Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  NBME F5 S2 primary hyperaldosterone 




 
Kaplan Qbank USMLE



Author2 Posts
  #1

A 45-year-old man with hypertension is diagnosed with primary hyperaldosteronism. Which of the following changes is most likely in this patient?

A) Increased plasma renin activity, increased plasma K+ concentration, increased extracellular fluid volume

B) Increased plasma renin activity, increased plasma K+ concentration, decreased extracellular fluid volume

C) Increased plasma renin activity, decreased plasma K+ concentration, increased extracellular fluid volume

D) Increased plasma renin activity, decreased plasma K+ concentration, decreased extracellular fluid volume

E) Decreased plasma renin activity, decreased plasma K+ concentration, decreased extracellular fluid volume

F) Decreased plasma renin activity, decreased plasma K+ concentration, increased extracellular fluid volume

G) Deceased plasma renin activity, increased plasma K+ concentration, increased extracellular fluid volume

Is the answer F? In primary hyperaldosteronism, one would see hypokalemia and fluid retention. The increased aldosterone production would inhibit the renin-angiotensin system.


  #2

Primary Hyper aldosteronism( MCC--> Adenoma of adrenals aka Conns syndrome)------------>Renin INDEPENDENT excessive Aldosteone production(Decreased Renin)------->Increased Na+ retention--------->IV volume and K+ excretion--------------->F


___________________
"Obstacles are those frightful things you see when you take your EYES off your goal."







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.