Adrenal insufficiency Quiz: Ace Your Exams

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A 36-year-old female presents with fatigue, headaches, and weight loss. The symptoms began insidiously several months ago but have worsened to the point where her headaches awaken her from sleep. The patient also has vision changes and often “sees double.” Past medical history is noncontributory, and she does not take any medications. Vital signs are within normal limits, and physical exam is notable for bitemporal loss of vision. A brain MRI is obtained, and the results are demonstrated below:


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Which of the following laboratory findings is most reflective of this patient’s clinical presentation?

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