Test your medical knowledge each month with questions from The Medical Knowledge Self-Assessment Program® (MKSAP).
MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 18, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. You'll find 1,200 completely new questions to help you identify learning gaps, stay current, and gain the knowledge you need to provide the best possible patient care. MKSAP 18's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.
For more information on MKSAP 18, or to order your copy, visit
MKSAP 18 Q & A
A 58-year-old woman is evaluated after the incidental discovery of an adrenal adenoma. A CT scan was performed last week to evaluate renal colic; findings were negative. The remainder of the medical history is unremarkable, and she takes no medication.
On physical examination, vital signs and the remainder of the examination are unremarkable.
Laboratory studies show normal serum electrolytes.
Evaluation for which of the following conditions is most appropriate in this patient?
A: Glucocorticoid and mineralocorticoid deficiency
B: Primary hyperaldosteronism and hyperandrogenism
C: Subclinical Cushing disease and pheochromocytoma
D: No additional testing is necessary
Back to the October 2021 issue of ACP IMpact