Hyperpigmentation in patients with Cushing's syndrome always points to extra-adrenal tumor

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PN Learning System Medical Surgical Endocrine Practice Quiz Questions

Question 1 of 5

Hyperpigmentation in patients with Cushing's syndrome always points to extra-adrenal tumor

Correct Answer: B

Rationale: Hyperpigmentation in Cushing's can also occur with pituitary ACTH excess (Cushing's disease), not just ectopic sources.

Question 2 of 5

Myasthenia gravis is frequently associated with:

Correct Answer: A

Rationale: Thymomas are associated with myasthenia gravis in 8-10% of cases.

Question 3 of 5

All the following concerning syringomyelia are true, except:

Correct Answer: A

Rationale: Syringomyelia typically involves the cervical cord, not lumbosacral, causing upper limb symptoms.

Question 4 of 5

kuru

Correct Answer: D

Rationale: Kuru (prion disease) causes cerebellar ataxia.

Question 5 of 5

Basophilic stippling of RBCs

Correct Answer: A

Rationale: Lead poisoning causes basophilic stippling of RBCs from inhibited heme synthesis.

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