KROK 1 2017 – Question 43 · KROK (Medicine) · Pathophysiology

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?

  1. A. Adrenocortical hyperfunction
  2. B. Hyperthyroidism
  3. C. Hypothyroidism
  4. D. Gonadal hypofunction
  5. E. Hyperfunction of the insular apparatus
Hint

Group the findings (face, skin striae, high blood pressure, high glucose) and ask which single hormonal excess explains fat distribution, skin changes, vascular tone and glucose metabolism together.

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