This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Cushing Syndrome, Subject name: Medicine
[{'content': 'Pseudo-cushing syndrome is seen in: \nSelect and explain. \nA. Chronic alcoholism, B. Incidentaloma, C. Adrenal carcinoma, D. Nelson syndrome', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Pseudo-Cushing syndrome : In alcoholics there is increased urinary excretion of steroids Absent diurnal variation of plasma steroids with positive overnight Dexamethasone test. All of these biochemical derangement decrease on Alcohol discontinuation. High MCV and gamma glutamyl transferase will be indicative of alcoholism.', 'role': 'assistant'}]