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NBME 6 block 4 q 15 - stranger016
#1
A 16-year-old boy with neurofibromatosis is brought for a follow-up examination. His uncle also has neurofibromatosis. He has a 1-year history of headaches during which his parents say he appears pale. Six months ago, he underwent operative treatment for an optic nerve glioma. His blood pressure is 164/105 mm Hg, pulse is 102/min, and respirations are 14/min. The thyroid glands are not enlarged. No murmurs are heard, and radial pulses are equal. Abdominal examination shows no abnormalities. Which of the following is the most likely cause of this patient's high blood pressure?

A
) Catecholamine-producing tumor (pheochromocytoma)

B
) Carcinoma of the thyroid gland

C
) Essential hypertension

D
) Overproduction of aldosterone from an adrenal adenoma

E
) Postsubclavian coarctation of the aorta


what do u guys think about this one?????
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#2
the correct answer is pheochromocytoma
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#3
mehrdad@ can u please explain ur answer
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#4
anyone please
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#5
It's called MEN 2B:
Please see the link:en.wikipedia.org/wiki/Multiple_endocrine_neoplasia_type_2b
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#6
i dont think neurofibramatosis is a part of MEN..its mucosal and oral neuromas,what do u think?
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#7
NF is associated with pheo its in the peds section of kaplan ..
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#8
pg 208 peds
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#9
thank u very much medlife2014
ur reply made life much easier now thank u pheww
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