KROK 1 2015 – Question 86 · 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. Cushing’s syndrome
  2. B. Conn’s disease
  3. C. Essential hypertension
  4. D. Cushing’s disease
  5. E. Diabetes mellitus
Hint

Decide whether the stem points to a pituitary driver of the cortisol excess or to an independent adrenal or exogenous source, since the terminology depends on this.

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