skip to main content

Peri-operative adrenal insufficiency — SCE Endocrinology MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAdrenalPeri-operative adrenal insufficiencySCE Endocrinology

A 52-year-old man with Addison's disease is having colectomy. He takes hydrocortisone 10 mg morning, 5 mg lunchtime and fludrocortisone 100 micrograms daily. What is the most appropriate peri-operative steroid plan?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Parenteral stress-dose hydrocortisone during major surgery

Major surgery requires stress-dose parenteral hydrocortisone in adrenal insufficiency. Usual oral dosing is inadequate during surgical stress and fasting. Mineralocorticoid replacement may be covered by high-dose hydrocortisone temporarily, but specialist protocols should guide care.

Reference: Society for Endocrinology Steroid Emergency Card Guidance; NICE NG243