HY USMLE Q #866 – Pathology

A 42-year-old man comes to the physician for a 6-month history of bilateral hand pain. He works as a crane operator. Fasting serum glucose is 150 mg/dL; potassium 4.3 mEq/L; bicarbonate 25 mEq/L; blood pressure 125/85. Which of the following is the most likely explanation for this patient’s findings?

  Adrenal cortical dysfunction
  Adrenal cortical hypersecretion
  Adrenal medullary hypersecretion
  Defective bilirubin excretion
  Increased intestinal absorption