What are the clinical manifestations of Cushing syndrome? (select all that apply)
Hyperkalemia
Thin skin that bruises easily
Round, “moon face” appearance
Weight loss
Fatty pad between the shoulders .
Correct Answer : B,C,E
Choice A rationale
Hyperkalemia, or high levels of potassium in the blood, is not a clinical manifestation of Cushing syndrome.
Choice B rationale
Thin skin that bruises easily is indeed a common symptom of Cushing syndrome. The condition causes the skin to become thin and fragile, leading to easy bruising.
Choice C rationale
A round, “moon face” appearance is another common symptom of Cushing syndrome. This is caused by the redistribution of fat to certain areas of the body, including the face.
Choice D rationale
Weight loss is not typically associated with Cushing syndrome. In fact, weight gain, particularly in the trunk of the body, is a more common symptom.
Choice E rationale
A fatty pad between the shoulders, often referred to as a “buffalo hump,” is a common symptom of Cushing syndrome. This is also due to the redistribution of fat in the body.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
While blood-tinged urine can be a symptom of nephrolithiasis, it does not necessarily indicate the presence of an infection.
Choice B rationale
Colicky flank pain is a common symptom of nephrolithiasis, but it does not necessarily indicate the presence of an infection.
Choice C rationale
Chills are often a sign of an infection. If a patient with nephrolithiasis is experiencing chills, it could indicate that an infection is also present.
Choice D rationale
While nausea can be a symptom of nephrolithiasis, it does not necessarily indicate the presence of an infection.
Correct Answer is D
Explanation
Choice D rationale
Heartburn is a primary symptom of gastroesophageal reflux disease (GERD), which occurs when stomach acid frequently flows back into the esophagus, causing irritation and discomfort (nih.gov, n.d.).
Choice A rationale
Crohn's disease is a type of inflammatory bowel disease that can cause symptoms like abdominal pain, diarrhea, and weight loss, but heartburn is not a typical symptom (Healthline, 2022).
Choice B rationale
Diverticulitis results from inflammation or infection of diverticula in the colon, leading to symptoms like abdominal pain, fever, and changes in bowel habits (nih.gov, n.d.).
Choice C rationale
Ulcerative colitis is another type of inflammatory bowel disease that causes inflammation and ulcers in the colon, resulting in bloody diarrhea and abdominal pain, but not typically heartburn (Healthline, 2022).
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