Endocrinology Case 5 Review Questions

1 . The primary cause of hypoadrenocorticism is?
Immune mediated adrenalitis
Acute adrenal cortical necrosis
Pituitary gland necrosis
Glucocorticoid administration
ACTH deficiency

2.Regarding the pathophysiology of hypoadrenocorticism, which one of the following is not correct?
Signs caused by deficiencies of aldosterone and cortisol
Hyponatremia and hyperkalemia occur in all forms
Hypotension is common
Signs and findings are suggestive of renal failure
Megaesophagus may be associated finding

3.Which clinical sign is suggestive of hypoadrenocorticism?
Vomiting and diarrhea (may be hemorrhagic)
Weight loss and anorexia
Episodic weakness
Regurgitation
All of the above

4.Which finding is most diagnostic of hypoadrenocorticism?
Atrial fibrillation
Hyponatremia and hyperkalemia
Hypoglycemia
Hypercalcemia
Azotemia

5.Which finding is most suggestive of hyperkalemia?
Episodic weakness
Ventral flexion of head
Vomiting
Polyuria
Sinoatrial arrest

6.The renal abnormality observed in hypoadrenocorticism is?
Renal tubular necrosis
Immune complex glomerulonephritis
Renal mineralization from hypercalcemia
Medullary hypotonicity
ADH inhibition

7.Confirmation of hypoadrenocorticism is done by performing?
Serum electrolyte analysis
Hemogram
ECG
ACTH stimulation test
Urinalysis

8.The signalment of animal with hypoadrenocorticism might include all the following except?
Standard poodles are predisposed
Occurs most commonly in male dogs
Common in Siamese cats
Over 70% are female dogs
Occurs in young to middle aged dogs

9.Laboratory findings of a dog with hypoadrenocorticism may include of the following except?
Non-regenerative anemia
Na/K ratio of <25:1
Normal hemogram
Increased ALT and ALKP
Hypocalcemia

10.Which one of the following diseases is known to produce a syndrome called pseudo-Addison's disease?
Parvo viral enteritis
Canine distemper
Myasthenia gravis
Trichuriasis
Leptospirosis