ACCREDITED CPD
CPD Questions
JOURNAL SCAN
AC/1429/15
Articles to read for answering the questions
1.
2.
3.
4.
5.
Incidentalomas. Dr Frank Kettner
Ultrasound of the Adrenal Gland. Dr Nicky Cassell
Diagnosing Hyperadrenocorticism. Dr Sandy May
Treatment and Monitoring of treatment for hyperadrenocoreticism. Dr L van der Merwe & Dr Marlies Bohm
Proteinuria and Hypertension in HAC. Dr A Zambelli
1. Which one of the hormones listed below is NOT
produced by the adrenal gland.
a. Cortisol or one of the precursors
b. Aldosterone
c. Sex hormones
d. Growth Hormone
e. Adrenalin
2. Which one of the following statements is NOT
one of the guidelines used to decide to surgical
remove an adrenal masses?
a. Masses that are larger than 3cm. .
b. Masses which show ultrasonographic signs of
malignancy.
c. Masses which are functional.
d. Masses which show invasion of the surrounding
blood vessels.
e. Masses which show metastases to the liver.
3. Which one of the following statements regarding
ultrasonographic evaluation of the adrenal glands
is INCORRECT?
a. The glands are typically uniformly hypoechoic.
An outer hypoechoic rim and hyperechoic
inner zone may be differentiated.
b. The cut-off for maximum adrenal gland size in
the dog is 0.74mm for either the cranial or
caudal pole and is highly sensitive and specific
for a diagnosis of HAC.
c. Up to 25% of dogs with PDHcan have normal
adrenal gland size on ultrasound and some
healthy dogs will have adrenal glands larger than
the recommended cutoff values.
d. In some patients with PDH there may be
asymmetrical enlargement due to nodular
hyperplasia and it may be difficult to
distinguish from an adrenocortical adenoma.
e. Masses ≥ 2.0cm and/or showing mineralisation
are considered likely to represent a malignant
lesion.
4. Which one of the following statements regarding
the ACTH stimulation test in dogs is INCORRECT?
a. The baseline cortisol concentration is
irrelevant.
b. A post stimulation concentration of
>600nmol/l is considered highly specific and
diagnostic of hyperadrenocorticism in the dog.
c. A big advantage of this test is in distinguishing
between iatrogenic and spontaneous cushings
disease.
d. It is the only test used for monitoring response
to treatment.
e. It does not distinguish between PDH and ADH.
5. Which one of the following statements regarding
the Low dose Dexamethasone suppression test
(LDDST) is INCORRECT?
a. The LDDST is a test used to differentiate ADH
from PDH .
b. The LDDST is more sensitive than the ACTH stim
test overall.
c. The LDDST is more sensitive than the ACTH stim
test diagnosing PDH.
d. The LDDST is more sensitive than the ACTH stim
test for the diagnosis of functional adrenal
neoplasia.
e. The LDDST is a screening test for
hyperadrenocorticism.
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Issue 06 | DECEMBER 2015 | 19