A 34-year-old woman with a 12-year history of SLE managed pharmacologically comes to the GP for a routine health maintenance examination. Her BMI is 32. Vitals are stable and within normal limits. Physical examination shows thin arms and legs and increased abdominal girth. Which of the following combinations of hormonal parameters is most likely in this patient?
↑ ACTH; ↑ cortisol
↑ ACTH; ↓ cortisol
↑ ACTH; ↔ cortisol
↔ ACTH; ↑ cortisol
↔ ACTH; ↓ cortisol
↔ ACTH; ↔ cortisol
↓ ACTH; ↑ cortisol
↓ ACTH; ↓ cortisol
↓ ACTH; ↔ cortisol
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Cut-to-the-chase Answer (1:15):
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HY USMLE Answer (3:35):
