Exam questionKROK 1Medicine ยท 2018
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
- Adrenocortical hyperfunction
- Gonadal hypofunction
- Hyperfunction of the insular apparatus
- Hyperthyroidism
- Hypothyroidism
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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