USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 72-year-old man comes to the office because of increasing abdominal obesity for 6 months. He states that he has been eating the same amount, however, has noticed that his belly and face have become "plump." He has also noticed feeling more fatigued than usual, and having a redder face with new acne. His medical history includes small-cell lung cancer for which he is currently receiving treatment. His temperature is 36.8°C (98°F), pulse is 87/min, respirations are 18/min, and blood pressure is 154/92 mm Hg. Examination shows central obesity with supraclavicular fullness. There is also proximal muscle weakness. A random blood sugar level is elevated in the office. Which of the following is the most likely cause of this patient's increased abdominal fat?