Endocrine Disorders II (NURS 5315 Mod 8 Exam 4)
Questions With Complete Solutions
3 types of glucocorticoids Correct Answer -cortisol
-corticosterone
-cortisone
-all have effects on metabolism, provide anti-inflammatory
properties and growth-suppressing effects
Ace Inhibitors Correct Answer -meds that inhibit RAAS
-side effect of hyperkalemia
-inhibition of RAAS results in decreased aldosterone secretion
and potassium accumulation because of increased renal
reabsorption of potassium
Addison's Disease Correct Answer -autoimmune reaction
targeting adrenal cortex causing adrenal atrophy and
hypofunction -disease of adrenal cortex resulting in decreased
cortisol and aldosterone secretion
-most frequent 30-60yo in women
-causes: TB, metastatic tumors, infections or the cessation of
steroid therapy
Addison's Disease clinical manifestations Correct Answer -
opposite of Cushing's
-autoimmune reaction targets adrenal cortex causing atrophy and
hypofunction
-hypoglycemia
-weakness from lack of energy not muscles like Cushings
-fatigue
-apathy
Addisonian Crisis Correct Answer -emergent condition
-lack of cortisol and aldosterone
-severe hypotension and vascular collapse from fluid loss and
lack of vascular tone
Adrenal cortex Correct Answer secretes glucocorticoids,
mineralocorticoids, and gonadocorticoids
Adrenal gland Correct Answer -divided into adrenal cortex and
adrenal medulla
Adrenal Medulla Correct Answer -secretes catecholamines
epinephrine, norepinephrine, and dopamine
-innervated by SNS and PNS
-Epi 10x more potent than Norepi
-both increase bp by increasing HR and vasoconstriction
-they also increase RR, glucose levels, and cellular metabolism
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