Audio Qbank – Q189 – A 34M with Crohn disease

 

A 34-year-old man with Crohn disease managed with multiple medications comes to the physician for a routine health maintenance examination. His arms and legs appear thin. He has a slight potbelly. BMI is 25. Vitals are stable and within normal limits. Which of the following is the most likely combination of findings in this patient?

 

↑ ACTH; ↑ Cortisol; ↑ Serum K+
↑ ACTH; ↑ Cortisol; ↓ Serum K+
↑ ACTH; ↓ Cortisol; ↑ Serum K+
↑ ACTH; ↓ Cortisol; ↓ Serum K+
↓ ACTH; ↑ Cortisol; ↑ Serum K+
↓ ACTH; ↑ Cortisol; ↓ Serum K+
↓ ACTH; ↓ Cortisol; ↑ Serum K+
↓ ACTH; ↓ Cortisol; ↓ Serum K+

 

Cut-to-the-chase Answer (0:59):
HY USMLE Answer (4:29):