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 Best of Five 52

 

   

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BOF: 52

A 50-year-old female has been referred for investigation of abnormal liver function tests. She consumes 52 units of  alcohol per week. On examination she is obese with mainly truncal obesity, with a moon face and a buffalo hump shaped deposit of fat across her shoulders. Her face is plethoric and there are numerous telangiectasiae. The abdomen is protuberant and there are striae. In this patient:

a)      The biochemical abnormalities do not return to normal with abstinence

b)      There is little relationship between the degree of liver damage and the plasma cortisol levels

c)      Urinary 17 hydroxycorticosteroid levels are suppressed

d)      Plasma cortisol levels are suppressed

e)      Plasma ACTH levels are elevated

 

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