A 45-year-old woman with central obesity, proximal muscle weakness, and easy bruising undergoes evaluation for Cushing syndrome. Vital signs show BP 158/92 mmHg, HR 88 bpm, RR 16/min, temp 37.2°C. Laboratory studies reveal 24-hour urinary free cortisol 250 mcg (normal <50), with morning ACTH 35 pg/mL. An exogenous glucocorticoid is administered overnight, and serum cortisol is measured the following morning to assess suppression of ACTH-driven endogenous cortisol production. Which drug is most appropriate for this diagnostic test?

  1. A)Ketoconazole
  2. B)DexamethasoneGABARITO
  3. C)Hydrocortisone
  4. D)Mifepristone
  5. E)Fludrocortisone

Explicação

Dexamethasone is used in suppression testing because it is a potent glucocorticoid with minimal mineralocorticoid activity and provides reliable feedback suppression. It is the classic drug used in the dexamethasone suppression test for hypercortisolism. Ver explicação completa e trilha adaptativa →

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