2020-Med Challenger-Adrenal Disorders-Questions & Answers 100% Correct

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n which of the following patients with adrenal insufciency is therapy with udrocortisones necessary? Ə 31-year-old woman with Sheehan syndrome Ǝ 24-year-old woman with type 1 diabetes mellitus di... agnosed with autoimmune Addison disease Ǝ 42-year-old man who underwent pituitary surgery for Cushing disease Ǝ 27-year-old man recently diagnosed with empty Sella syndrome Question Tools: Report Question  ę ȧ A 56-year-old woman with alcoholic liver disease presents to you with the complaint of being tired but states that she is otherwise healthy. She currently drinks 3 six-packs of beer every day and tells you she is not interested in alcohol cessation. On examination, her height is 5 feet 6 inches, she weighs 186 pounds, and her blood pressure is 147/84 mm Hg. She has a buffalo hump and striae in the abdomen that are pink in color. She is able to stand up after squatting. You test her nonfasting, glucose level, which is 189 mg/dL. On initial work-up, you order a morning cortisol level, which is 16 mg/dL, and an A1c level, which is 7.3%. You conrm a diagnosis of diabetes, but you are concerned the patient may have Cushing syndrome given her elevated cortisol level. You order a dexamethasone-suppression test (1 mg), the result of which is 14 mg/dL.Question Tools: Report Question  ę ȧ A 52-year-old man presents to you because he has been having episodes of headache, palpitations, and sweating for the past 6 months. He has attributed them to panic attacks. He recently checked his blood pressure at a local store and found that it was elevated, and that is the reason for today's visit. He also discloses that his grandfather had neurobromatosis. As you start examining the patient, he has what he calls a "panic episode," and you notice that his blood pressure is 170/100 mm Hg, his pulse is 124 beats/minute, and he has profuse diaphoresis. This episode lasts for 10 minutes and then his blood pressure drops to 142/84 mm Hg and his pulse decreases to 88 beats/minute. You have a high index of suspicion that this patient may have pheochromocytoma. If done properly, which of the following is most likely to yield this diagnosis? Ǝ magnetic resonance imaging (MRI) of the adrenal glands Ǝ plasma-free metanephrine levels Ə 24-hour urine collection for metanephrines Ǝ clonidine-suppression test [Show More]

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