<prompt> A 30-year-old male, Rajinder presents to OPD your office with fatigue, muscle weakness and headache. His blood pressure is 170120 mm Hg and his hea rate is 100min. Laboratory evaluation reveals hypokalemia, metabolic alkalosis and decreased plasma renin activity. On CT scan, a mass was noted on left suprarenal gland. Patient was prescribed a drug for few weeks and the symptoms subsided. Laboratory values and blood pressure returned to normal values. The likely drug given to this patient is?ClonidinePropanololHydrochlorothiazideSpironolactone  <response>: Ref: KK Sharma 2e p233 Mosty likely diagnosis in this patient is aldosterone secreting tumor adenoma leading to primary hyperaldosteronism Conns Syndrome. Aldosterone excess will cause hypeension, hypokalemia, metabolic alkalosis and depressed renin. Aldosterone antagonists such as spironolactone or eplerenone can be used as medical therapy for Conns syndrome. 