Cushing syndrome and Cushing disease 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 46-year-old man presents to the endocrinology clinic for suspected Cushing syndrome. Over the past year, the patient has developed thin skin, easy bruising, central obesity, and abdominal striae. Past medical history is otherwise unremarkable, and the patient takes no medications. Temperature is 37.0ºC (98.6ºF), blood pressure is 149/92 mmHg, respiratory rate is 14/min, and pulse is 84/min. On physical examination, the patient has moon facies, central obesity, and violaceous abdominal striae. Late-night salivary cortisol and 24-hour urinary free cortisol levels are elevated. Serum adrenocorticotropic hormone (ACTH) is low. Which of the following is the most likely diagnosis?  

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