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 Best of Five 216

 

   

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BOF: 216

A 38-year-old female is being investigated for hypertension.  She complains of polyuria, and muscle weakness. There is no family history of early hypertension.

Investigations reveal:

Serum sodium 145 mmol/L

Serum potassium 2.2 mmol/L

Chloride 103 mmol/L

Bicarbonate 32 mmol/L

Urea 7.4 mmol/L

Which of the following conditions is most likely to account for her condition?

a)      Adrenal adenoma

b)      Bilateral adrenal hyperplasia

c)      Adrenal carcinoma

d)      Glucocorticoid remediable aldosteronism

e)      Unilateral adrenal hyperplasia

 

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