PRACTICE QUESTIONS ABOUT ACUTE CARE SURGERY WITH ANSWER KEY(ENDOCRINE)QUESTIONS:1. A 24-year-old woman has 3 months of intermittent spells of severe headache, heart palpitations,and sweating. A pregnancy test at her primary care doctor’s office is positive. Further workupreveals that her plasma metanephrine level is 220 pg/ml (normal 12-60 pg/ml). What is the nextstep in establishing the diagnosis?a.b.c.d.e.CT abdomenRepeat plasma metanephrine level after the parient has deliveredMRI abdomenI131 – MIBG scanReassure patient that symptoms are related to pregnancy2. Pre-operative medical optimization for a patient with a pheochromocytoma routinely includes:a.b.c.d.e.Octreotide drip for 24 hours before surgeryControl of hypertension with beta-blockade at first-line agentControl of hypertension with alpha-blockade at first-line agentMetyrosineDiuretics for blood pressure management3. A 58-year-old otherwise healthy patient undergoes a non-contrast CT abdomen to evaluate forpossible kidney stones and is incidentally noted to have a 8 cm mas in the left adrenal gland. Themass has irregular borders and high attenuation, suggesting a lipid-poor lesion, … Purchase document to see full attachment
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