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NEW QUESTION: 1
A 63-year-old woman was incidentally found to have a 3-cm right adrenal mass on a CT scan of abdomen during investigation for abdominal pain. Her medical history included angina, hypertension and hypercholesterolaemia. She was taking oestrogen-containing hormone replacement therapy, atenolol, bendroflumethiazide, simvastatin and aspirin.
On examination, her pulse was 60 beats per minute and regular, and her blood pressure was 150/90 mmHg. She was obese with a body mass index of 34 kg/m2 (18-25). Fundoscopy revealed grade II hypertensive retinopathy.
Investigations:
serum sodium137 mmol/L (137-144)
serum potassium3.0 mmol/L (3.5-4.9)
serum creatinine100 umol/L (60-110)
plasma renin activity (after 30 min supine)0.4 pmol/mL/h (1.1-2.7)
plasma aldosterone (after 30 min supine)200 pmol/L (135-400)
overnight dexamethasone suppression test (after 1 mg dexamethasone):
serum cortisol75 nmol/L (<50)
24-h urinary free cortisol140 nmol (55-250)
24-h urinary metanephrine<1 umol (<2)
24-h urinary normetanephrine1 umol (<3)
What is the most likely cause of the hypertension?
A. essential hypertension
B. Conn's syndrome
C. phaeochromocytoma
D. Cushing's syndrome
E. renovascular disease
Answer: A

NEW QUESTION: 2
What are the optical layer paths in the path hierarchy of the WDM network? (multiple choice)
A. OCh
B. OTS
C. OMS
D. OTU
Answer: A,B,C

NEW QUESTION: 3
Which of the following statements is CORRECT?
(1) The only phase of the Service Management Lifecycle where value can be measured is Service Operation (2) All of the phases of the lifecycle are concerned with the value of IT services
A. Neither of the above
B. 1 only
C. Both of the above
D. 2 only
Answer: D

NEW QUESTION: 4

A. Option C
B. Option D
C. Option B
D. Option A
Answer: D