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NEW QUESTION: 1
A 28-year-old woman was referred with an 8-year history of progressive weight gain, hypertension and abdominal striae. She had no family history of note and was not taking any medication.
On examination, her blood pressure was 158/86 mmHg. There was central obesity with abdominal striae. There was mild proximal myopathy of the lower limbs.
Investigations:
serum sodium143 mmol/L (137-144)
serum potassium3.4 mmol/L (3.5-4.9)
low-dose dexamethasone suppression test (2 mg/day for 48 h):
serum cortisol180 nmol/L (<50)
An MR scan of pituitary showed an invasive adenoma extending laterally into the cavernous sinuses bilaterally. Superiorly, the adenoma was in contact with, but not distorting, the optic chiasm. Formal visual field examination was normal.
What is the most appropriate next step in management?
A. adrenolytic therapy
B. trans-sphenoidal hypophysectomy
C. pituitary radiotherapy
D. bilateral adrenalectomy
E. somatostatin agonist therapy
Answer: B
NEW QUESTION: 2
次のうち、上級管理職に情報セキュリティリスクの治療オプションのパフォーマンスの最高の概要を提供するものはどれですか？
A. ヒートマップの前後
B. 最近のインシデントの分析
C. 治療の詳細なリスク分析
D. 個々のリスク評価
Answer: A
NEW QUESTION: 3
SAN storage maintenance tools, the following are maintenance assistant support functions: (Choose three)
A. Configuration Display
B. Log Analysis
C. Information Collection
D. Restore Configuration
Answer: A,B,C
NEW QUESTION: 4
A. Option B
B. Option A
Answer: A
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