How is Cushing's syndrome most likely caused? A 35 year old female - ProProfs Discuss
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How is Cushing's syndrome most likely caused? A 35-year-old female client who complains of weight gain, facial hair, absent menstruation, frequent bruising, and acne is diagnosed with Cushing's syndrome.



A. An ectopic corticotropin-secreting tumor.
B. Adrenal carcinoma.
C. A corticotropin-secreting pituitary adenoma.
D. An inborn error of metabolism.
Asked by STONE, Last updated: Apr 29, 2020

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3 Answers

M. Delilah

M. Delilah

Answered Mar 25, 2020

The correct answer to this question is option C - A corticotropin-secreting pituitary adenoma
Cushing’s syndrome is caused by corticotropin secreting adenoma in the pituitary gland. It is an endocrine disorder. Complains of weight gain, facial hair, absent menstruation, frequent bruising, and acne are symptoms of Cushing’s syndrome.

Ectopic corticotropin secreting tumor, also known as ectopic ACTH syndrome, can cause these symptoms, but this will not be diagnosed as Cushing’s syndrome.

Adrenal carcinoma is an aggressive carcinoma of the adrenal cortex. It is not the same as Cushing’s syndrome.

An inborn error of metabolism does not cause Cushing’s syndrome. Therefore, Options A, B, and D are incorrect.

 

Bobby Rickets

Bobby Rickets, Content Reviewer

Answered Jan 23, 2019

The answer to this question is C- A corticotropin-secreting pituitary adenoma. In a situation where a 35 year old female client who complains of weight gain, facial hair, absent menstruation, frequent bruising, and acne is likely to be diagnosed with Cushing's syndrome.

Cushing’s syndrome is caused by a corticotropin-secreting pituitary adenoma. Cushing’s syndrome tends to affect females between the ages of 20 to 40 years old. None of the other answer choices affect women or involve all of the symptoms the client is reporting. The pituitary adenoma is actually a small brain tumor on the pituitary.

 

John Smith

John Smith

Answered Sep 09, 2016

A corticotropin-secreting pituitary adenoma.-rationale: a corticotropin-secreting pituitary adenoma is the most common cause of cushings syndrome in women ages 20 to 40. ectopic corticotropin-secreting tumors are more common in older men and are commonly associated with weight loss. adrenal carcinoma isnt usually accompanied by hirsutism. a female with an inborn error of metabolism wouldnt be menstruating. client needs category: physiological integrity client needs subcategory: reduction of risk potential cognitive level: knowledge reference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing,11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1479.
 

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