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Adult Nurse Practitioner Exam Prep

Category - AANPCP Adult Nurse Practioner Practice Test

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While assisting a physician in the diagnosis of Cushing’s syndrome, the following symptoms should be considered:
  1. Weight loss, hirsutism, purple striae
  2. Renal calculi, dysmenorrhea and polydipsia
  3. Hypotension, osteoporosis, hypernatremia
  4. Hypokalemia, hyperglycemia, truncal obesity, buffalo hump
Explanation
Answer - D - Option A is incorrect because the patient gains weight due to fluid retention; however, hirsutism and purple striaes are commonly seen in these patients. Option B is incorrect because the patient with this condition has amenorrhea (not dysmenorrhea). Renal calculi and osteoporosis are present due to bone demineralization. There is an increased urinary output due to inhibited ADH secretion. Option C is incorrect because of hypotension. In Cushing’s syndrome, there is hypertension due to fluid and salt retention.
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