int.med./endocr.
ysemak - 11-06-09 09:57 Bookmark and Share

A 48-y/o man has recent onset of obesity and easy bruisability. His blood pressure is 165/95 mm Hg. Dermal striae are found on physical examination. A dipstick examination of urine reveals glycosuria. Which of the following is the most appropriate next step in diagnosis?






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#1
Re: int.med./endocr.
usmlefever3 - 11-06-09 12:04

My answer is: c.

#2
Re: int.med./endocr.
vernette - 11-06-09 14:46

My answer is: c.

#3
Re: int.med./endocr.
conym5 - 11-16-09 17:43

My answer is: c.

#4
Re: int.med./endocr.
dadukids - 12-05-09 08:27

My answer is: d.

#5
Re: int.med./endocr.
jordanrobin - 12-05-09 08:36

My answer is: d.

#6
Re: int.med./endocr.
tianjin - 12-06-09 03:59

My answer is: c.

#7
Re: int.med./endocr.
medusmle01 - 12-21-09 07:48

My answer is: d.

#8
Re: int.med./endocr.
demolition - 12-21-09 09:42

My answer is: d.

#9
Re: int.med./endocr.
reksarma - 12-23-09 15:44

My answer is: d.

#10
Re: int.med./endocr.
pat2005 - 01-09-10 14:01

My answer is: c.

#11
Re: int.med./endocr.
rababzain - 01-10-10 05:35

My answer is: a.

#12
Re: int.med./endocr.
nidayasir - 01-10-10 08:29

My answer is: d.

#13
Re: int.med./endocr.
oldman - 01-10-10 11:08

My answer is: c.

#14
Re: int.med./endocr.
bingousmle - 01-31-10 19:40

My answer is: d.

#15
Re: int.med./endocr.
meduploader - 02-01-10 10:19

My answer is: d.

#16
Re: int.med./endocr.
leminesow - 02-01-10 10:40

My answer is: d.


d

#17
Re: int.med./endocr.
komalz - 02-01-10 18:17

My answer is: a.

#18
Re: int.med./endocr.
tamaramahmood - 02-01-10 20:31

My answer is: c.

#19
Re: int.med./endocr.
tahiraraees - 02-07-10 02:33

My answer is: c.

#20
Re: int.med./endocr.
manny1964 - 02-07-10 10:26

My answer is: c.

#21
Re: int.med./endocr.
shahra - 02-17-10 01:33

My answer is: c.

#22
Re: int.med./endocr.
nothing - 02-20-10 03:54

My answer is: c.

#23
Re: int.med./endocr.
hind708 - 03-03-10 15:55

My answer is: c.

#24
Re: int.med./endocr.
gill2010 - 03-09-10 12:01

My answer is: c.

#25
Re: int.med./endocr.
pawan238 - 03-09-10 16:48

My answer is: d.

#26
Re: int.med./endocr.
dreguieg - 03-09-10 20:01

My answer is: a.

#27
Re: int.med./endocr.
navid1352 - 03-10-10 02:03

My answer is: a.

#28
Re: int.med./endocr.
saurabhsingh - 03-10-10 07:54

My answer is: d.

#29
Re: int.med./endocr.
akl161 - 03-10-10 21:52

My answer is: c.

#30
Re: int.med./endocr.
ammulufy - 03-13-10 18:39

My answer is: c.


The patient is suffering frm Cushing's Syndrome.The next step in management is know whether its ACTH dependant or non-ACTH dependant Cushing's Syndrome....hence Dexamethasone suppression test is most next ideal step in diagnosis.

#31
Re: int.med./endocr.
babsin - 03-14-10 08:02

My answer is: a.

#32
Re: int.med./endocr.
mtniharika - 04-30-10 10:14

My answer is: c.


When Cushing's syndrome is suspected, either a dexamethasone suppression test (administration of dexamethasone and frequent determination of cortisol and ACTH level), or a 24-hour urinary measurement for cortisol offer equal detection rate

#33
Re: int.med./endocr.
fugeran - 04-30-10 13:45

My answer is: d.

#34
Re: int.med./endocr.
thimar98 - 05-02-10 06:46

My answer is: d.

#35
Re: int.med./endocr.
khan80 - 05-02-10 12:19

My answer is: a.

#36
Re: int.med./endocr.
zubiashoaib - 05-02-10 20:18

My answer is: c.

#37
Re: int.med./endocr.
bingousmle - 05-04-10 03:17

tricky one!

#38
Re: int.med./endocr.
babbu5508 - 05-21-10 02:41

My answer is: c.


This test helps to distinguish patients with excess production of ACTH due to pituitary adenomas from those with ectopic ACTH-producing tumors.

#39
Re: int.med./endocr.
samyou - 05-25-10 23:24

My answer is: e.

#40
Re: int.med./endocr.
residencyrace - 05-29-10 11:36

My answer is: e.

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