Rosh Review Endocrine Study Guide Rated A+

A 25-year-old woman presents to the clinic with chronic fatigue and malaise. She also has experienced decreased appetite and weight loss. These symptoms developed gradually over months. Hyperpigmented skin is seen on exam. What is the most likely diagnosis? A Adrenal crisis B Cushing syndromeYour Answer C Primary adrenal insufficiency D Secondary adrenal insufficiency {Ans: C Primary adrenal insufficiency}Which of the following diagnostic test results is consistent with a diagnosis of the syndrome of inappropriate antidiuretic hormone? A Serum osmolality of 330 mOsm/kg B Serum sodium of 153 mmol/L C Urine osmolality of 310 mOsm/kg D Urine sodium content of 12 mEq/L {Ans: C Urine osmolality of 310 mOsm/kg}Which of the following statements most appropriately defines the Somogyi effect? A A fall in early morning glucose levels caused by high insulin and high growth hormones B A paradoxical fall in the early morning glucose levels caused by a late evening hyperglycemia C A paradoxical rise in the early morning glucose levels caused by insulin-induced late evening hypoglycemia D A rise in the early morning glucose levels caused by low insulin and high growth hormones {Ans: C A paradoxical rise in the early morning glucose levels caused by