Adult Nurse Practitioner Exam Prep

Category - AANPCP Adult Nurse Practioner Practice Test

Secondary hypertension refers to increased blood pressure caused by an existing condition. Each of these following endocrine disorders can contribute to secondary hypertension, except:
  1. Cushing syndrome
  2. Diabetes
  3. Pheochromocytoma
  4. Hypoaldosteronism
Explanation
Answer - D - Hypoaldosteronism does not lead to secondary hypertension; instead when there is an excessive amount of aldosterone in the bloodstream, the kidneys retain salt and water and lose too much potassium, leading to increased blood pressure.

Secondary hypertension is hypertension of known causes (5%-10% of all hypertensive cases) that includes diabetes mellitus, polycystic kidney disease, glomerular disease, hydronephrosis, Cushing’s syndrome, hypo/hyperthyroidism, hyperparathyroidism, Coarctation of the aorta, sleep apnea, obesity, pre-eclampsia, or due to medications and supplements.
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