/symptoms occurs along with elevated bp

A

FIVE Hs

HYPERTENSION
HEADACHE
HYPERHIDROSIS
HYPERMETABOLISM
HYPERGLYCEMIA

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11
Q

most direct and
conclusive tests for overactivity of the adrenal medulla

A

CATECHOLAMINE METABOLITE

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12
Q

Normal plasma values of epinephrine are

A

100 pg/mL

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13
Q

normal
values of norepinephrine are

A

<100 TO 550 pg/mL

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14
Q

Values of epinephrine _________ or
norepinephrine ________ are
considered diagnostic of pheochromocytoma

A

> 400 pg/mL
2000 pg/mL

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15
Q

is a centrally acting antiadrenergic medication that suppresses the release of neurogenically mediated catecholamines.

A

CLONIDINE

16
Q

position for patient during hypertensive attacks

A

BED REST W/ HEAD ELEVATED

Promote orthostatic decrease in bp

17
Q
A
18
Q

Preoperatively (REMOVAL OF TUMOR), the patient may begin treatment with a low dose of an ________ for 110-24 days or longer prior to surgery

A

ALPHA ADRENERGIC BLOCKER

phenoxybenzamine or doxazosin

The medication dosages are started at a low dose and increased every 2 to 3 days as needed to control blood pressure

19
Q

are sometimes used as an
alternative or supplement to preoperative alpha- and beta-blockers, when blood pressure control is inadequate or the patient is unable to tolerate the side effects

A

CALCIUM CHANNEL BLOCKERS

20
Q

The definitive treatment of pheochromocytoma is

A

ADRENALECTOMY

21
Q

may begin on the evening before surgery and continue during the early postoperative period to prevent adrenal insufficiency

A

METHYLPREDNISONE IV

22
Q

Primary adrenal insufficiency, also called

A

ADDISON’S DISEASE

23
Q

may result from the sudden cessation of exogenous
adrenocortical hormonal therapy, which suppresses the body’s normal response to stress and interferes with normal feedback mechanisms

A

SECONDARY SDRENAL INSUFFICIENCY

24
Q

a life-threatening complication of addisons disease

A

ADDISONIAN CRISIS

25
Q

Sudden discontinuation of exogenous gllucocorticoid can lead to

A

ADRENAL INSUFFICIENCY

26
Q

A condition that occurs as a result of disorder within the adrenal gland

A

ADDISON’S DISEASE

26
Q

Metabolic effect of addison’d disease

A

HYPOGLYCEMIA

26
Q

Common infection leads to adrenal damage

A

TB
HISTOPLASMOSIS

26
Q

rare disease that occurs when anabnormal plasma protein (amyloid)builds up in the organ and alter the function of it

A

AMYLOIDOSIS

27
Q

increased in pigmentation is caused by secretion ______ as a response to stress (hypoglycemia)

A

MELANOCYTE STIMULAING HORMONE

28
Q

Secretion of MSH leads to color discoloration of

A

BRONZE

29
Q
A
29
Q
A
30
Q
A
31
Q
A
32
Q

Management for addison’s diseases

A

HYDROCORTISONE
LIBERAL SALT 5-8 G/D
HIGH CARBS PROTEIN DIET

32
Q
A
33
Q

Management for addison’s diseases

A

D5NSS
HYDROCORTISONE IV
PLASMA + VASOPRESSIN
ANTIPYRETIC
ANTIBIOTICS
D50W

34
Q

a relatively rar disorder resulting in excessive levels of adrenocortical hormones

A

CUSHING SYNDROME

35
Q

Characteristics features of patient with cushing syndrome

A

MOON FACE
BUFFALO HUMP
PURPLE STRIAE
HIRSUTISM

36
Q

Persistent hyperglycemia in cushing syndrome is called

A

STEROID DIABETES

37
Q

Management for cushing syndrome

A

ADRENALECTOMY
HYPOPHYSECTOMY
ADRENOSTEROID INHIBITORS
AMINOGLUTETHIMIDE
MYTERAPONE
TRILOSTANE