A 45-year-old man is evaluated for new-onset hypertension. Examination reveals truncal obesity, moon facies, purple abdominal striae and proximal musc...

Question

A 45-year-old man is evaluated for new-onset hypertension. Examination reveals truncal obesity, moon facies, purple abdominal striae and proximal muscle weakness. Fasting glucose is 9.0 mmol/L. Which investigation is most appropriate initial screening test?

Accepted Answer

Overnight dexamethasone suppression test

Answer

Random cortisol

Answer

Plasma catecholamines

Answer

Plasma renin activity

Answer

CT adrenal glands

au-racp MCQ (SBA): Cushing syndrome - screening

A 45-year-old man is evaluated for new-onset hypertension. Examination reveals truncal obesity, moon facies, purple abdominal striae and proximal muscle weakness. Fasting glucose is 9.0 mmol/L. Which investigation is most appropriate initial screening test?