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Old 07-27-2014
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Default A 45-year-old woman with sudden onset of severe headaches

A 45-year-old woman has the sudden onset of severe headaches. During one of these episodes, her blood pressure is 190/115 mm Hg. Her usual blood pressure is 130/90 mm Hg. Her sister had similar episodes several years ago. Urinalysis
shows increased concentrations of metanephrine and vanillylmandelic acid. The patient is most likely to have a neoplasm that secretes which of the following?

(A) ACTH
(B) Aldosterone
(C) Cortisol
(D) Epinephrine
(E) Renin
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Epinephrine
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Epinephrine so D
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pheochromocytoma
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Epinephrine
Disease is pheochrocytoma renal medullary tumor
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