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Cushing syndrome — PARA MCQ

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ModerateGeneral Medicine - EndocrinologyCushing syndromePARA

A 50-year-old woman has proximal muscle weakness, weight gain, easy bruising and purple abdominal striae. Blood pressure is 168/98 mmHg and glucose is raised. What is the most likely cause?

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Correct answer: D — Excess cortisol exposure

Proximal myopathy, bruising, striae, hypertension and hyperglycaemia suggest Cushing syndrome from excess glucocorticoid exposure.

Reference: NICE CKS: Cushing syndrome; Endocrine Society guideline