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Image Challenge The pupils of this female smoker were unresponsive to light and accommodation.

The pupils of this female smoker were unresponsive to light and accommodation.

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Question

The pupils of this female smoker were unresponsive to light and accommodation. She had noted weight loss and postural hypotension and was found to have an irregular centimeter-sized nodule in the right middle lobe. A test for which one of the following would most likely lead to the diagnosis?

Calcium-receptor antibody

Parathyroid hormone related protein

Serum ceruloplasmin

Treponema pallidum haemagglutination assay

Anti-Hu antibody

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