問題詳情

64.有一hypercortisolism病人,以口服1 mg dexamethasone suppression test測試,第二日早上其血清cortisol並未下降,該病人為下列何者?
(A)Cushing disease
(B)Cushing syndrome
(C)Addison disease
(D)Conn syndrome

參考答案

答案:B
難度:困難0.333333
統計:A(1),B(1),C(0),D(1),E(0)

用户評論

Brian】評論

The dexamethasone suppression tests assess the pituitary corticotroph cell response to glucocorticoid negative feedback inhibition of corticotropin (ACTH) secretion. Dexamethasone is a potent glucocorticoid, about 30 to 40 times more potent than cortisol. Thus, the average daily maintenance dose of dexamethasone for a patient with adrenal insufficiency is 0.5 mg, versus 20 mg for hydrocortisone.resource: uptodate