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

Question 26#Print Question

A follow-up CT scan in a 60-year-old patient with previous nephrolithiasis reveals a 1.5-cm hypovascular round lesion with clear margins in the right adrenal gland. The patient is not hypertensive, hyperglycemic, or hypokalemic. Urinary catechol metabolites are within normal limits, and serum cortisol and ACTH levels are normal. Which course is advisable?

a. Repeat CT scan and chemical tests annually
b. Percutaneous FNAB
c. Adrenal venous sampling for cortisol, renin, and angiotensin
d. Laparoscopic adrenalectomy


Question 27#Print Question

Advantages of laparoscopic adrenalectomy compared with open adrenalectomy include all of the following EXCEPT:

a. Decreased incidence of wound infection
b. Decreased length of hospital stay
c. Decreased operative time
d. Decreased narcotic analgesic use


Question 28#Print Question

In patients who undergo bilateral adrenalectomy in treatment of Cushing disease after failed attempts at resection of an ACTH-secreting pituitary adenoma, the subsequent development of Nelson syndrome is associated with all of the following EXCEPT:

a. Hyperpigmentation
b. Diminished visual fields
c. Loss of hearing
d. Headaches




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