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Pheochromocytoma — RCPSC IM MCQ

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HardEndocrinologyPheochromocytomaRCPSC IM

Adrenal-vein sampling confirms unilateral aldosterone excess in a fit patient with primary aldosteronism who wishes definitive therapy. What management should now be discussed?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Refer for unilateral adrenalectomy with perioperative planning

Explanation lettering: C = shown as A · D = shown as B · B = shown as C · A = shown as D

A is correct: confirmed unilateral primary aldosteronism in a surgical candidate is treated with adrenalectomy. B ignores functional lateralization. C and D treat other adrenal conditions. E does not address aldosterone excess.

Reference: Hypertension Canada, Assessment for endocrine hypertension: https://hypertension.ca/guidelines/diagnosis-assessment/xviii-assessment-for-endocrine-hypertension/