Q- A 40-year-old man presents with severe hypertension, palpitations, headaches, and diaphoresis. CT scan reveals an adrenal mass.
What is the best preoperative management?
A- Beta-blocker before alpha-blocker
B- Immediate surgery without medications
C- Intravenous nitroglycerin only
D- Phenoxybenzamine before the beta-blocker
Q- A 52-year-old woman presents with progressive fatigue and pruritus. Labs show elevated alkaline phosphatase and positive antimitochondrial antibodies.
Which treatment slows the progression of this disease?
A- Azathioprine
B- Prednisone
C- Ursodeoxycholic acid
D- Vitamin E
Q- A 29-year-old man presents with sudden severe scrotal pain and nausea. Physical examination reveals a high-riding testis with absent cremasteric reflex.
What is the best next step?
A- Oral antibiotics
B- Scrotal ultrasound before intervention
C- Supportive care and discharge
D- Surgical exploration immediately
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