A 61-year-old man has hypertension despite lisinopril, amlodipine, and chlorthalidone. Home readings average 154/88 mm Hg. Potassium is 3.1 mEq/L. He

Question

A 61-year-old man has hypertension despite lisinopril, amlodipine, and chlorthalidone. Home readings average 154/88 mm Hg. Potassium is 3.1 mEq/L. He has no edema and takes medications reliably. Which of the following is the most likely diagnosis?

Accepted Answer

Primary aldosteronism

Answer

Acute aortic dissection

Answer

White coat hypertension

Answer

Pheochromocytoma crisis

Answer

Addison disease

Primary aldosteronism — USMLE Step 3 MCQ

A 61-year-old man has hypertension despite lisinopril, amlodipine, and chlorthalidone. Home readings average 154/88 mm Hg. Potassium is 3.1 mEq/L. He has no edema and takes medications reliably. Which of the following is the most likely diagnosis?