KROK 1 2016 – Question 46 · KROK (Medicine) · Pathophysiology

A 41-year-old man has a history of recurrent attacks of heartbeats (paroxysms), profuse sweating, headaches. Examination revealed hypertension, hyperglycemia, increased basal metabolic rate, and tachycardia. These clinical presentations are typical of the following adrenal pathology:

  1. A. Hypofunction of the adrenal cortex
  2. B. Primary aldosteronism
  3. C. Hypofunction of the medulla
  4. D. Hyperfunction of the adrenal cortex
  5. E. Hyperfunction of the medulla
Hint

Ask which adrenal secretion could explain paroxysms of palpitations and sweating together with hypertension, hyperglycemia and a raised metabolic rate.

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