C. V. is a 70-year-old African American male patient who presents for surgical consultation. His history includes

4 months of severe hypertension that has been poorly responsive to medication. He also complains of intermittent pounding headaches, palpitations, and a vague sense of anxiety with tremors. A 24-hour urine demonstrated elevated metanephrines. The AGACNP recognizes that this patient has a:

A. Malignant hyperthyroidism

B. Catecholamine-secreting tumor

C. Pituitary adenoma

D. Hyperaldosteronism

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