Cushings Vs Adrenal Insufficiency

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| By Jhernandez21
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Cushings Vs Adrenal Insufficiency - Quiz

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Questions and Answers
  • 1. 

    Purplish, red striae on the abdomen

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    The presence of purplish, red striae on the abdomen is a characteristic symptom of Cushing's syndrome. Cushing's syndrome is a condition caused by excessive levels of cortisol in the body, which can lead to various symptoms including weight gain, high blood pressure, and the development of stretch marks or striae. Adrenal insufficiency, on the other hand, is associated with a deficiency in cortisol production and would not typically cause the appearance of purplish, red striae. Therefore, the correct answer is Cushings.

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  • 2. 

    Circulatory Collapse

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency refers to the inadequate production or function of hormones by the adrenal glands. This condition can lead to a variety of symptoms, including fatigue, weakness, weight loss, low blood pressure, and electrolyte imbalances. In severe cases, adrenal insufficiency can cause circulatory collapse, which is a life-threatening condition characterized by a sudden drop in blood pressure and inadequate blood flow to vital organs. Therefore, adrenal insufficiency can be a cause of circulatory collapse.

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  • 3. 

    Salt Craving

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency refers to the inadequate production or functioning of hormones by the adrenal glands. This condition can lead to various symptoms, including salt craving. The adrenal glands play a crucial role in regulating sodium and potassium levels in the body, and when they are not functioning properly, it can result in a craving for salt. Therefore, adrenal insufficiency is a plausible explanation for the symptom of salt craving.

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  • 4. 

    Sodium & Water retention

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Cushing's syndrome is a condition characterized by excessive production of cortisol hormone in the body. One of the common symptoms of Cushing's syndrome is sodium and water retention. This occurs due to the effects of cortisol on the kidneys, which leads to increased reabsorption of sodium and water. Adrenal insufficiency, on the other hand, is a condition where the adrenal glands do not produce enough cortisol. This would not cause sodium and water retention. Therefore, the correct answer is Cushings.

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  • 5. 

    Nausea, Vomiting, Diarrhea

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency can cause symptoms such as nausea, vomiting, and diarrhea. This condition occurs when the adrenal glands do not produce enough hormones, particularly cortisol. Cortisol plays a crucial role in regulating various bodily functions, including digestion. When there is a deficiency in cortisol, it can lead to gastrointestinal disturbances such as nausea, vomiting, and diarrhea. Therefore, adrenal insufficiency is a plausible explanation for the presence of these symptoms.

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  • 6. 

    Hyperglycemia/Insulin resistance

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Cushing's syndrome is a condition characterized by excessive cortisol production in the body. This can lead to hyperglycemia and insulin resistance, as cortisol can increase blood sugar levels and interfere with insulin's ability to regulate glucose. Adrenal insufficiency, on the other hand, is associated with decreased cortisol production, which would not cause hyperglycemia or insulin resistance. Therefore, the correct answer is Cushing's syndrome.

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  • 7. 

    Hypoglycemia

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency refers to the inadequate production of hormones by the adrenal glands, which can lead to low blood sugar levels (hypoglycemia) and symptoms similar to those seen in Cushing's syndrome. This condition occurs when the adrenal glands are unable to produce enough cortisol and aldosterone, leading to a range of symptoms including fatigue, weakness, weight loss, low blood pressure, and hypoglycemia. Therefore, the correct answer is adrenal insufficiency, as it encompasses both hypoglycemia and symptoms similar to Cushing's syndrome.

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  • 8. 

    Hypertension

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Cushing's syndrome is a disorder caused by prolonged exposure to high levels of cortisol, a hormone produced by the adrenal glands. It can be caused by the use of corticosteroid medications or by tumors that produce cortisol. Hypertension, or high blood pressure, is a common symptom of Cushing's syndrome due to the effects of cortisol on blood vessels. Adrenal insufficiency, on the other hand, is characterized by low levels of cortisol and can lead to low blood pressure. Therefore, the correct answer is Cushing's, as it is associated with hypertension.

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  • 9. 

    Postural Hypotension

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency refers to a condition where the adrenal glands do not produce enough hormones, particularly cortisol. This can lead to various symptoms such as fatigue, weakness, weight loss, and low blood pressure. Postural hypotension, on the other hand, is a condition characterized by a sudden drop in blood pressure when standing up, causing dizziness or fainting. While both postural hypotension and adrenal insufficiency can cause low blood pressure, the correct answer is adrenal insufficiency because it specifically refers to the inadequate functioning of the adrenal glands.

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  • 10. 

    Hyperkalemia & Hyponatremia

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency refers to the inadequate production or release of hormones by the adrenal glands. This condition can lead to a deficiency in cortisol and aldosterone, which are important for regulating sodium and potassium levels in the body. Hyperkalemia is a condition characterized by high levels of potassium in the blood, while hyponatremia refers to low levels of sodium. Adrenal insufficiency can cause both hyperkalemia and hyponatremia due to the hormonal imbalances it creates. Therefore, the correct answer is adrenal insufficiency.

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  • 11. 

    Hypokalemia & Hypernatremia

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Cushing's syndrome is a condition characterized by an excess of cortisol hormone in the body. Symptoms of Cushing's syndrome include weight gain, high blood pressure, and muscle weakness. Hypokalemia refers to low levels of potassium in the blood, while hypernatremia refers to high levels of sodium in the blood. Both hypokalemia and hypernatremia can be seen in Cushing's syndrome due to the effects of excess cortisol on the body's fluid and electrolyte balance. Therefore, the correct answer is Cushing's.

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  • 12. 

    Weight Gain

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Cushing's syndrome is a condition caused by prolonged exposure to high levels of cortisol in the body. This can occur due to various reasons, such as the use of corticosteroid medications or the presence of a tumor in the adrenal glands or pituitary gland. One of the common symptoms of Cushing's syndrome is weight gain, particularly in the abdominal area. Adrenal insufficiency, on the other hand, is a condition characterized by the inadequate production of cortisol by the adrenal glands, which can lead to weight loss rather than weight gain. Therefore, the correct answer in this case is Cushings, as it is associated with weight gain.

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  • 13. 

    Weight Loss

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency refers to a condition where the adrenal glands do not produce enough hormones, particularly cortisol. This can lead to various symptoms such as fatigue, weight loss, and low blood pressure. In the given options, both Cushings and adrenal insufficiency are mentioned, but the correct answer is adrenal insufficiency because weight loss is a common symptom of this condition. Cushings, on the other hand, is characterized by weight gain rather than weight loss.

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  • 14. 

    Hyperpigmentation, bronze discolorations

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    C. Both
    Explanation
    Both Cushing's syndrome and adrenal insufficiency can cause hyperpigmentation and bronze discolorations. In Cushing's syndrome, excessive production of cortisol leads to increased melanin production, resulting in hyperpigmentation. Adrenal insufficiency, on the other hand, is characterized by low cortisol levels, which can also cause hyperpigmentation. The bronze discolorations seen in both conditions are a result of increased production of melanocyte-stimulating hormone (MSH) in the pituitary gland. Therefore, both conditions can present with these skin manifestations.

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  • 15. 

    Bruises Easily

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Cushing's syndrome is a condition characterized by the overproduction of cortisol hormone in the body. This excess cortisol weakens the blood vessels, making them more prone to rupture and leading to easy bruising. Adrenal insufficiency, on the other hand, is a condition where the adrenal glands do not produce enough cortisol, which would not cause easy bruising. Therefore, the correct answer is Cushing's.

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  • 16. 

    Autoimmune disease

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency refers to the inadequate production or functioning of hormones by the adrenal glands. This condition can occur due to various causes, including autoimmune diseases. Autoimmune diseases are conditions in which the immune system mistakenly attacks the body's own tissues, including the adrenal glands. Therefore, adrenal insufficiency can be a result of an autoimmune disease. The term "Both" in the options suggests that both Cushings and adrenal insufficiency can be caused by autoimmune diseases, but the correct answer specifically states "Adrenal Insufficiency."

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  • 17. 

    Excessive Glucocorticoids

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Excessive glucocorticoids can cause Cushing's syndrome, which is characterized by an overproduction of cortisol. This can be due to various reasons, such as prolonged use of corticosteroid medications or a tumor in the adrenal glands or pituitary gland. Symptoms of Cushing's syndrome include weight gain, round face, high blood pressure, and weakened immune system. Adrenal insufficiency, on the other hand, occurs when the adrenal glands do not produce enough cortisol. Both conditions involve problems with glucocorticoid levels, but the correct answer in this case is Cushing's as it specifically refers to excessive glucocorticoids.

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  • 18. 

    Insufficient Glucocorticoids & Mineralcorticoids (Primary)

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    The correct answer is "Cushings." Cushings syndrome is a condition caused by excessive levels of glucocorticoids, which are hormones produced by the adrenal glands. In this case, the question states that there is insufficient production of glucocorticoids and mineralocorticoids, which are both types of hormones produced by the adrenal glands. Adrenal insufficiency refers to a lack of adrenal hormone production, but in this case, both glucocorticoids and mineralocorticoids are affected, indicating Cushings syndrome.

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  • 19. 

    Increased body hair

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Cushing's syndrome is a condition characterized by an excess of cortisol hormone in the body. One of the symptoms of this syndrome is increased body hair. Adrenal insufficiency, on the other hand, is a condition where the adrenal glands do not produce enough cortisol. While both conditions involve cortisol levels, increased body hair is specifically associated with Cushing's syndrome. Therefore, the correct answer is Cushings.

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  • 20. 

    Sparse body hair

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency is the correct answer because it can cause sparse body hair. Adrenal insufficiency occurs when the adrenal glands do not produce enough hormones, such as cortisol. Cortisol plays a role in the growth and maintenance of body hair. When cortisol levels are low, it can lead to hair thinning or loss, resulting in sparse body hair. Cushings, on the other hand, is a condition characterized by excessive cortisol production, which can actually cause excessive body hair growth. Therefore, Cushings is not the correct answer.

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  • 21. 

    Extreme weakness & fatigue

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    C. Both
    Explanation
    Both Cushings and Adrenal Insufficiency can cause extreme weakness and fatigue. Cushings is a condition where the body produces too much cortisol, a hormone that helps regulate metabolism and response to stress. This excess cortisol can lead to muscle weakness and fatigue. Adrenal Insufficiency, on the other hand, occurs when the adrenal glands do not produce enough cortisol. This can also result in weakness and fatigue. Therefore, both conditions can cause extreme weakness and fatigue.

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  • 22. 

    Loss of collagen

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    Cushing's syndrome is a condition caused by prolonged exposure to high levels of cortisol, a hormone produced by the adrenal glands. It can be caused by various factors, such as the use of corticosteroid medications or a tumor in the pituitary gland or adrenal glands. One of the common symptoms of Cushing's syndrome is the loss of collagen, which can lead to thinning of the skin and easy bruising. Therefore, the given correct answer, "Cushings," suggests that the loss of collagen is specifically associated with Cushing's syndrome.

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  • 23. 

    Caused by a sudden withdrawal of corticosteroids

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    Adrenal insufficiency is the correct answer because sudden withdrawal of corticosteroids can lead to a condition called adrenal insufficiency. Corticosteroids are hormones produced by the adrenal glands, and long-term use of these medications can suppress the natural production of cortisol by the adrenal glands. Abruptly stopping corticosteroid treatment can cause the adrenal glands to not produce enough cortisol, leading to adrenal insufficiency. This condition can cause symptoms such as fatigue, weakness, low blood pressure, and weight loss. Therefore, adrenal insufficiency is the most likely explanation for the symptoms described.

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  • 24. 

    Increased level of ACTH in secondary disease

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    The increased level of ACTH in secondary disease is a characteristic of Cushing's syndrome. Cushing's syndrome is a condition caused by prolonged exposure to high levels of cortisol, which is often due to excessive production of ACTH by the pituitary gland. This can result in symptoms such as weight gain, high blood pressure, and muscle weakness. Adrenal insufficiency, on the other hand, is characterized by decreased levels of ACTH. Therefore, the correct answer is Cushing's.

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  • 25. 

    Increased level of ACTH in primary disease

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    The increased level of ACTH in primary disease refers to a condition called adrenal insufficiency. In adrenal insufficiency, the adrenal glands do not produce enough cortisol and sometimes aldosterone. This can be caused by damage to the adrenal glands themselves or by a problem with the pituitary gland or hypothalamus, which regulate hormone production. The increased level of ACTH is a compensatory mechanism by the body to try to stimulate the adrenal glands to produce more cortisol. Therefore, the correct answer is adrenal insufficiency.

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  • 26. 

    Medication Treatment: Hydrocortisone & Florinef (Primary Disorder)

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    The correct answer is "Adrenal Insufficiency." Adrenal insufficiency refers to the inadequate production or functioning of hormones by the adrenal glands, specifically cortisol and aldosterone. In this case, the medication treatment mentioned, hydrocortisone and Florinef, are commonly prescribed for adrenal insufficiency. Cushings, on the other hand, is a condition characterized by excessive cortisol production, which is the opposite of adrenal insufficiency. Therefore, the correct answer is adrenal insufficiency.

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  • 27. 

    Cause: Histoplasmosis, TB, meningococcal infection (Primary)

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    B. Adrenal Insufficiency
    Explanation
    The given answer, "Adrenal Insufficiency," is the correct explanation for the causes listed, which include histoplasmosis, TB, and meningococcal infection. Adrenal insufficiency refers to the inadequate production or function of hormones by the adrenal glands, which can be caused by various factors including infections like histoplasmosis, TB, and meningococcal infection. Therefore, adrenal insufficiency can be the underlying cause for the mentioned conditions.

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  • 28. 

    Medication Treatment: Ketoconazole, Metyrapone

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    A. Cushings
    Explanation
    The correct answer is "Cushings" because both Ketoconazole and Metyrapone are medications used in the treatment of Cushings syndrome. Ketoconazole is an antifungal medication that can also inhibit the production of cortisol, while Metyrapone is a medication that blocks the production of cortisol in the adrenal glands. Therefore, both medications are used to reduce the excessive levels of cortisol that are characteristic of Cushings syndrome.

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  • 29. 

    Requires assessment of fluid & electrolyte balance

    • A.

      Cushings

    • B.

      Adrenal Insufficiency

    • C.

      Both

    Correct Answer
    C. Both
    Explanation
    Both Cushings and Adrenal Insufficiency require assessment of fluid and electrolyte balance. Cushings syndrome is characterized by excessive cortisol production, which can lead to fluid retention and electrolyte imbalances such as hypokalemia. Adrenal insufficiency, on the other hand, is characterized by insufficient cortisol production, which can result in dehydration and electrolyte imbalances such as hyponatremia. Therefore, both conditions require careful monitoring and assessment of fluid and electrolyte balance to ensure appropriate management and treatment.

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  • Mar 18, 2023
    Quiz Edited by
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    Quiz Created by
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