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Retired NBME 13 Answers

nbme13/Block 4/Question#34 (reveal difficulty score)
A 33-year-old woman comes to the physician ...
Cortical hyperplasia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by cv020496(1)
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ACTH-secreting pituitary adenoma (Cushing disease); paraneoplastic ACTH secretion (eg, small cell lung cancer, bronchial carcinoids)โ€”result in ACTH, bilateral adrenal hyperPLASIA. Cushing disease is responsible for the majority of endogenous cases of Cushing syndrome. Cortisol produced in zona fasciculata in cortex.

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