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NPACE Hypercortisolism Pre-Survey
A 47-yo man with T2D and HTN presents to your clinic for a routine visit. He takes metformin, glipizide, basal insulin, lisinopril, and hydrochlorothiazide. His HbA1c is 9.3% and his blood pressure is 121/72. He does not have a history of sleep apnea or kidney disease and does not consume alcohol. What is the approximate likelihood that this patient has hypercortisolism due to adrenal autonomous cortisol secretion, based on the CATALYST trial?
[ Required ]
<1%
1%-10%
11%-20%
20%-30%
Which of the following tests has the greatest sensitivity for identifying hypercortisolism?
[ Required ]
UFC (24-hour Urine)
DST (1 mg Overnight Dexamethasone-Suppression Test)
dex-CRH (Dexamethasone-Suppressed Corticotropin-Releasing Hormone)
LNSC (Late Night Salivary Cortisol)
How confident do you feel in your answer to the previous question?
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Confident
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