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NEW QUESTION: 1
A 55-year-old woman presented complaining of difficulty losing weight.
On examination, her blood pressure was 170/105 mmHg and urinalysis showed protein 1+.
An ultrasound scan of abdomen revealed a 4.5-cm solid lesion in the right adrenal gland. She was treated with ramipril and further endocrine evaluation was performed.
Investigations:
serum potassium3.6 mmol/L (3.5-4.9)
serum creatinine135 umol/L (60-110)
plasma renin activity:
(after 30 min supine)3.9 pmol/mL/h (1.1-2.7)
(after 30 min upright)6.8 pmol/mL/h (3.0-4.3)
plasma aldosterone:
(after 30 min supine)150 pmol/L (135-400)
(after 4 h upright)350 pmol/L (330-830)
serum cortisol (09.00 h)650 nmol/L (200-700)
serum cortisol (22.00 h)225 nmol/L (50-250)
24-h urinary free cortisol230 nmol (55-250)
24-h urinary dopamine3200 nmol (<3100)
24-h urinary adrenaline120 nmol (<144)
24-h urinary noradrenaline450 nmol (<570)
What is the most appropriate initial management of the adrenal lesion?
A. surgical excision
B. mineralocorticoid receptor blockade
C. ?-adrenoceptor blockade
D. angiotensin-2 receptor blockade
E. medical observation with annual ultrasonography
Answer: A
NEW QUESTION: 2
SLAは、エージェントは1時間以内に応答する必要がある、または「緊急」とマークされている場合は1日以内に解決する必要があると述べています。 どうすればこれを最善の状態で達成できますか？
A. エンタイトルメントを使用してプロセスとマイルストーンを定義します
B. エスカレーション規則を使う
C. ケースチームを使って閉会する
Answer: A
NEW QUESTION: 3
Public groups can be used to simplify the creation of sharing rules for Administrators.
A. True
B. False
Answer: A