Phaeochromocytoma- Other Metabolic and Endocrine Disorders

Question 1

What is the main cause of Phaeochromocytoma?

Answer 1

Catecholamine producing tumor
(slow-growing tumour site in the adrenal)

Question 2

What secretion causes Phaeochromocytoma?

Answer 2

Epinephrine and Norepinephrine

Question 3

Presention of Phaeochromocytoma?

Answer 3

high BP, headache, sweating and anxiety in a young

Question 4

Investigation of Phaeochromocytoma?

Answer 4

Plasma metanephrines

Question 5

Management of Phaeochromocytoma?

Answer 5

Surgery ( give Phenoxybenzamine)

Blood Pressure Control Medication (alpha-blockers)

Question 6

What do you NOT use in the management of Phaeochromocytoma?

Answer 6

‘PURE’ BETA BLOCKER- eg. Atenolol

Question 7

Why do you NOT use PURE BETA BLOCKER (atenolol) in the management of Phaeochromocytoma?

Answer 7

Risk of unopposed alpha agonism and severe refractory HTN

Question 8

TRUE or FALSE-
You can use Atenolol in the management of Phaeochromocytoma?

Answer 8

FALSE, YOU CAN NOT!!!!!

Risk of unopposed alpha agonism and severe refractory hypertension.

Question 9

Which of the following tests is a first-line diagnostic test for phaeochromocytoma?

Answer 9

Plasma free metenephrines

Question 10

1st-line management that should be initially started on phaeochromocytoma patient?

Answer 10

Alpha-Blockers

Question 11

characteristic features of Multiple Endocrine Neoplasia Type 2A

Answer 11

presence of two or more specific endocrine tumors (i.e. medullary thyroid cancer, phaeochromacytoma, and parathyroid hyperplasia or adenoma).

Question 12

What does ‘short stature,’ excludes

Answer 12

MEN type 2b.