A 41-year-old woman has episodic palpitations, headache, and sweating. Blood pressure in clinic is 168/96 mm Hg, but prior readings were normal. Her

Question

A 41-year-old woman has episodic palpitations, headache, and sweating. Blood pressure in clinic is 168/96 mm Hg, but prior readings were normal. Her father had medullary thyroid cancer. Plasma free metanephrines are elevated. Which of the following is the most appropriate next step in management?

Accepted Answer

Obtain adrenal imaging after biochemical confirmation

Answer

Schedule thyroidectomy without adrenal evaluation

Answer

Give intravenous contrast and biopsy the adrenal gland

Answer

Reassure because episodic symptoms are panic attacks

Answer

Start nonselective beta-blocker before alpha blockade

Pheochromocytoma — USMLE Step 3 MCQ

A 41-year-old woman has episodic palpitations, headache, and sweating. Blood pressure in clinic is 168/96 mm Hg, but prior readings were normal. Her father had medullary thyroid cancer. Plasma free metanephrines are elevated. Which of the following is the most appropriate next step in management?