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NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 3/Question#15 (reveal difficulty score)
A 26-year-old woman is brought to the ...
ACTH stimulation test ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: endo

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 +3  upvote downvote
submitted by โˆ—carolebaskin(109)
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Don't get Addison's confused with Cushing's!

Young woman with eosinophilia, hyponatremia, hyperkalemia, lethargy, confusion, hyperpigmentation, etc, etc

Think Addison's = Primary Adrenal Insufficiency

Test with ACTH stimulation test

vs Cushing's which you test with dexamethasone suppression test

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 +2  upvote downvote
submitted by โˆ—charcot_bouchard(574)
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Deficiency - Stimulation test Excess - Supresssion Test

Basis of these are to inc sensitivity as they are screening test.

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