WorksheetsQuiz 6 corticosteroids quiz
Total questions: 33
Worksheet time: 20mins
Which of the following can cause oral candidiasis?
Benadryl
Allegra
Prednisone
Acetaminophen
OrAl steroid Inhailer
What does an adrenal crisis include ?
Weakness
Syncope
Weight gain
Cardiovascular collapse
Death
Causes sedation and xerostomia .
This drug is used to treat mild allergic reactions
Prednisone
Autocoids
Kenalog
Benadryl
Antihistamines
----- drug is used to treat oral lesions associated with inflammatory disease or injury in the mouth but NOT for herpetic lesions.
kenalog
acyclovir
triamcinolone
adrenocoticosteroids
antiviral tangents
t/f adrenocorticosteroids are a group of agents secreted by the adrenal cortex
true
false
--1-- term use of adrenocorticosteroids can influence dental treatment significantly ., for -2-
1.short
1.long
asthma and arthritis
delayed healing and increasing capillary permeability
Adrenocorticosteroids are naturally occurring compounds secreted by adrenal cortex AND their release is triggered by stress or anxiety.
BOTH TRUE
FIRST TRUE SECOND FALSE
FIRST FALSE SECOND TRUE
BOTH FALSE
When Angel Stresses due to all the studying of her RDH program , it causes release of corticotropinreleasing factor (CRF) by the ----- .
pons
medulla
hypothalamus
pituitary gland
thalamus
After Angel the RDH student stresses and releases this factor (CRF) by the Hypothalamus , it acts on the pituitarygland to release ----?
estrogen
ACTH(adrenocorticotropic hormone)
thyroid hormone
oxytocin
What stimulates the adrenal cortex to release hydrocortisone ?
ACTH
Thalamus
CRH
ACh
Hydrocortisone acts on —- and —— to INHIBIT further release of CRF or ACTH (negative feedback)
Cerebellum
Hypothalamus
Thalamus
Pituitary
Spinal cord
T/f long term administration of adrenocorticosteroids can suppress the release of ACTH, and this can cause the adrenal glands to atrophy (shrink )
True
False
If the administration of an exogenous adrenocorticosteroids is suddenly stopped , a deficiency can result And ——-
Hypoglycemia
Low bp / fainting
Addison’s disease
Can lead to adrenal crisis
Severe vomiting and Diarrhea
What are the two major categories of adrenocorticosteroids?
Glucocorticoids
-affects carbohydrate metabolism
Mineralocorticoids
-affects carbohydrate metabolism
Glucocorticoids -
Affects water and electrolyte balance
Mineralocorticoids-
Affects water and electrolyte balance
Fever,syncope,convulsions ,hypoglycemia,hyponatremia (low sodium levels in the blood) ,vomiting, diarrhea are all signs of —-?
Addison disease
Cushing syndrome
Allergic reaction to corticosteroids
arthritis
Excess amount of adrenocorticosteroids.
Personality change ,moon face,buffalo hump, truncal obesity ,muscle wasting
Cushing’s disease
Cushing’s syndrome
Addison’s disease
Addison’s syndrome
Which of the following is NOT a route of administration of adrenocorticosteroids
Orally
(Parenteral) Intramuscularly
Iv
Topical
nasal
Which of the following route of administration of adrenocorticosteroids rarely causes systemic effects ?
Orally
(Parenteral) Intramuscularly
Iv
Topical
nasal
T/f corticosteroids are curative rather than palliative
True
False
The primary use of adrenocorticosteroids is for anti - inflammatory action and suppression of allergic reaction
True
False
Adrenocorticosteroids suppress the ——
REM sleep
Immune response
Bone marrow
Cortisol
T/f with corticosteroids the rule of twos IS A VERY conservative approach and is not recommended
True
False
Corticosteroids The rule of twos : States that adrenal suppression may
More than 20 mg of cortisone daily
For two months
More than 20 mg of cortisone daily
For two weeks
Within 2 years of dental treatment
Within 1 year so dental treatment
t/f adrenocorticosteroids mechanism of action :
steroids bind to a specific receptor to form a steroid -receptor complex
true
false
WHICH OF THE FOLLOWING IS A CORTICOSTEROID GLUCOCORTICOID SPECIFIC EFFECT
Catabolic
increase gluconeogenesis
decrease glucose use
inhibits protein synthesis
increases protein catabolism
WHICH OF THE FOLLOWING IS NOT A CORTICOSTEROID GLUCOCORTICOID SPECIFIC EFFECT
anabolic
decrease growth
decrease bone density
decrease resistance to infection
carbohydrate metabolism
adrebocorticosteroids advere reaction : THIS PARTICULAR DRUG GROUP IS PROPORTIONAL TO all except for one.
dosage
frequency
time of administration
duration of treatment
very age specific
with metabolic changes , Patients with Cushing's disease have a high risk of hyperglycemia due to the long-term effect of hypercortisolism, affecting pre diabetic patients.
true
false
which of the following is not an adverse reaction due to adrenocorticosteroids
changes in behavior including euphoria
agitation
psychoses
depression (with decrease dose)
Increase resistance to infection
which of the following is not an adverse reaction due to adrenocorticosteroids
Peptic ulcer due to increase production of stomach acids
increasing pressure in glaucoma patients
can produce sodium and fluid retention.
patients can respond very well to stress
hypokalemia can result(low potassium)
which of the following is an ardenocorticoteroid adverse reaction
impaired wound healing
impaired synthesis of collagen
osteoporosis in children
catabolism-muscle wasting
thinning bones subject to fracture/ tooth loss
which of the following is an ardenocorticoteroid adverse reaction with dental effects.
mucosal surface heal quickly
more likely to cause infection
tissue is more friable
oral steroid inhalers cause candidiasis
adrenocorticosteroids medical uses for abnormalities such as addison disease and cushing's disease ,due to excess or deficiency BUT which of the following is an autoimmune disease adrenocorticosteroid medication used for.
arthritis
collagen disease
pemphigus/
psoriasis
scleroderma
systemic lupus
