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WorksheetsAbrams Chapter 17
Total questions: 20
Worksheet time: 10mins
Grace is preparing for an important exam and feels very stressed. What physiologic response in her body increases cortisol release during this stressful time?
Negative feedback
Hypothalamus stimulation
Epinephrine and norepinephrine release
Adrenal cortex atrophy
Olivia presents to the clinic with symptoms suggestive of an adrenal tumor. Based on her condition, what is she most likely to be diagnosed with?
Primary adrenocortical insufficiency
Secondary adrenocortical insufficiency
Adrenocortical hyperfunction
Hyperaldosteronism
Jackson visits his doctor complaining of excessive thirst (polydipsia), frequent urination (polyuria), and swelling in his ankles. On examination, his blood pressure is found to be high. What is the most likely diagnosis?
Hyperaldosteronism
Adrenocortical hyperfunction
Androgen-producing tumors
Adrenal hyperplasia
Anika is prescribed hydrocortisone 40 mg/day for her condition. What should she be monitored for?
Increased sodium
Reduced protein intake
Limited fluids
Infection signs
Sophia has been experiencing recurrent sinus infections. Which of the following is commonly used to treat her condition?
Cortisone
Prednisone
Dexamethasone
Mometasone
James, a 35-year-old male, is brought to the emergency department after a head injury. He develops signs of cerebral edema post-trauma. Which corticosteroid is best suited for managing his condition?
Cortisone
Prednisone
Dexamethasone
Fluticasone
Grace has been diagnosed with adrenocortical insufficiency and her doctor prescribed corticosteroids. When should Grace take her medication?
06:00-09:00
12:00 PM
13:00-14:00
21:00
Oliver has been prescribed prednisone to manage his condition. His doctor suggests taking prednisone every other day. What is the main reason for this recommendation?
Reduce adverse effects
Prolong therapy
Prevent tolerance
Increase effectiveness
Arjun, a child who is prescribed alternate-day glucocorticoids, benefits from:
Lower infection risk
Avoiding hyperglycemia
Lower BP
Better adherence
David is experiencing joint pain and his doctor recommends an intra-articular corticosteroid injection. After receiving the injection, in how long can David expect relief?
5-7 days
1-2 weeks
2-8 weeks
2-4 months
Grace, who uses inhaled corticosteroids for her asthma, experiences an acute asthma attack. What will she need?
Antibiotics
High-dose systemic corticosteroids
Pulmonologist referral
Tidal volume decrease
Jackson is undergoing cancer treatment and his doctor prescribes a corticosteroid. The medication is intended to help by:
Easing cancer symptoms
Changing chemo actions
Preventing metastasis
Protecting liver
Sophia, who has COPD and CHF, is tapering off prednisone. What should she monitor?
Weight
Dyspnea
Edema
All of the above
Mason has been taking corticosteroids for a while and tells his nurse that he wants to stop taking them immediately. The nurse explains why this is not recommended. What is the main reason Mason should not stop corticosteroids abruptly?
Because it can cause adrenal insufficiency
Because it can lead to withdrawal symptoms
Because it can cause a rebound effect
Because it can lead to a flare-up of the underlying condition
Sophia is discussing the effects of stopping long-term corticosteroid therapy with her doctor. Which of the following statements is correct regarding the recovery process?
Long half-life
Stored in liver
HPA axis recovery takes months
Nephrotoxicity risk
A child has contracted a rash caused by poison ivy over a large portion of their arms and legs following a camping trip. The healthcare provider has prescribed oral prednisone, which is to be administered in a tapering dose over the next 10 days. What effect does the medication have on the rash?
It decreases the accumulation of neutrophils and macrophages at the site, thus reducing inflammation.
It eliminates the itching associated with the allergy.
It increases the white blood cell count to assist in healing.
It increases the protein metabolism to allow for the rejuvenation of tissue.
A patient is admitted to the emergency department in anaphylactic shock following numerous bee stings. The prescriber orders parenteral administration of corticosteroids. What effect is expected from the administration of these agents?
decreased heart rate and blood pressure
increased circulation to the lower extremities
increased or restored cardiovascular responsiveness
decreased production of aldosterone
Mia, who is undergoing chemotherapy for cancer, asks the nurse why she is being given a corticosteroid before her treatment. Which of the following is the nurse’s best response?
It will prevent the development of anemia related to the chemotherapy.
It will prevent the development of hiccups, which is associated with chemotherapy.
It will prevent nausea and vomiting that occur with chemotherapy.
It will boost your immune system and prevent infection.
Kai has been prescribed long-term systemic corticosteroids for a chronic condition. What factor is most likely responsible for Kai’s diminished growth?
hypokalemia
fluid retention
altered DNA synthesis
increase in parathyroid hormone
A patient is being treated with long-term corticosteroid therapy. The patient’s spouse has just received a diagnosis of terminal cancer. How is the spouse’s diagnosis likely to affect the patient’s treatment?
The patient may need an increase in corticosteroids because of the stress.
The patient may need a decrease in corticosteroids because of the increase in cortisol.
The patient may need to be changed to a different corticosteroid because of the stress.
The patient may need to be switched to a parenteral form of corticosteroid.
