NBME1 q35

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NBME1 q35

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robin082006
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02/04/07 - 02:19 AM

Give your explain!

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Guptashutosh
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02/04/07 - 06:31 AM

this 1 also not clear , robin kindly type it

dr_jojo

02/04/07 - 09:21 AM

the answer for this Q is A

why

1. HTN , hypokalemia, metabolic alkalosi

2. no edema

so this primary hyperaldosteronism (aut. production of aldosterone which is RENIN INDEPENDANT

if u still have Q ask me ,

dr_jojo

02/04/07 - 09:26 AM

ALWAYS SUSPECT HYPERALDOSTERONISM IN HTN PT WITH HYPOKALEMIA WHO IS NOT ON DIURETICS

wink

mjl1717
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02/04/07 - 09:48 AM

The labs are the tip off .. And as far as answer b- there are NO adrenergic symptoms sweating, palpatations, etc for this to occur. **I go with ectopic aldosterone production--answer a..

Can anyone comment on answer -e as a disttractor??

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dr_jojo

02/04/07 - 09:57 AM

For option JUXTAGLOM.hypertrophy = Barter syndrome which cause hypokalemia, BUT NORMAL BP

robin082006
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02/04/07 - 10:28 AM

Well this is hyperaldosteronism.

Between A and E what do you pick up?

I picked A in my exam but others picked E.

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mjl1717
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02/04/07 - 10:34 AM

dr_jojo wrote:
For option JUXTAGLOM.hypertrophy = Barter syndrome which cause hypokalemia, BUT NORMAL BP

good pickup..

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dr_jojo

02/04/07 - 11:12 AM

Why E

Guptashutosh
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02/07/07 - 09:00 AM

#10

FFFFFFFFFF

CINIII
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06/08/07 - 10:29 PM

#11

E would have some bruit?

cirus
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06/09/07 - 01:32 AM

#12

Agree about A
This is 1ry hyperaldosteronism
:hopkalemia,hypernatrenia,& persistent hypertention
next step in the mnagment would be aldosterone/renin serum levels,then an abd CT,if +ve the nect step is surgery, while if -ve, the next step is adrenal vein sampling

prathapdoctor
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06/09/07 - 09:30 AM

#13

I would go for A but the Liddle syn can present with similar pattern, in which we see juxtraglomerular hyperplasia leading to hypertension, hypkalema and no edema. But conn syn is much more common between those 2, so i would go for A.

klimt
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06/09/07 - 09:40 AM

#14

agree A

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ashfaque
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06/10/07 - 08:08 AM

#15

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