Quiz: The Gold Standard Proficiency Check

Mar 1, 2026

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What are the two primary hormones produced by the adrenal glands that act as your body’s "fuel"? *

Insulin and Estrogen

Cortisol and Aldosterone

Melatonin and Adrenaline

Thyroxine and Progesterone

According to the "Melanin Note," where should women with darker skin tones specifically look for hyperpigmentation as a sign of Primary AI? *

Only on the face and neck

Elbows and knees

Palmar creases, gums, and nail beds

Hair follicles and scalp

Why is a "Dosing Strategy" necessary when taking Hydrocortisone? *

Because it has a long half-life of 24 hours

To prevent weight gain

Because it has a short half-life of approximately 90 minutes and needs to mimic nature’s rhythm

It is only necessary if you miss a meal

In the ROOT Framework™, what does the first "O" stand for? *

Observe the Doctor

Organize your Labs

Offer Your Observations

Obtain a Second Opinion

What is the "Golden Rule" if a patient with Adrenal Insufficiency starts vomiting and cannot keep pills down? *

Wait 2 hours and try again

Drink plenty of water and rest

You MUST inject 100mg of Hydrocortisone immediately

Take a double dose of oral medication

When applying "Sick Day Rules," what is the 3×3 Rule? *

Take 3 pills every 3 hours

Triple the dose for 3 days (or until fever breaks)

Drink 3 liters of water for 3 days

See 3 different doctors in 3 days

Which of the following are symptoms of a life-threatening Adrenal Crisis? *

Mild headache and itchy skin

Severe abdominal pain, profound weakness/collapse, and low blood pressure

Increased appetite and high energy

Improved focus and stable heart rate

Which hormone, often overlooked in AI management, can be replaced to help improve libido, dry skin, and mood in women? *

Cortisol

DHEA

Aldosterone

Vitamin D

When speaking to a healthcare provider during a "crash," what is the recommended script to use? *

"I think I might be tired."

"I am steroid-dependent. My body cannot produce cortisol. Please check my blood pressure."

"I missed my vitamins today."

"Can you run some standard blood tests?"

What is the primary purpose of "Updosing"? *

To save money on prescriptions

To proactively increase cortisol levels during periods of high mental or physical stress (like surgery or grief)

To help with sleep at night

It is only used for children with AI