Adrenal Insufficiency

Question 1

What is the normal physiological cortisol level?

Answer 1

A) 105mg
B) 25mg (Ans)
C) 300MG( with stress)

Question 2

What is the cause of Secondary adrenal insufficiency?

Answer 2

A) Addisons disease
B) Pituitary disease( Ans: Lack if respste to acth )
C) Administration of corticosteroids
D) Both B&V

Question 3

Chronic use of corticosteroids will cause?

Answer 3

A) Primary
B) Secondary
C) Tertiary adrenal insufficiency (Ans: as it causes impairtment of functions of hypothalamus)

Question 4

PT completed their appointment and the dentist quickly reclined thec chair. The PT complained about experiencing dizziness, nausea. What is the likely cause and what should be done to prevent it?

Answer 4

A) Orthostatic HPTN adrenal insufficiency( as the PT is at risk of orthostatic hypotension)

To be done : Discharge PT slowly and consider semi supine chair position