Buttaro: Endocrine: MODULE VIII [100% VERIFIED]

Buttaro: Endocrine: MODULE VIII [100% VERIFIED] A patient has new-onset hypertension with a systolic blood pressure of 180 mm Hg. Which test will the provider order to diagnose this patient? ACTH suppression testing Adrenal antibody tests Cortisol excretion studies Fractionated metanephrine levels *Ans* ANS: D Patients with pheochromocytoma may present with new-onset hypertension with systolic pressure >170 mm Hg. Fractionated metanephrine will be elevated when the diagnosis is confirmed. ACTH suppression testing and cortisol excretion studies are performed to diagnose Cushing's syndrome. Adrenal antibody tests are performed as part of the evaluation for Addison's disease. A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once confirmatory tests are performed, what is a possible treatment for this patient? Antihypertensive therapy Mineralocorticoid replacement Oral hydrocortisone Pituitary tumor resection *Ans* ANS: D This patient has symptoms of Cushing's syndrome. When indicated, pituitary tumor resection is performed as the first choice. Antihypertensive therapy is initiated in patients with pheochromocytoma. Mineralocorticoids and glucocorticoids are given to patients with Addison's disease. A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-exposed skin folds along with darkened palmar creases. Which laboratory tests will the provider order? (Select all that apply.) Serum ACTH Serum cortisol Serum electrolytes TB skin testing Urine cortisol *Ans* ANS: A, C, D This patient has symptoms of Addison's disease. Serum ACTH will be elevated in patients with Addison's disease. Hyponatremia and hyperkalemia may occur and are sometimes the initial finding. TB skin testing is done to exclude tuberculosis. Serum and urine cortisol levels are evaluated with Cushing's syndrome is suspected. An obese adolescent female patient reports irregular periods and excessive acne. The provider notes an increased amount of hair on her upper back, shoulders, and upper abdomen. What will the provider do, based on these findings? Consider treatment with oral contraceptive pills (OCPs) Counsel her about diet, exercise, and weight loss Recommend cosmetic laser hair removal Refer to an endocrinologist for evaluation *Ans* ANS: