Endocrine Pharmacology USMLE Step 1 Practice Question
A 58-year-old woman with severe rheumatoid arthritis treated with daily oral glucocorticoids for 9 months presents with proximal muscle weakness, thin skin, easy bruising, and hyperglycemia (fasting glucose 165 mg/dL). Physical examination reveals hypertension (BP 158/94 mmHg) and central obesity. DEXA scan demonstrates vertebral compression fractures with T-score of -3.2. She denies fever or recent infections. Which medication is most likely responsible for these findings?
Answer choices
- ACinacalcet
- BHydrocortisoneCorrect answer
- CFinasteride
- DLevothyroxine
- EClomiphene
- FMethotrexate
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