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 25-year-old woman comes to the office because of weakness and amenorrhea over the past two months. Her only medications are albuterol and an inhaled glucocorticoid for asthma. Her current BMI is 28 kg/m2 (previously 23 kg/m2). Her temperature is 37.1°C (99.2°F), pulse is 84/min, respirations are 18/min, and blood pressure is 152/104 mm Hg. Physical examination shows a rounded face, increased fat deposition at the back of the neck, and purple lesions across the abdomen. Her 8 AM serum cortisol level is 42 μg/dL (reference range: 0800 cortisol <5 μg/dL) and her serum adrenocorticotropic hormone (ACTH) is 65 pg/mL (reference range: 0800 ACTH = 10 - 60 pg/mL). High-dose dexamethasone suppression test shows suppression of both cortisol and ACTH levels. Which of the following is the most likely diagnosis?
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