WorksheetsRoids roids roids
Total questions: 10
Worksheet time: 6mins
What three organs in the body control the endogenous production of glucocorticoid and androgen hormones? [No commas needed]
(a)
Which of the following statements is TRUE?
Decreasing the dose of long-term systemic corticosteroids too quickly, without tapering, can result to adrenal insufficiency
Ideal exogenous glucocorticoids are those that likewise have mineralocorticoid effects
Steroids should be given before dinner to mimic the normal diurnal sleep-wake cycle
Twice daily dosing is the preferred frequency for oral steroids
Which topical corticosteroid has the lowest IOP increasing effect?
Dexamethasone
Fluorometholone
Loteprednol
Rimexolone
You decide to give 1 gram IV Methylprednisolone to your patient with acute VKH. Unfortunately, methylprednisolone is not available in your hospital pharmacy, and you resort to giving oral Prednisone instead. What is the equivalent dose of 1 gram methylprednisolone to prednisone? [NOTE: the potency of Prednisone is only 80% of Methylprednisolone]
800mg
1000mg
1250mg
1500mg
What morphologic type of cataract is commonly associated with corticosteroid use?
Which of the following is/are systemic side effect/s of corticosteroid therapy? Check all that apply.
Acne
Hypoglycemia
Osteonecrosis
Sexual lability
Weight loss
Determine which of the following pairs of parameters and monitoring frequency schedules is properly matched.
Blood pressure : Weekly
Height : Monthly
HbA1c : Quarterly
Bone densitometry scan : Bi-annually
A 32 year-old 6 months pregnant patient comes in for acute onset of floaters and blurring of vision on the right eye. You assessed her as a case of intermediate uveitis with macular edema and optic disc edema. You decide to treat with systemic corticosteroids due to her steroid responsive nature. What should you advise her?
Exogenous steroids are classified as US-FDA pregnancy category A, it is safe to use.
Exogenous steroids are classified as US-FDA pregnancy category C, benefits outweigh potential risks.
She cannot breastfeed since corticosteroid particles can accumulate in breast milk, causing too much exogenous steroid intake for the infant.
There will be no reduction in milk supply post-partum.
How long is the approximate duration of the treatment effect of triamcinolone if injected in the periocular space?
Up to 6 weeks
Up to 12 weeks
Up to 16 weeks
Up to a year
Which of the following are considered risk factors predisposing a patient to steroid-induced IOP elevation? Check all that apply.
Connective tissue disease
Diabetes mellitus
Hyperopia
Young age
