A 58-year-old woman with long-standing hypertension and hypokalemia has an elevated aldosterone/renin ratio. What is the best next step?...

Question

A 58-year-old woman with long-standing hypertension and hypokalemia has an elevated aldosterone/renin ratio. What is the best next step?

Accepted Answer

Confirmatory testing for primary aldosteronism and subtype evaluation

Answer

Start potassium-sparing diuretic without workup

Answer

CT scan only, no further labs

Answer

No further testing if blood pressure is controlled

Answer

Increase thiazide dose

us-abim MCQ (SBA): Primary Aldosteronism Workup