Pharmacology Endocrine Miscellaneous #1

Question

A college student is referred to the clinic nurse by the football team coach to assess after several weeks of inattentiveness, sudden uncontrolled rage, yellowing of the sclera, and acne. Which condition does the nurse suspect following the assessment?

Answers

  1. Anabolic steroid abuse.
    • Rationale:

      This answer is correct because “several weeks of inattentiveness, sudden uncontrolled rage, yellowing of the sclera, and acne” are symptoms of anabolic steroid use/misuse. Anabolic steroid use/misuse is motivated by the desire to improve physical appearance and physical performance. Illegal misuse of anabolic steroids is more common in athletes due to the increased pressure for heightened performance. Psychological and behavior indications of use by individuals include sudden, uncontrolled anger/rage, mood swings, aggression,

  2. Early onset of bipolar.
    • Rationale:

      This answer is not correct because although some behaviors associated with bipolar disorder are similar to anabolic steroid use, bipolar disorder does not have liver dysfunction symptoms, such as yellowing of the sclera. Bipolar involves cycling of a manic, euphoric mood and often a suicidal-type depression. During the manic phase, the individual can have behaviors such as extreme hyperactivity and energy, risk-taking behaviors, disorganized thinking, and excessive desire for sex. “Several weeks of inattentiveness, sudden uncontrolled rage, yello

  3. Mononucleosis.
    • Rationale:

      This answer is not correct because mononucleosis symptoms include extreme fatigue, swollen lymph glands, increased body temperature (fever), and a rash. “Several weeks of inattentiveness, sudden uncontrolled rage, yellowing of the sclera, and acne” are symptoms most consistent with use of anabolic steroids.

  4. Type 2 diabetes.
    • Rationale:

      This answer is not correct because type 2 diabetes symptoms include polydipsia (increased thirst), polyurea (increased urination), polyphagia (increased hunger), fatigue, and visual blurriness. “Several weeks of inattentiveness, sudden uncontrolled rage, yellowing of the sclera, and acne” are symptoms most consistent with use of anabolic steroids.

Overview

Anabolic steroid use can occur by athletes to help improve performance and improve physical appearance. Identification of behaviors, signs, and symptoms of use is important for intervention.

Explanation

Correct answer is A. Anabolic steroid use is sometimes abused by athletes to improve their physical appearance and boost performance. Behaviors such as paranoia, irritability, impaired judgment, and rage may occur. They may also cause acne and swelling in hands and feet. Liver damage may occur resulting in evidence of jaundice. The other selections (B, C, D) do not fit the symptoms described. Although bipolar conditions are seen in similar behaviors, physical signs like jaundice and acne are not characteristic of bipolar.

Learning Outcomes

Anabolic steroid use/misuse is motivated by the desire to improve physical appearance and physical performance. The drug produces effects similar to testosterone. The drug can only be legally sold by pharmacists with a prescription. Illegal misuse of anabolic steroids is more common in athletes due to the increased pressure for heightened performance. Psychological and behavior indications of use by individuals include sudden, uncontrolled anger/rage, mood swings, aggression, and inattentiveness. Physical side effects include decreased sperm count in men, increased body hair, sexual dysfunction, stunted growth, and severe acne. Unfortunately, anabolic steroid use can also cause dangerous side effects. These include increased cholesterol levels, fluid retention, hypertension, liver or kidney dysfunction, blood clots, heart attack, or stroke.

Test Taking Tip

Remember the 3 “polys” of diabetes mellitus: polydipsia (increased thirst), polyurea (increased urination), amd polyphagia (increased hunger)

Video Rationale