Cushing syndrome Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 51-year-old woman comes to her outpatient provider with complaints of fatigue and weakness. The symptoms began 6 months ago. Her past medical history is notable for hypertension and type 2 diabetes mellitus. The patient is currently taking lisinopril and metformin. She consumes 4-6 beers per week. Her pulse is 86/min and blood pressure is 152/94 mmHg. BMI is 32 kg/m2. Physical examination reveals bilateral muscle weakness in the upper and lower extremities. Truncal obesity is present. Skin changes are observed on the patient’s back and the findings are shown below:  



Reproduced from: Wikimedia Commons 

Similar changes are also noted on the patient’s abdomen. Which of the following best describes the pathophysiology of this patient’s skin findings?  

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