Audio Qbank – Q124 – A 72M with biochemical derangement

 

A 72-year-old man presents to the physician because of increasing fatigue over the past year. His serum biochemistry is:

 

Na: 138 (NR 135-145)
K: 5.2 (NR 3.5-5.0)
HCO3: 22 (NR 22-28)
Eosinophils: 15% (NR 0-6%)

 

What’s the next best step in diagnosis?

 

  ACTH stimulation test
  Dexamethasone suppression test
  Metyrapone test
  Stool ova and parasites
  Stool pH

 

Cut-to-the-chase Answer (1:14):
HY USMLE Answer (7:26):