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167353 Medicine

A 45-year old female had sought medical attention for her recent increase in weight and proximal limb weakness. She was diagnosed with rheumatoid ahritis. 1 week ago has been staed on prednisolone tablets. Physical examamination revealed truncal obesity; BP – 145/90 mm Hg and PR- -90/ mill. High levies of coisol were found in her blood and 24 hour urine sample. A high dose dexamethasone suppression test was performed and the plasma coisol level was suppressed. Serum ACTH level was high. The etiology of this condition can be confirmed by

ACT scan of the chest
BMRI of the brain
CCT scan of the abdomen
DPlasma metanephrine level
Medicine
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