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Kaplan Qbank USMLE



Author6 Posts
  #1

A 27-year-old female presents to the clinic complaining of nausea and vomiting. Her past medical history includes systemic lupus erthymatosus, vaginal candidal infections, and a treated vertebral stress fracture. A physical exam reveals abdominal striae and a moon face. What condition does she most likely have?

A. Primary hypercortisolism

B. Secondary hypercortisolism

C. Primary hypocortisolism

D. Secondary hypocortisolism

E. Tumor secreting ACTH

  #2

its B....

  #3

why its secondary why not primary?

  #4

it looks like drug induced to me

  #5

Primary means the pathology(for the source) is the gland itself(here adrenal). Secondary means the regulator for the gland(here pituitary ACTH).
The answer is A, primary.

  #6

can u explain it meg..

I was thinking of secondary cause.. :roll:







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