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Quiz 6 corticosteroids quiz

Total questions: 33

Worksheet time: 20mins

Name
Class
Date
1.

Which of the following can cause oral candidiasis?

a)

Benadryl

b)

Allegra

c)

Prednisone

d)

Acetaminophen

e)

OrAl steroid Inhailer

2.

What does an adrenal crisis include ?

a)

Weakness

b)

Syncope

c)

Weight gain

d)

Cardiovascular collapse

e)

Death

3.

Causes sedation and xerostomia .

This drug is used to treat mild allergic reactions

a)

Prednisone

b)

Autocoids

c)

Kenalog

d)

Benadryl

e)

Antihistamines

4.

----- drug is used to treat oral lesions associated with inflammatory disease or injury in the mouth but NOT for herpetic lesions.

a)

kenalog

b)

acyclovir

c)

triamcinolone

d)

adrenocoticosteroids

e)

antiviral tangents

5.

t/f adrenocorticosteroids are a group of agents secreted by the adrenal cortex

a)

true

b)

false

6.

--1-- term use of adrenocorticosteroids can influence dental treatment significantly ., for -2-

a)

1.short

b)

1.long

c)

asthma and arthritis

d)

delayed healing and increasing capillary permeability

7.

Adrenocorticosteroids are naturally occurring compounds secreted by adrenal cortex AND their release is triggered by stress or anxiety.

a)

BOTH TRUE

b)

FIRST TRUE SECOND FALSE

c)

FIRST FALSE SECOND TRUE

d)

BOTH FALSE

8.

When Angel Stresses due to all the studying of her RDH program , it causes release of corticotropinreleasing factor (CRF) by the ----- .

a)

pons

b)

medulla

c)

hypothalamus

d)

pituitary gland

e)

thalamus

9.

After Angel the RDH student stresses and releases this factor (CRF) by the Hypothalamus , it acts on the pituitarygland to release ----?

a)

estrogen

b)

ACTH(adrenocorticotropic hormone)

c)

thyroid hormone

d)

oxytocin

10.

What stimulates the adrenal cortex to release hydrocortisone ?

a)

ACTH

b)

Thalamus

c)

CRH

d)

ACh

11.

Hydrocortisone acts on —- and —— to INHIBIT further release of CRF or ACTH (negative feedback)

a)

Cerebellum

b)

Hypothalamus

c)

Thalamus

d)

Pituitary

e)

Spinal cord

12.

T/f long term administration of adrenocorticosteroids can suppress the release of ACTH, and this can cause the adrenal glands to atrophy (shrink )

a)

True

b)

False

13.

If the administration of an exogenous adrenocorticosteroids is suddenly stopped , a deficiency can result And ——-

a)

Hypoglycemia

b)

Low bp / fainting

c)

Addison’s disease

d)

Can lead to adrenal crisis

e)

Severe vomiting and Diarrhea

14.

What are the two major categories of adrenocorticosteroids?

a)

Glucocorticoids

-affects carbohydrate metabolism

b)

Mineralocorticoids

-affects carbohydrate metabolism

c)

Glucocorticoids -

Affects water and electrolyte balance

d)

Mineralocorticoids-

Affects water and electrolyte balance

15.

Fever,syncope,convulsions ,hypoglycemia,hyponatremia (low sodium levels in the blood) ,vomiting, diarrhea are all signs of —-?

a)

Addison disease

b)

Cushing syndrome

c)

Allergic reaction to corticosteroids

d)

arthritis

16.

Excess amount of adrenocorticosteroids.

Personality change ,moon face,buffalo hump, truncal obesity ,muscle wasting

a)

Cushing’s disease

b)

Cushing’s syndrome

c)

Addison’s disease

d)

Addison’s syndrome

17.

Which of the following is NOT a route of administration of adrenocorticosteroids

a)

Orally

b)

(Parenteral) Intramuscularly

c)

Iv

d)

Topical

e)

nasal

18.

Which of the following route of administration of adrenocorticosteroids rarely causes systemic effects ?

a)

Orally

b)

(Parenteral) Intramuscularly

c)

Iv

d)

Topical

e)

nasal

19.

T/f corticosteroids are curative rather than palliative

a)

True

b)

False

20.

The primary use of adrenocorticosteroids is for anti - inflammatory action and suppression of allergic reaction

a)

True

b)

False

21.

Adrenocorticosteroids suppress the ——

a)

REM sleep

b)

Immune response

c)

Bone marrow

d)

Cortisol

22.

T/f with corticosteroids the rule of twos IS A VERY conservative approach and is not recommended

a)

True

b)

False

23.

Corticosteroids The rule of twos : States that adrenal suppression may

a)

More than 20 mg of cortisone daily

For two months

b)

More than 20 mg of cortisone daily

For two weeks

c)

Within 2 years of dental treatment

d)

Within 1 year so dental treatment

24.

t/f adrenocorticosteroids mechanism of action :

steroids bind to a specific receptor to form a steroid -receptor complex

a)

true

b)

false

25.

WHICH OF THE FOLLOWING IS A CORTICOSTEROID GLUCOCORTICOID SPECIFIC EFFECT

a)

Catabolic

b)

increase gluconeogenesis

c)

decrease glucose use

d)

inhibits protein synthesis

e)

increases protein catabolism

26.

WHICH OF THE FOLLOWING IS NOT A CORTICOSTEROID GLUCOCORTICOID SPECIFIC EFFECT

a)

anabolic

b)

decrease growth

c)

decrease bone density

d)

decrease resistance to infection

e)

carbohydrate metabolism

27.

adrebocorticosteroids advere reaction : THIS PARTICULAR DRUG GROUP IS PROPORTIONAL TO all except for one.

a)

dosage

b)

frequency

c)

time of administration

d)

duration of treatment

e)

very age specific

28.

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.

a)

true

b)

false

29.

which of the following is not an adverse reaction due to adrenocorticosteroids

a)

changes in behavior including euphoria

b)

agitation

c)

psychoses

d)

depression (with decrease dose)

e)

Increase resistance to infection

30.

which of the following is not an adverse reaction due to adrenocorticosteroids

a)

Peptic ulcer due to increase production of stomach acids

b)

increasing pressure in glaucoma patients

c)

can produce sodium and fluid retention.

d)

patients can respond very well to stress

e)

hypokalemia can result(low potassium)

31.

which of the following is an ardenocorticoteroid adverse reaction

a)

impaired wound healing

b)

impaired synthesis of collagen

c)

osteoporosis in children

d)

catabolism-muscle wasting

e)

thinning bones subject to fracture/ tooth loss

32.

which of the following is an ardenocorticoteroid adverse reaction with dental effects.

a)

mucosal surface heal quickly

b)

more likely to cause infection

c)

tissue is more friable

d)

oral steroid inhalers cause candidiasis

33.

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.

a)

arthritis

b)

collagen disease

c)

pemphigus/

psoriasis

d)

scleroderma

e)

systemic lupus