Adrenal Cortical Tumors Practice Questions

Question 1

VMA is elevated in which of the following condition?

Accepted Answer

Pheochromocytoma

Answer

Tuberous sclerosis

Answer

Addison disease

Answer

Conn Syndrome

Question 2

What is the most common adrenal incidentaloma?

Accepted Answer

Endocrine inactive tumors

Answer

Aldosterone producing

Answer

Pheochromocytoma

Answer

Cortisol producing

Question 3

The most appropriate first-line imaging modality to detect adrenal metastasis due to bronchogenic carcinoma is:

Accepted Answer

Contrast Enhanced CT abdomen

Answer

PET scan

Answer

MRI of the abdomen

Answer

Adrenal radionuclide scan

Question 4

Which of the following is false about pheochromocytoma?

Accepted Answer

Propranolol is the preferred drug for hypertension control

Answer

Surgery is the treatment of choice

Answer

VMA (vanillylmandelic acid) is a diagnostic test

Answer

Catecholamines are a diagnostic test

Answer

Most pheochromocytomas are benign

Question 5

A 45-year-old develops dysphagia 3 months post thyroidectomy. Most likely cause?

Accepted Answer

Adhesions

Answer

Recurrent tumor

Answer

RLN palsy

Answer

Esophageal injury

Question 6

A patient has Cushing syndrome due to an adrenal tumor. Which drug should be given?

Accepted Answer

Ketoconazole

Answer

Spironolactone

Answer

Hydrocortisone

Answer

Dexamethasone

Question 7

Stab wounds of the kidneys involve other abdominal organs in a high percentage of cases. Of the organs listed, which one is least likely to be damaged in this patient?

Accepted Answer

Stomach

Answer

Spleen

Answer

Inferior vena cava

Answer

Left adrenal gland

Question 8

Which of the following statements is FALSE regarding medullary cancer of the thyroid?

Accepted Answer

These cancers take up Radioactive Iodine

Answer

Secrete Calcitonin

Answer

20-25% are familial

Answer

Diarrhea is seen in 30%

Question 9

Which of the following conditions can present with eye signs?

Accepted Answer

Primary toxic goitre.

Answer

Secondary toxic goitre.

Answer

Thyrotoxicosis.

Answer

All of the above.

Question 10

Which of the following statements is not true regarding medullary thyroid carcinoma?

Accepted Answer

They comprise approximately 25% of all thyroid malignancies.

Answer

They are a type of neuroendocrine tumor.

Answer

They are associated with MEN 2A and 2B syndromes.

Answer

Tumor cells may secrete serotonin, ACTH, and VIP.

Adrenal Cortical Tumors — MCQs

Adrenal Cortical Tumors — MCQs

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