10. A patient with adrenal adreno-cortical insuffi

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10. A patient with adrenal adreno-cortical insufficiently will:
a. have a systolic arterial pressure significantly above normal
b. have a lower total body sodium
c. be resistant to insulin
d. have difficulty in excreting a water load
e. benefit from ACTH

mark wrote:

10. A patient with adrenal adreno-cortical insufficiently will:
a. have a systolic arterial pressure significantly above normal
b. have a lower total body sodium
c. be resistant to insulin
d. have difficulty in excreting a water load
e. benefit from ACTH

Answers:
a. false: there will be hypotension
b. true: the deficiency of mineralocorticoid will lead to a fall in sodium
c. false: there is no relation with insulin action. they might have low sugar levels instead
d. false: they have problems retaining water because the action of ADH needs the permissive effect of corticosteroids
e. false: this depends on the cause. if they have a true adrenocortical deficiency they will not benefit , but if they have a central(pituitary) cause of the deficiency, they might benefit.