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		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T12:14:34+00:00</swivt:creationDate>
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		<rdfs:label>WBR0230</rdfs:label>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">MRI of the abdomen</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' : MRI is done while the patient is on alpha blockers.  MRI is more sensitive for extraadrenal tumours.  MRI can also differentiate malignant pheochromcytoma.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">CT of the abdomen</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' : CT of the abdomen is also done while the patient is on alpha blockers. Though both MRI/CT are equally sensitive, however MRI is more sensitive for extraadrenal tumours.</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Alpha blockers</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Correct''' : Phenoxybenzamine is the preferred drug for pheochromocytoma to control hypertension. Patients should be treated with drugs for 0-14 days prior to the surgery.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Beta blockers</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' : Never give beta blockade first; otherwise, unopposed alpha adrenergic stimulation will lead to refractory hypertension.</property:AnswerDExp>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 23 yr old male came to the emergency department with complaints of headache and palpitations.  By time you attended the patient, he is asymptomatic.  He reveals three similar episodes in the past that resolved spontaneously.  He is currently on no medications.   On examniation, you see a anxious and diaphorectic person in no acute distress.  His temperature is 36.7 C, blood pressure is 130/70 mmHg, pulse is 102/min and respiartions are 16/min.  Her oxygen saturation is 97% on room air.  Other system examination was normal.  A diagnosis of pheochromocytoma is confirmed after a positive test for 24-hour urine metanephrines and catecholamines. What is the next line of action for the patient.</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">C</property:RightAnswer>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Endocrine</property:SubCategory>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-27T23:50:07Z</swivt:wikiPageModificationDate>
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