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Home Up Asian Edition How to use ACES forPACES Cover Contents Extracts Appendix Guidelines for MRCP PACES MRCP PACES Exam Changes Marking Scheme in MRCP PACES Common Clinical Features in MRCP PACES Common Cases in MRCP PACES Buy ACES for PACES Examples of Cases OSCES EMQS Forum Useful Links Best of Five Buy ACES for PACES
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BOF 17
A 30-year-old female who has had a recent pregnancy where
labour was complicated by postpartum haemorrhage had failure of lactation and
menstruation did not recommence.
She feels giddy on standing and has postural hypotension.
Which of the following features indicates pituitary insufficiency rather than
adrenal insufficiency.
a)
Hyperkalaemia
b)
Low sodium
c)
Hypercalcaemia
d)
Pigmentation
e)
Hypoglycaemia
Answer:
e)
Hypoglycaemia in adrenal insufficiency is due to
glucocorticoid deficiency rather than mineralocorticoid deficiency, which is
more common in primary adrenal failure. In addition growth hormone lack in
pituitary insufficiency makes hypoglycaemia more marked.
Last Updated 19/02/06
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