Primary Aldosteronism and Hyperaldosteronism
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Questions and Answers

What is the typical size range of aldosterone-producing adenomas?

  • 1-32 mm in diameter (correct)
  • 5-10 mm in diameter
  • 10-50 mm in diameter
  • 1-5 mm in diameter

What type of cells are typically found in aldosterone-producing adenomas?

  • Lipid-poor, zona glomerulosa-like cells
  • Compact, basophilic cells
  • Compact, eosinophilic cells
  • Lipid-rich, zona fasciculata-like cells (correct)

What is the underlying cause of secondary hyperaldosteronism?

  • Mutation in the mineralocorticoid receptor gene
  • Excess aldosterone production by the adrenal gland
  • Activation of the renin-angiotensin system due to an extra-adrenal cause (correct)
  • Adrenal cortical adenoma

What is a rare cause of secondary hyperaldosteronism?

<p>Renin-secreting tumor (reninoma) (B)</p> Signup and view all the answers

What is a complication of hyperaldosteronism?

<p>Hypokalemia (D)</p> Signup and view all the answers

What is the effect of hyperaldosteronism on sodium levels?

<p>Increased sodium levels (B)</p> Signup and view all the answers

What is the effect of hyperaldosteronism on blood pressure?

<p>Increased blood pressure (D)</p> Signup and view all the answers

What is the effect of hyperaldosteronism on metabolic balance?

<p>Metabolic Alkalosis (C)</p> Signup and view all the answers

What percentage of Primary Aldosteronism cases are attributed to Bilateral Idiopathic Hyperaldosteronism?

<p>60% (B)</p> Signup and view all the answers

Which of the following mutations is associated with Aldosterone-producing Adrenal Cortical Adenoma?

<p>KCNJ5 (C)</p> Signup and view all the answers

What is the percentage of Familial Hyperaldosteronism in Primary Aldosteronism cases?

<p>5% (B)</p> Signup and view all the answers

What is the result of the activation of aldosterone synthase in Aldosterone-producing Adrenal Cortical Adenoma?

<p>Autonomous aldosterone synthesis (D)</p> Signup and view all the answers

What is the function of Mineralocorticoid Receptor in the context of Primary Aldosteronism?

<p>Regulation of aldosterone synthesis (C)</p> Signup and view all the answers

What is the percentage of ATP1A1 mutations associated with Aldosterone-producing Adrenal Cortical Adenoma?

<p>5.3% (B)</p> Signup and view all the answers

What is the primary cause of Hyperaldosteronism in Primary Aldosteronism?

<p>Bilateral Idiopathic Hyperaldosteronism (C)</p> Signup and view all the answers

What is the result of Mineralocorticoid Excess in the context of Primary Aldosteronism?

<p>Hypertension and hypokalemia (C)</p> Signup and view all the answers

What is the primary function of aldosterone in the adrenal gland?

<p>Regulation of blood pressure through sodium and water reabsorption (D)</p> Signup and view all the answers

Which of the following is a characteristic of aldosterone-producing adrenal cortical adenoma?

<p>Unilateral mass that is mostly benign (C)</p> Signup and view all the answers

What is the percentage of bilateral idiopathic hyperaldosteronism in primary hyperaldosteronism cases?

<p>60% (C)</p> Signup and view all the answers

What is the rare genetic condition that causes familial hyperaldosteronism?

<p>Different genetic causes (C)</p> Signup and view all the answers

What is the primary mechanism of action of aldosterone in the kidneys?

<p>Suppression of the renin-angiotensin system (C)</p> Signup and view all the answers

Which of the following is a characteristic of primary hyperaldosteronism?

<p>Autonomous overproduction of aldosterone (A)</p> Signup and view all the answers

What is the layer of the adrenal cortex responsible for producing aldosterone?

<p>Zona glomerulosa (B)</p> Signup and view all the answers

Which of the following is a complication of primary hyperaldosteronism?

<p>Hypertension (B)</p> Signup and view all the answers

What is the primary goal of treatment in patients with aldosterone-producing adrenal cortical adenoma?

<p>To remove the tumor (C)</p> Signup and view all the answers

What is the effect of bilateral idiopathic hyperaldosteronism on adrenal function?

<p>Bilateral adrenal hyperplasia (A)</p> Signup and view all the answers

What is the main function of the mineralocorticoid receptor?

<p>Regulation of electrolyte balance and blood pressure (C)</p> Signup and view all the answers

What is the primary difference between primary hyperaldosteronism and secondary hyperaldosteronism?

<p>Source of aldosterone production (C)</p> Signup and view all the answers

What is the purpose of the saline suppression test in the diagnosis of primary hyperaldosteronism?

<p>To suppress aldosterone production (B)</p> Signup and view all the answers

What is the common feature of familial hyperaldosteronism and primary hyperaldosteronism?

<p>Autonomous aldosterone production (C)</p> Signup and view all the answers

What is the medication of choice for the treatment of bilateral idiopathic hyperaldosteronism?

<p>Spironolactone (C)</p> Signup and view all the answers

What is the effect of aldosterone on potassium levels?

<p>Decrease potassium levels (A)</p> Signup and view all the answers

What is the primary purpose of measuring cortisol levels in diagnosing Cushing's syndrome?

<p>To establish a baseline for further testing (B)</p> Signup and view all the answers

What is the expected result of a dexamethasone suppression test in a patient with a pituitary microadenoma?

<p>Cortisol levels drop significantly (D)</p> Signup and view all the answers

What is the primary treatment approach for pituitary microadenoma in Cushing's syndrome?

<p>Surgical resection of the tumor (A)</p> Signup and view all the answers

What is the potential complication of suddenly stopping exogenous medications in Cushing's syndrome?

<p>Adrenal crisis (B)</p> Signup and view all the answers

What is the role of ketoconazole and metyrapone in the treatment of Cushing's syndrome?

<p>To inhibit adrenal steroid production (D)</p> Signup and view all the answers

What is the purpose of imaging studies in the diagnosis of Cushing's syndrome?

<p>To identify the location of the tumor (A)</p> Signup and view all the answers

What is the expected result of measuring ACTH levels in a patient with adrenal neoplasms?

<p>ACTH levels are low (A)</p> Signup and view all the answers

What is the primary goal of treatment in Cushing's syndrome?

<p>To reduce cortisol levels (C)</p> Signup and view all the answers

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