A 48-year-old man presents with hypertension, hypokalaemia, and metabolic alkalosis. Plasma aldosterone concentration is high with low renin activity....

Question

A 48-year-old man presents with hypertension, hypokalaemia, and metabolic alkalosis. Plasma aldosterone concentration is high with low renin activity. According to NICE, what is the initial confirmatory test for suspected primary hyperaldosteronism?

Accepted Answer

Saline infusion test

Answer

Serum cortisol measurement

Answer

Plasma metanephrine level

Answer

Insulin tolerance test

Answer

Dexamethasone suppression test

MCQ (SBA): Primary hyperaldosteronism

A 48-year-old man presents with hypertension, hypokalaemia, and metabolic alkalosis. Plasma aldosterone concentration is high with low renin activity. According to NICE, what is the initial confirmatory test for suspected primary hyperaldosteronism?