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Exam questionKROK 1Medicine ยท 2017

On examination the patient presents with hirsutism, moon-shaped face, stretch marks on the abdomen. BP is 190/100 mm Hg, blood glucose is 17,6 mmol/l. What pathology is such clinical presentation characteristic of?

Answer options

  1. Hyperthyroidism
  2. Hypothyroidism
  3. Gonadal hypofunction
  4. Hyperfunction of the insular apparatus
  5. Adrenocortical hyperfunction
Correct answer

Adrenocortical hyperfunction

Explanation

Cushing's Disease: Adrenal Cortex Hyper production due to Pituitary Adenoma leads to a high level of ACTH, thus causes Hirsutism, Abdominal Stretch Mark, Moon Shaped Face, Upper body obesity, and Hypertension. Cushing's Syndrome: High level of Cortisol, without Pituitary Tumor.

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