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Phaeochromocytoma Pre-Op Ready — RACP Adult Medicine MCQ

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ModerateEndocrinology & DiabetesPhaeochromocytoma Pre-Op ReadyRACP Adult Medicine

A 45-year-old man with phaeochromocytoma on phenoxybenzamine for 3 weeks has BP 120/75 with orthostatic drop, nasal congestion, and weight gain. What do these signs indicate?

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Correct answer: D — Adequate alpha-blockade – ready for surgery

Nasal congestion, orthostatic drop, mild oedema/weight gain = adequate alpha receptor blockade. Patient ready for surgery.

Reference: eTG – 2025 – Endocrinology; Endocrine Society – 2014