NMS Q&A Family Medicine

The Adrenal and Parathyroid Glands 21113 After diagnosing primary hyperparathyroidism, youfind that the condition has occurred in other familymembers. You wish to seek further the possibility ofcoexistence of each of the following diseases exceptfor (which) one?(A) Colonic adenomatous polyps(B) Pheochromocytoma(C) Parathyroid adenoma(D) Facial angiofibromas(E) Medullary carcinomas14 Primary adrenal insufficiency, as distinct from secondarydisease, is characterized clinically by hyperpigmentation,among other stigmata. Which of thefollowing other endocrinopathies is also associatedwith hyperpigmentation and also with hyperkalemia?(A) Thyrotoxicosis(B) Parathyroid adenoma(C) Adrenocortical adenoma(D) Nonpituitary adenoma(E) Pancreatic adenoma15 A 35-year-old man has been having bouts of palpitations,pounding heart, and headaches, lasting severalminutes. Last evening, he had such an attack duringintercourse. He denies flushing during the attacks.During one attack, his wife, a medical assistant, measuredhis peripheral pulse at 130 beats per minute,but the pulse was easily counted and regular. Lookingback, the man feels he has had at least one attack dailyfor the past 2 weeks. Vital signs are normal, withblood pressure being 115/75 and pulse 78 and regular.Temperature was 97.8 F at 9 am . The doctor considersfirst that the patient has had panic attacks as apart of panic disorder. However, feeling that panicdisorder should be considered only after ruling outorganic causes of the attacks, which of the followingwould be the most reasonable diagnosis for the doctorto investigate and pursue?(A) Thyrotoxicosis(B) Carcinoid syndrome(C) Pheochromocytoma(D) Supraventricular tachycardia(E) Sepsis