A patient is diagnosed with Cushing's disease. Which statement about hyperaldosteronism is correct?

Steroid injections will be administered daily

Weight gain and edema are present.

Painful leg cramps are common from hyperkalemia.

Decreased amount of body hair is frequently seen.

Answer and Explanation

The Correct Answer is B

A. Steroid injections will be administered daily: This is incorrect; steroid therapy may exacerbate Cushing's disease. The condition is often due to excessive production of cortisol, not a deficiency.

B. Weight gain and edema are present: Hyperaldosteronism, often associated with Cushing's syndrome, leads to sodium and water retention, resulting in weight gain and edema.

C. Painful leg cramps are common from hyperkalemia: Hyperaldosteronism typically causes hypokalemia, not hyperkalemia, leading to muscle cramps, not leg pain from hyperkalemia.

D. Decreased amount of body hair is frequently seen: Cushing's disease often leads to hirsutism (increased body hair), not a decrease.

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Correct Answer is D

Explanation

A. Obesity, age over 40, and female gender: While obesity and age can be risk factors for GERD, gender alone is not a significant factor. Excessive alcohol consumption, as indicated in option D, is a stronger link to GERD.

B. Accelerated gastric emptying: This is incorrect. GERD is more commonly associated with delayed gastric emptying or increased acid production rather than accelerated gastric emptying.

C. Incompetent rectal sphincter: This is incorrect. GERD is associated with an incompetent lower esophageal sphincter, not the rectal sphincter.

D. Drinking 12 cans of beer per day: Excessive alcohol consumption can relax the lower esophageal sphincter and increase the risk of GERD by allowing stomach acid to flow back into the esophagus.

A. Moist mucous membranes and good skin turgor B. Recent diagnosis of UC in a sibling C. Occasional episodes of hematochezia. D. A report of stool leaking from the patient's vagina.

Correct Answer is D

Explanation

A. Several episodes of black and tarry stools: This indicates melena, which is typically associated with upper gastrointestinal bleeding, not specifically Crohn's disease.

B. Several episodes of hematochezia per day: Hematochezia (fresh blood in stools) can occur in Crohn's disease due to inflammation and ulceration in the intestines.

C. Post-alcohol ingestion epigastric pain: This is more commonly associated with gastritis or peptic ulcer disease, not Crohn's disease.

D. An oral temperature of 102°F: While fever can occur in Crohn's disease during acute flare-ups, it is not a specific or definitive symptom of the condition. The primary symptoms are gastrointestinal in nature, such as abdominal pain and altered bowel habits.

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A patient is diagnosed with Cushing's disease. Which statement about hyperaldosteronism is correct?

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