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NBME 22 Answers

nbme22/Block 3/Question#43

A 53-year-old woman shows evidence of adrenal ...

Autoimmune adrenalitis

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submitted by seagull(461),

THis question is just critical thinking. The adrenals are bilaterally and symmetrically small. All other answer choices are not likely to be even bilaterally. Cancer won't equally spread in perfect symmetry nor infectious causes while maintaining the adrenal architecture.

slim23shady  Will TB be the answer if they'd mentioned the patient from developing world? +  
step1soon  Autoimmune adrenalitis aka addisons disease → adrenals atrophy common cause: 1. developing world: TB 2. Western world:autoimmunne FA 2019 page 334 +1  

Primary renal insufficiency; chronic cause; Addison disease (FA 332)