6. A 32-year-old woman comesto the physicianbecause of a 4-month history of fatigue; she also has hada 9-kg (20-2)weight gain during this period. Her blood pressure is 150/38 mm Hg; 1 year ago, her blood pressure was 120/85 mm Hg. Physical examination shows moon facies, truncal obesity, and purple striae over the abdomen. Serum situdes showan increased adrenocorticotropic hormone concentration, consistent with measurements at her two most recent visits. This patient most likely has which of the following pathologic changes in the adrenal gland? A. Hyperplasia of zona fasciculata B. Hyperplasia of zona glomerulosa C. Hypertrophy of medulla D. Hypertrophy of zona glomerulosa E. Hypertrophy of zona reticularis

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