A 50-year-old man has a 3-year history of hypertension. He complains of fatigue
ID: 3480339 • Letter: A
Question
A 50-year-old man has a 3-year history of hypertension. He complains of fatigue and occasional muscle cramps. The patient has not had any other significant medical problems in the past, and there is no family history of hypertension. Examination reveals a blood pressure of 168/104 mm hg, and additional laboratory tests reveal that the patient has primary hyperaldosteronism. Which of the following sets of findings would be expected in this man with elevated levels of aldosterone due to abnormally increased synthesis from the adrenal cortex? Circle the single best answer (A through H).
Extracellular fluid volume Plasma Renin Activity Plasma Potassium Concentration 13Explanation / Answer
Primary hyperaldosteronism is otherwise known as Conn syndrome.
It is characterised by high ecf fluid volume due to water and sodium retention, low plasma renin activity and depletion of potassium (hypokalemia).
so the answer is G
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