Cushing's Syndrome

Description: Cushing's Syndrome Quiz
Number of Questions: 15
Created by:
Tags: endocrinology pituitary adrenal
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What is the most common cause of Cushing's syndrome?

  1. Pituitary adenoma

  2. Adrenal adenoma

  3. Ectopic ACTH production

  4. Iatrogenic Cushing's syndrome


Correct Option: A
Explanation:

Pituitary adenomas are the most common cause of Cushing's syndrome, accounting for approximately 70% of cases.

What are the clinical manifestations of Cushing's syndrome?

  1. Central obesity

  2. Moon face

  3. Buffalo hump

  4. Striae

  5. Hirsutism

  6. Hypertension

  7. Diabetes mellitus

  8. Osteoporosis

  9. Muscle weakness

  10. Easy bruising

  11. Delayed wound healing

  12. Mood changes

  13. Cognitive impairment


Correct Option:
Explanation:

Cushing's syndrome can cause a wide range of clinical manifestations, including central obesity, moon face, buffalo hump, striae, hirsutism, hypertension, diabetes mellitus, osteoporosis, muscle weakness, easy bruising, delayed wound healing, mood changes, and cognitive impairment.

What is the biochemical hallmark of Cushing's syndrome?

  1. Increased cortisol levels

  2. Decreased ACTH levels

  3. Increased ACTH levels

  4. Decreased cortisol levels


Correct Option: A
Explanation:

The biochemical hallmark of Cushing's syndrome is increased cortisol levels.

What is the most common laboratory test used to diagnose Cushing's syndrome?

  1. 24-hour urine free cortisol

  2. Salivary cortisol

  3. Dexamethasone suppression test

  4. CRH stimulation test


Correct Option: A
Explanation:

The most common laboratory test used to diagnose Cushing's syndrome is the 24-hour urine free cortisol.

What is the treatment of choice for Cushing's syndrome caused by a pituitary adenoma?

  1. Transsphenoidal surgery

  2. Adrenalectomy

  3. Medical therapy

  4. Radiation therapy


Correct Option: A
Explanation:

The treatment of choice for Cushing's syndrome caused by a pituitary adenoma is transsphenoidal surgery.

What is the treatment of choice for Cushing's syndrome caused by an adrenal adenoma?

  1. Transsphenoidal surgery

  2. Adrenalectomy

  3. Medical therapy

  4. Radiation therapy


Correct Option: B
Explanation:

The treatment of choice for Cushing's syndrome caused by an adrenal adenoma is adrenalectomy.

What is the treatment of choice for Cushing's syndrome caused by ectopic ACTH production?

  1. Transsphenoidal surgery

  2. Adrenalectomy

  3. Medical therapy

  4. Radiation therapy


Correct Option: C
Explanation:

The treatment of choice for Cushing's syndrome caused by ectopic ACTH production is medical therapy.

What is the most common medical therapy used to treat Cushing's syndrome?

  1. Ketoconazole

  2. Metyrapone

  3. Mitotane

  4. Pasireotide


Correct Option: A
Explanation:

The most common medical therapy used to treat Cushing's syndrome is ketoconazole.

What are the potential complications of Cushing's syndrome?

  1. Cardiovascular disease

  2. Stroke

  3. Diabetes mellitus

  4. Osteoporosis

  5. Infection

  6. Psychiatric disorders


Correct Option:
Explanation:

Cushing's syndrome can lead to a number of potential complications, including cardiovascular disease, stroke, diabetes mellitus, osteoporosis, infection, and psychiatric disorders.

What is the prognosis of Cushing's syndrome?

  1. Excellent with early diagnosis and treatment

  2. Poor with late diagnosis and treatment

  3. Depends on the underlying cause

  4. All of the above


Correct Option: D
Explanation:

The prognosis of Cushing's syndrome depends on a number of factors, including the underlying cause, the severity of the disease, and the timeliness of diagnosis and treatment.

Which of the following is NOT a clinical manifestation of Cushing's syndrome?

  1. Central obesity

  2. Moon face

  3. Buffalo hump

  4. Striae

  5. Hirsutism

  6. Hyperthyroidism

  7. Osteoporosis

  8. Muscle weakness

  9. Easy bruising

  10. Delayed wound healing

  11. Mood changes

  12. Cognitive impairment


Correct Option: F
Explanation:

Hyperthyroidism is not a clinical manifestation of Cushing's syndrome.

Which of the following is NOT a laboratory test used to diagnose Cushing's syndrome?

  1. 24-hour urine free cortisol

  2. Salivary cortisol

  3. Dexamethasone suppression test

  4. CRH stimulation test

  5. ACTH level


Correct Option: E
Explanation:

ACTH level is not a laboratory test used to diagnose Cushing's syndrome.

Which of the following is NOT a treatment option for Cushing's syndrome?

  1. Transsphenoidal surgery

  2. Adrenalectomy

  3. Medical therapy

  4. Radiation therapy

  5. Chemotherapy


Correct Option: E
Explanation:

Chemotherapy is not a treatment option for Cushing's syndrome.

Which of the following is NOT a potential complication of Cushing's syndrome?

  1. Cardiovascular disease

  2. Stroke

  3. Diabetes mellitus

  4. Osteoporosis

  5. Infection

  6. Hyperthyroidism


Correct Option: F
Explanation:

Hyperthyroidism is not a potential complication of Cushing's syndrome.

Which of the following is NOT a factor that affects the prognosis of Cushing's syndrome?

  1. Underlying cause

  2. Severity of the disease

  3. Timeliness of diagnosis and treatment

  4. Patient's age

  5. Patient's gender


Correct Option: E
Explanation:

Patient's gender is not a factor that affects the prognosis of Cushing's syndrome.

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