An overgrowth of bone and soft tissue is seen in

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RRB Staff Nurse Previous Year Paper [Held on 21 July 2019 (Shift II)]
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  1. Acromegaly
  2. Cushing’s syndrome
  3. Goitre
  4. Tetany

Answer (Detailed Solution Below)

Option 1 : Acromegaly
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RRB Staff Nurse Previous Year Paper [Held on 20 July 2019 Shift II]
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Acromegaly-

  • A disorder in adults in which the pituitary gland produces too much growth hormone. This leads to overgrowth of bone known as Acromegaly in adulthood.
  • In childhood overproduction of growth hormone leads to an excessive increase in height known as Gigantism.
  • Acromegaly is usually caused by a non-cancerous tumor. 
  • Middle-aged adults are most commonly affected.
  • Symptoms include enlargement of the face, hands, and feet.
  • Gigantism occurs when there is an increase in the secretion of growth hormone before the fusion of the long bone epiphysis and is characterized by tall stature.
  • Acromegaly occurs when hypersecretion of Growth Hormone occurs after the fusion of the epiphysis leading to large extremities and characteristic faces.
  • Surgery of the Pituitary Gland cures acromegaly but in some cases, tumor size is so large to remove entirely so radiation therapy is given.

Additional Information

  • Cushing Syndrome Defined:
    • A metabolic disorder caused by the overproduction of corticosteroid hormones by the adrenal cortex often involves obesity and high blood pressure.
    • The most common cause is the use of steroid drugs.
    • But it can also occur from an overproduction of cortisol by the adrenal glands.
    • Too much cortisol can produce some of the hallmark signs of Cushing syndrome :
      •  A fatty hump between your shoulders, a rounded face, and pink or purple stretch marks on your skin.
  • Lack of iodine causes an abnormal enlargement of the thyroid gland which is called a goitre.
    • Thyroid Gland:
      • The hormones secreted by it are Thyroxine and Triiodothyronine.
      • Iodine is secreted in more quantity.
  • Tetany is a symptom described as an involuntary contraction of muscles that leads to painful muscle cramps, spasms of the larynx, and sensory disturbances.
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