AMBOSS Access Codes

A 30-year-old male presents with headache, nausea, vomiting after using a charcoal grill in a poorly ventilated area. Normal vital signs, oxygen saturation 98% on room air. Which of the following is the MOST likely diagnosis?

45 y W presents with fatigue, irregular menses, recurrent respiratory infections, and hypertension 151/82 mm Hg. Physical exam reveals round face, skin thinning, and multiple bruises. Diagnosis: ACTH-secreting pituitary adenoma. What is her greatest risk?

A 27-year-old man with weight gain, fatigue, and low sexual desire has elevated 24-hour urinary free cortisol (200 μg; normal < 50) and low morning serum ACTH (1 pg/mL; normal = 7–50). What test is best to confirm the underlying cause?

In a hypertensive man (158/96 mm Hg) with hypokalemia (K+ 3.1 mEq/L), a PAC/PRA ratio of 47 (N < 10), and bilateral adrenal gland abnormalities on CT, along with a failed saline infusion test, what's the most appropriate next step in management?

In a 57-year-old woman with multiple small aneurysms in the lenticulostriate arteries and bilateral hyperplasia limited to the zona glomerulosa, which of the following symptoms is most likely associated with her adrenal condition?

What is the likely finding in further evaluation of a 15-year-old girl with fatigue, weakness, headaches, and hypertension, showing elevated renin activity, increased aldosterone, and low potassium levels?

AMSEL criteria is used for

34 yo women , 3-month fatigue, 4.5-kg weight loss, rapid pulse, BP 140/60 mm Hg, warm, moist skin, diffuse anterior neck swelling, bilateral eyelid swelling, proptosis. Likely cause?

7yo boy, 2-month headaches, weight 25th percentile, height 79th percentile. Vital signs normal, no physical abnormalities. CT shows small suprasellar cystic mass compressing infundibular stalk. Which hormone is likely increased?

39yo man, 3-month fatigue, low sexual desire, erection difficulty. Past: traumatic brain injury 4 months ago, no abnormalities on imaging. Exam bilateral gynecomastia, thin white nipple discharge.↓ production of which hormone will Likely underlying cause?

31yo woman,3 months irregular menses, milky nipple discharge, fatigue, weight gain. Started clozapine 5 months ago for schizophrenia, hypothyroid but not on levothyroxine for 6 months. No visual field abnormalities. TSH 17.0 μU/mL, prolactin 85 ng/mL ?