Question 378 · LEK · Adrenal incidentaloma
Which of the following should be done in a patient with adrenal incidentaloma of 1.3 cm in diameter, +13 Hounsfield units, in order to exclude pheochromocytoma?
1) determination of the 24-hour urinary methoxy-catecholamines excretion;
2) FNAB of the tumor;
3) 1 mg dexamethasone test;
4) determination of aldosterone and renin;
5) androstenedione determination.
The correct answer is:
2) FNAB of the tumor;
3) 1 mg dexamethasone test;
4) determination of aldosterone and renin;
5) androstenedione determination.
The correct answer is:
- A. 1,2,3.
- B. 2,3,4.
- C. 3,4,5.
- D. only 1.
- E. all the above.
Hint
Pick only the test that actually assesses catecholamine excess; the others evaluate different adrenal hormones or are unsafe.
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