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Category: Surgery--->Thyroid, Parathyroid, and Adrenal
Page: 5

Question 21# Print Question

A 50-year-old, healthy-appearing man undergoes evaluation of persistent hypertension. Serum chemistries reveal hypokalemia (less than 3.2 mmol/L) and imaging studies reveal a unilateral adrenal mass. What is the likely diagnosis?

A. Secondary hypercortisolism (Cushing disease)
B. Primary hypercortisolism (Cushing syndrome)
C. Hyperaldosteronism (Conn syndrome)
D. Pheochromocytoma


Question 22# Print Question

A 35-year-old woman undergoes an evaluation for infertility. She has gained almost 100 lb in the past year, is hypertensive, and is borderline diabetic. She also complains of easy bruising. Her serum chemistries are normal with the exception of an elevated glucose. Imaging studies reveal a unilateral adrenal mass. What is the likely diagnosis?

A. Secondary hypercortisolism (Cushing disease)
B. Primary hypercortisolism (Cushing syndrome)
C. Hyperaldosteronism (Conn syndrome)
D. Pheochromocytoma


Question 23# Print Question

All of the following imaging techniques are useful to localize a pheochromocytoma EXCEPT:

A. Computed tomography ( CT) scan
B. Magnetic resonance imaging (MRI) scan
C. Metaiodobenzylguanidine (MIBG) scan
D. Octreotide scan


Question 24# Print Question

Pheochromocytomas can secrete excess amounts of all of the following EXCEPT:

A. Dopa (L-dihydroxyphenylalanine)
B. Dopamine
C. Norepinephrine
D. Epinephrine


Question 25# Print Question

The preoperative preparation of a patient with pheochromocytoma should include all of the following EXCEPT:

A. An alpha-adrenergic blocker such as phentolamine
B. A beta-adrenergic blocker such as propranolol
C. Intravenous hydration to avoid volume depletion
D. Systemic steroids to avoid adrenal insufficiency




Category: Surgery--->Thyroid, Parathyroid, and Adrenal
Page: 5 of 6