Read the endocrinology clinic note (below) : Mrs. Moon has glucocorticoid excess (specifically cortisol) . The differential diagnosis at this point includes adrenocorticohyperplasia and an adrenal adenoma.
Which of the following statements is a correct interpretation of the information found in the note?
A) Mrs. Moon's body is not producing enough cortisol, a hormone produced by the adrenal cortex with a role in carbohydrate metabolism. The author of this clinic note believes this is caused by a cancerous tumor originating in the cortex of the adrenal gland.
B) Mrs. Moon's body is not producing enough cortisol, a hormone produced by the adrenal cortex with a role in carbohydrate metabolism. The author of this clinic note believes this is caused by either an inflammation of the adrenal gland or an overdevelopment of the cortex of the adrenal gland.
C) Mrs. Moon's body is producing too much cortisol, a hormone produced by the adrenal cortex with a role in carbohydrate metabolism. The author of this clinic note believes this is caused by either a tumor of the adrenal gland or a condition in which the adrenal glands underproduce necessary hormones.
D) Mrs. Moon's body is producing too much cortisol, a hormone produced by the adrenal cortex with a role in carbohydrate metabolism. The author of this clinic note believes this is caused by either a tumor of the adrenal gland or an inflammation of the adrenal glands.
E) Mrs. Moon's body is producing too much cortisol, a hormone produced by the adrenal cortex with a role in carbohydrate metabolism. The author of this clinic note believes this is caused by either a tumor of the adrenal gland or an overdevelopment of the cortex of the adrenal gland.
Correct Answer:
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