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Section Two: Qbook Practice Tests | 235
Internal Medicine: Test Eight
A s7-year-old man is noted on 2 pre-employment
physical to have “moon facies” and truncal obesity
With ¢ “buffalo hump” Muscle wasting and abdominal
strlae are alo noted. Tbe man is efered to an intros
_medicne specialist for further evaluation. Eerly morning
plasma conisol is 35 mg/dl. A screening dexametha~
sone suppression test ie then ordered, in which 1 ng of
oral dexamethasone is given at 1:30 224 The following
morning, a 7:00 Aa, plasma cortisol is 6 mg/dL. No