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Kaplan Qbank USMLE



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  #1

could someone pls explain to me why we use --> cosyntropin for acute and ACTH levels for chronic adrenal insufficiency as the 1st initial Test??? tx

  #2

cosyntropin is synthetic subunit of corticotropin. use cosyntropin to differentiate primary from secondary adrenal insufficiency.

I don't know how long it will take to have increased ACTH when you have acute adrenal insufficiency. Maybe that's the reason to use cosyntropin instead of ACTH level??

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