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Phaeochromocytoma — RACP Written MCQ

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HardEndocrinologyPhaeochromocytomaRACP Written

A 48-year-old man has episodic headaches, sweating and palpitations. Blood pressure is 210/112 mmHg during attacks. Plasma metanephrines are markedly elevated and CT shows a 4 cm adrenal mass. What is the most appropriate management?

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Correct answer: C — Alpha blockade before surgical referral

Phaeochromocytoma requires alpha blockade before beta blockade or surgery to reduce catecholamine-mediated perioperative risk.

Reference: Therapeutic Guidelines: Endocrinology; AMH