36-year-old Woman in Medicine / Internal Medicine — 36yo Woman | Endocrinology | SMLE Q#11636
SMLE Question #11636
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 36-year-old woman has 9 months of progressive weight gain, fatigue, proximal muscle weakness, easy bruising, irregular menses, and new-onset hypertension. Examination shows central obesity, moon facies, dorsocervical fat pad, and wide violaceous abdominal striae. She denies glucocorticoid use. Pituitary MRI shows no discrete lesion, and chest CT is pending. Which of the following is the most likely type of Cushing's syndrome in this patient?
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