A 36-year-old woman presents with episodic palpitations, sweating, and headaches. Her blood pressure is 180/100 mmHg. Plasma free metanephrines are ma...

Question

A 36-year-old woman presents with episodic palpitations, sweating, and headaches. Her blood pressure is 180/100 mmHg. Plasma free metanephrines are markedly elevated. According to endocrine tumour management principles, what is the most appropriate preoperative pharmacologic preparation before adrenalectomy?

Accepted Answer

Start alpha-adrenergic blockade followed by beta-blockade as needed

Answer

Start beta-blocker alone immediately

Answer

Start ACE inhibitor and diuretics only

Answer

No preoperative medication is required

Answer

Start calcium channel blocker only

ca-mccqe1 MCQ (SBA): Pheochromocytoma - preoperative preparation