Which is a common therapeutic use of systemic glucocorticoids?
4 Corticosteroids Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Corticosteroids, test your knowledge, and prepare for your next test or exam.
A glucocorticoid course lasting less than 3–4 weeks generally does not require tapering to prevent suppression of the hypothalamic-pituitary-adrenal axis.
- A
True
- B
False
Complete the statement: Glucocorticoids reduce and .
How should hydrocortisone be classified based on its effects?
- A
It is exclusively a mineralocorticoid.
- B
It is exclusively a glucocorticoid.
- C
It has effects in both groups.
- D
It is neither a glucocorticoid nor a mineralocorticoid.
A patient has taken prednisone for several months. Which group of adverse effects is most consistent with prolonged glucocorticoid use?
- A
Hyperglycemia, increased infection risk, osteoporosis, and adrenal suppression
- B
Hypoglycemia, increased bone density, and increased immune function
- C
Hyperkalemia and salt wasting only
- D
Hearing loss and low blood pressure only
A patient taking fludrocortisone develops ankle swelling, high blood pressure, and low serum potassium. Select all findings that are consistent with excessive mineralocorticoid effect.
- A
Ankle swelling
- B
High blood pressure
- C
Low serum potassium
- D
Low blood glucose
Which medication is commonly used to replace aldosterone when a patient with primary adrenal insufficiency has confirmed aldosterone deficiency? Enter the medication name.
For a patient receiving fludrocortisone replacement, select all findings or measurements that may be used to monitor treatment.
- A
Salt craving
- B
Postural blood pressure
- C
Blood electrolytes
- D
Hearing acuity
Complete the statement: In glucocorticoid-induced adrenal insufficiency, aldosterone production is generally , which is why fludrocortisone is not routinely used.
Abruptly stopping long-term systemic glucocorticoid therapy can leave the body unable to produce enough cortisol, creating a risk of adrenal insufficiency.
- A
True
- B
False
Which statement best distinguishes the use of fludrocortisone in primary adrenal insufficiency from its use in glucocorticoid-induced adrenal insufficiency?
- A
Use fludrocortisone routinely for every type of adrenal insufficiency.
- B
Use fludrocortisone for primary adrenal insufficiency with confirmed aldosterone deficiency, but not routinely for glucocorticoid-induced adrenal insufficiency.
- C
Use fludrocortisone only to treat inflammation.
- D
Use fludrocortisone to replace insulin.
Which axis can be suppressed by prolonged glucocorticoid use? Enter its full name, without an acronym.
A patient has taken systemic glucocorticoids for months, and the condition being treated is now controlled. What is the safest general approach to stopping treatment?
- A
Stop immediately once symptoms improve.
- B
Taper under the prescribing clinician’s direction, generally reducing the dose more slowly near a physiologic dose.
- C
Replace prednisone with fludrocortisone in every case.
- D
Skip doses at random until the medication is finished.
Explain why abruptly stopping long-term glucocorticoid therapy can be dangerous. Include the role of ACTH and the body's own cortisol production, and explain why illness or surgery can increase the risk.
Which combination of findings is consistent with excessive mineralocorticoid effect from fludrocortisone?
- A
Low blood pressure, ankle swelling, and high serum potassium
- B
Ankle swelling, high blood pressure, and low serum potassium
- C
High blood pressure, reduced fluid retention, and high serum potassium
- D
Low blood pressure, increased fluid loss, and low serum potassium
Which effect characterizes glucocorticoids rather than mineralocorticoids?
- A
Reducing inflammation and immune activity
- B
Promoting sodium and water retention and potassium excretion
- C
Increasing potassium retention while causing salt loss
- D
Replacing aldosterone in every form of adrenal insufficiency
Which effect is most characteristic of mineralocorticoids?
- A
Reduce inflammation and immune activity
- B
Replace insulin and lower blood glucose
- C
Retain sodium and water while increasing potassium excretion
- D
Increase potassium retention while promoting salt loss
Hydrocortisone has effects in which two corticosteroid groups?
Which pituitary hormone can be suppressed by prolonged glucocorticoid exposure?
True or false: Mineralocorticoids promote sodium and water retention and increase potassium excretion.
- A
True
- B
False
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