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A 44-year-old woman was seen at the clinic because of episodic weakness, paresthesias, and constipat

A 44-year-old woman was seen at the clinic because of episodic weakness, paresthesias, and constipat. Question
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A 44-year-old woman was seen at the clinic because of episodic weakness, paresthesias, and constipation for the past week. Vital signs were blood pressure 100/55 mm Hg, pulse 95 bpm, respirations 16/min. Physical examination revealed increased pigmentation, especially on skinfolds and extensor surfaces. Bluish black discoloration of the areolae and mucous membranes was also noted. Significant serum levels on admission were Na+ 122 m Eq/L (normal 136−145 m Eq/L), K+ 6.2 mEq/L (normal 3.5−5.5 mEq/L), fasting glucose 58 mg/dL (normal 70−110 mg/dL), blood urea nitrogen (BUN) 34 mg/dL (normal 7−18 mg/dL). The serum level of a hormone was measured before and after the intravenous injection of a test drug to con rm the diagnosis. Which of the following test drugs was most likely administered?

A. Somatropin
B. Mecasermin
C. Adrenocorticotropic hormone (ACTH)
D. Octreotide
E. Leuprolide
F. Somatostatin

SCIENCE
HEALTH SCIENCE
NURSING
NURSING MSN 571

A 44-year-old woman was seen at the clinic because of episodic weakness, paresthesias, and constipat

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