This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Cushing Syndrome, Subject name: Medicine
[{'content': 'Which of the following is not a cause of features of primary hyperaldosteronism? \nSelect and explain. \nA. Cushing syndrome, B. Adrenal adenoma, C. Adrenal hyperplasia, D. Chronic CCF', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Chronic CCF will lead to low GFR. The subsequent activation of RAAS will lead to increased renin and secondary aldosteronism. Causes of primary hyperaldosteronism : Conn syndrome (adrenal adenoma): 60% Bilateral adrenal hyperplasia (Micronodular): 60% Cushing syndrome Syndrome of apparent mineralocoicoid excess Adrenocoical carcinoma Congenital adrenal hyperplasia', 'role': 'assistant'}]