Adrenal

Question 1

1a adrenal insuff results in deficiency of?

Answer 1

cortisol
aldosterone
androgens

Question 2

2a adrenal insuff results in deficiency of?

Answer 2

cortisol only

Question 3

Dx? unexplained weight loss, anorexia, weakness, fatigue, hypoTN, hyperpigmentation, hyperkalemia, hyponatremia, hypoglycemia, eos

Answer 3

adrenal insuff

Question 4

How to dx adrenal insuff?

Answer 4

cosyntropin stim test

Question 5

cosyntropin stim test results that RULE OUT adrenal insuff?

Answer 5

cortisol rising more than 18ug/dL

Question 6

Dx? HTN, hypokalemia

Answer 6

hyperaldosteronism

Question 7

Most common cause 1a hyperaldosteronism?

Answer 7

Conn syndrome (unilateral aldosteronoma)

Question 8

Tx hyperaldosteronism?

Answer 8

1) surgery
2) spironolactone
3) thiazide

Question 9

Drug to use if spironolactone can’t be tolerated?

Answer 9

eplerenone

Question 10

Dx? severe HTN, HA, sweating, palpitations

Answer 10

pheochromocytoma

Question 11

Diagnostic test pheochromocytoma?

Answer 11

24-hr urine metanephrine

Question 12

What do you avoid giving in pheochromocytoma?

Answer 12

IV contrast

Question 13

Alpha blockade med?

Answer 13

phenoxybenzamine