Question

A 32-year-old woman presents with episodic palpitations, sweating and headache. BP is 180/110 mmHg. Plasma metanephrines are significantly elevated, suggesting phaeochromocytoma. Prior to surgical resection, which pharmacological preparation is recommended?

Accepted Answer

Start alpha blockade before adding beta blockade

Answer

Start beta blocker alone

Answer

Start ACE inhibitor alone

Answer

Start calcium channel blocker alone

Answer

No pharmacological preparation is required

Practice question

A 32-year-old woman presents with episodic palpitations, sweating and headache. BP is 180/110 mmHg. Plasma metanephrines are significantly elevated, suggesting phaeochromocytoma. Prior to surgical resection, which pharmacological preparation is recommended?