skip to main content

Adrenal crisis after stress — DipIMC MCQ

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

ModerateMedical EmergenciesAdrenal crisis after stressDipIMC

A 52-year-old man with known Addison's disease is in shock after a minor road collision. He has abdominal pain, vomiting and a steroid card; there is no obvious traumatic haemorrhage. What is the most appropriate immediate action?

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

Reveal the answer and explanation

Correct answer: C — Treat possible adrenal crisis with hydrocortisone and urgent transfer

Stress from illness or injury can precipitate adrenal crisis, and hydrocortisone should be given immediately when suspected. Waiting for cortisol testing is inappropriate pre-hospital and may be fatal. A normal initial trauma survey does not explain shock in this at-risk patient. The pearl is that not every shock after trauma is haemorrhage, although bleeding must still be sought.

Reference: JRCALC Guidelines 2025; Society for Endocrinology Emergency Guidance