Cedrick
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A 10 year old boy with asthma has been receiving oral hydrocortisone daily in increasing doses for the past 2 year
he is obese and has growth retardation and edema of his lower limbs
which of the following is the most likely explanation for edema ?
a.-the drug binds to both glucocorticoid and mineralocorticoid receptors
b.-the drug is converted to a mineralocorticoid in the liver
c.-pulmonary production of angiotensisn is increased
d.-renin activity is increased because of stress
e.-secretion of ADH{vasopressin} is increased because of stress
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| Cedrick
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?
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| drpkaur
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A
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| mjl1717
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answer-a- the mineralcorticoid activity is associated with increase Na retension.
ADH is increase due to increase serum osmolality or hypovolemia
renin is increased because of hypovolemia or hemmorhage
b is false and a distractor
c- I cant decipher
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| Cedrick
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I had it wrong but thank you guys
A
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| Cedrick
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I have E
does hydrocortisone affect ADH ?
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| Cedrick
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?
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| study_ing
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dont think so
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| Cedrick
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feedback
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| Cedrick
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Ok
A
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| zzzz
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edema related to cushing effect if hydrocortisone causes drug induce cushing syd. all of other choices are related to minrelocorticoid activity or adh which doesn't make sense with hydrocortisone theapy.
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| muzammil
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a
adh is controlled by serum osmolarity
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| Musuq
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A)
hydrocortisone has glucocorticoid and mineralocorticoid activity
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