Nokea
Nelson syndrome is seen after:
- A. Adrenalectomy
- B. Hypopituitarism
- C. Hyperpituitarism
- D. Deficiency of Growth hormone
Correct Answer: A
Rationale: Nelson syndrome follows bilateral adrenalectomy (choice A), often for Cushing's, causing ACTH oversecretion from pituitary hyperplasia, darkening skin, and tumor risk. Hypopituitarism (choice B) reduces hormones, opposite effect. Hyperpituitarism (choice C) is unrelated. Growth hormone deficiency (choice D) doesn't cause this. A is correct, per endocrinology. Nurses monitor ACTH, skin changes, and support imaging, managing this rare sequel.
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