Press: Secondary Hypertension

Question 1

27 yo male with diagnosis of pheochromocytoma. MIBG scan confirms no metastasis. Surgery is recommended.

Answer 1

phenooxybenzamine and then followed by propanolol (alpha followed by beta)

Question 2

Dx of atherosclerosis in a 75 yo male. he has coronary disease and is on lots of meds. He has a carotid bruit. What would you expect to see in your diagnostic workup?

Answer 2

elevated plasma renin and aldosterone

Question 3

Dx of atherosclerosis in a 75 yo male. he has coronary disease and is on lots of meds. He has a carotid bruit. You would expect to see all of these EXCEPT:

Answer 3

moderate to severe HTN in the patient with unexplained atrophic kidney or asymmetry in renal size >0.5cm.