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Exam questionKROK 2Medicine · 2025

A 38-year-old woman complains of a pustular rash on her body progressive growth of hair on her body and face and constant headache. Objectively, the following is observed: height - 164 cm, body weight - 102 kg, uneven distribution of adipose tissue - mainly on the stomach, trunk, and face, hypotrophy of the muscles of the buttocks and thighs. Blood pressure 205/110 mm Hg pulse — 105/min. Blood test: glucose 11 mmol/L, sodium - 155 mmol/L, potassium 3.7 mmol/L, total cholesterol - 6.5 mmol/L. Blood cortisol in the morning- 720 nmol/L,ACTH - 87 pg/mL. What is the most likely diagnosis in this case?

Answer options

  1. Diabetes insipidus
  2. Pheochromocytoma
  3. Cushing disease
  4. Hyperparathyroidism
  5. Primary alimentary obesity
Correct answer

Cushing disease

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