KROK 1 2012 – Question 159 · KROK (Medicine) · Pathophysiology

Examination of a 42 year old patient revealed a tumour of adenohypophysis. Objectively: the patient’s weight is 117 kg, he has moon-like hyperemic face, red-blue striae of skin distension on his belly. Osteoporosis and muscle dystrophy are present. AP is 210/140 mm Hg. What is the most probable diagnosis?

  1. A. Essential hypertension
  2. B. Conn’s disease
  3. C. Diabetes mellitus
  4. D. Cushing’s syndrome
  5. E. Cushing’s disease
Hint

Trace the hormonal chain: what would a tumour of the anterior pituitary oversecrete, and what would that do to the adrenal cortex?

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