Osteoporosis 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 61-year-old woman presents to the primary care clinic for evaluation of fatigue, polyuria, and unintentional weight gain of 20 lbs (9.1 kg) over the past year. Her past medical history is significant for well-controlled hypertension treated with low-dose lisinopril. Temperature is 37.0 °C (98.6 ºF), blood pressure is 162/95 mmHg, and pulse is 72/min. Physical examination is notable for central obesity, with lower abdominal striae and small ecchymoses scattered throughout. Laboratory studies are shown below. The serum cortisol does not suppress with low-dose dexamethasone but with high-dose dexamethasone. Brain MRI shows a large pituitary tumor. Abdominal CT imaging does not show adrenal abnormalities. DXA scan shows a T-score of -2.9. Which of the following is the best next step in management?
| Laboratory study | Result |
| Finger stick blood glucose | 209 mg/dL |
| Bedtime serum cortisol | 12 µg/dL |
| Overnight salivary cortisol | 0.63 µg/dL |
| 25-hydroxy vitamin D | 37 ng/mL (normal range: 30-70 ng/mL) |
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