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NBME 23 Answers

nbme23/Block 3/Question#16 (reveal difficulty score)
A 40-year-old woman comes to the physician ...
Pituitary gland 🔍 / 📺 / 🌳 / 📖
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submitted by sympathetikey(1600)
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Dexamethosone suppresses ACTH = Pituitary Adenoma Dexamethosone fails to suppress ACTH = Ectopic ATCH (ex - Small Cell Lung Cancer)

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sympathetikey  *ACTH +
meningitis  If im not mistaken, Dexamethosone also fails to suppress ACTH = Adrenal Gland Adenoma +1
therealloureed  I think an adrenal gland tumor would have low/undetectable ACTH? aka no dex suppression +16
bigjimbo  Low ACTH = adrenal adenoma High ACTH, suppressible = Pituatary adenoma High ACTH, non-suppressible = SCLC +15
rozeng  I thought the it's a SCLC because it took SEVERAL DAYS :S +



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submitted by blue4415(4)
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would it be possible in hypothalamus? which increase CRH,although it's never mention in any Qbanks or FA in Dexamethosone suppresses test; just curious

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