39. A 32-year-old woman comes to the physician because of a 4-month history of fatigue; she also has had a 9-kg (20-Ib) weight gain during this period. Her blood pressure is 160/98 mm Hg: 1 year ago, her blood pressure was 120/85 mm Hg. Physical examination shows moon facies, truncal obesity, and purple striae over the abdomen. Serum studies show an increased adrenocorticotropic hormone concentration, consistent with measurements at her two most recent visits. This patient most likely has which of the following pathologic changes in the adrenal gland?
39. A 32-year-old woman comes to the physician because of a 4-month history of fatigue; she also has had a 9-kg (20-Ib) weight gain during this period. Her blood pressure is 160/98 mm Hg: 1 year ago, her blood pressure was 120/85 mm Hg. Physical examination shows moon facies, truncal obesity, and purple striae over the abdomen. Serum studies show an increased adrenocorticotropic hormone concentration, consistent with measurements at her two most recent visits. This patient most likely has which of the following pathologic changes in the adrenal gland?
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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
Transcribed Image Text:89. A 32-year-old woman comes to the physician because of a 4-month history of fatigue; she also has had a 9-kg (20-lb) weight gain during this period. Her blood pressure is 160/98 mm Hg;
1 year ago, her blood pressure was 120/85 mm Hg. Physical examination shows moon facies, truncal obesity, and purple striae over the abdomen. Serum studies show an increased
adrenocorticotropic hormone concentration, consistent with measurements at her two most recent visits. This patient most likely has which of the following pathologic changes in the adrenal
gland?
A) Hyperplasia of zona fasciculata
B) Hyperplasia of zona glomerulosa
C) Hypertrophy of medulla
D) Hypertrophy of zona glomerulosa
E) Hypertrophy of zona reticularis
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