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 45-year-old man comes to his outpatient provider because of headaches and changes in vision that began one-month ago. The headaches are worse in the morning and improve over the day. Past medical history is notable for Cushing syndrome refractory to medical treatment, for which the patient underwent a bilateral adrenalectomy seven-months ago. He was prescribed hydrocortisone supplements after the surgery but has been inconsistent in taking his medications. In the office, his temperature is 37.8°C (100.0°F) and blood pressure is 120/79 mmHg. Physical examination is notable for hyperpigmentation of the skin. Visual field testing reveals bitemporal hemianopsia. Laboratory testing is notable for a serum ACTH of 700 pg/mL (reference range: 5-20 pg/mL). Magnetic resonance imaging confirms the patient’s underlying condition. Which of the following is the most likely diagnosis?
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