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Which of the following statements about Cushing’s disease is true?

A
Serum adrenocorticotropin (ACTH) levels usually are low
B
Pituitary microadenoma usually is present
C
There is a high incidence of nonendocrine tumors
D
Nonsuppression of cortisol production by the high-dose dexamethasone suppression test is a characteristic finding
High-Yield Explanation
Cushing’s syndrome is due to increased adrenal cortisol production, regardless of etiology. Cushing’s disease usually is caused by a pituitary microadenoma producing high adrenocorticotropin (ACTH) levels. In most patients, cortisol levels would be suppressed as a result of the high-dose dexamethasone suppression test. Transsphenoidal microsurgical removal of the microadenoma is the treatment of choice in most centers.

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