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A nurse is assessing a client with Cushing's syndrome. The nurse is aware that an exogenous cause of Cushing's syndrome is which of the following?

A.

Insufficient insulin production

B.

Long term use of glucocorticoids

C.

Adrenal insufficiency

D.

Overproduction of growth hormones

Answer and Explanation

The Correct Answer is B

A. Insufficient insulin production is related to diabetes mellitus, not Cushing's syndrome.  

 

B. Long-term use of glucocorticoids is a well-known exogenous cause of Cushing's syndrome, as it leads to excess cortisol in the body.  

 

C. Adrenal insufficiency refers to a deficiency of adrenal hormones and would not cause Cushing's syndrome, which is characterized by excess hormones.  

 

D. Overproduction of growth hormones is associated with acromegaly or gigantism, not Cushing's syndrome, which primarily involves excess cortisol.


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Correct Answer is B

Explanation

A. Profound hypocalcemia is not associated with hyperthyroidism; it is more common in hypoparathyroidism.

B. Thyroid Storm is a life-threatening complication of hyperthyroidism, characterized by high fever, tachycardia, hypertension, and altered mental status. It requires immediate medical intervention to prevent serious outcomes.

C. Diabetes Insipidus is unrelated to hyperthyroidism and typically occurs due to antidiuretic hormone dysfunction.

D. Severe hypotension is not a typical complication of hyperthyroidism; rather, hypertension is more likely due to increased metabolic rate and cardiac output.

Correct Answer is B

Explanation

A. Weight gain is not typical in Addison's disease; instead, weight loss is common.

B. Hyperpigmentation, particularly in sun-exposed areas and skin folds, is a classic symptom of Addison's disease due to elevated ACTH levels.

C. Low blood pressure, not elevated, is common due to decreased cortisol levels.

D. Purple striations are more commonly seen in Cushing's syndrome rather than Addison's disease.

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