Renal Quiz #24 Renovascular Disease

1. A 55-year-old man presents with a sudden onset of severe hypertension that has been difficult to control over the past 3 months. He has a history of smoking and hyperlipidemia. On physical examination, a bruit is heard over the right upper quadrant. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 30-year-old woman with a history of sudden onset hypertension is found to have elevated plasma renin activity. Imaging studies reveal fibromuscular dysplasia of the renal arteries. Which of the following is the most appropriate first-line treatment for this condition? 

Question 2 of 5

3. A 68-year-old man with a history of chronic smoking and atherosclerosis presents with uncontrolled hypertension despite multiple antihypertensive medications. A duplex ultrasound shows decreased blood flow and a reduced resistive index in the left renal artery. Which of the following mechanisms is most likely responsible for his hypertension? 

Question 3 of 5

4. A 24-year-old woman presents with recurrent episodes of flash pulmonary edema and resistant hypertension. She has no significant past medical history or family history of cardiovascular diseases. Physical examination reveals a systolic-diastolic abdominal bruit. Renal angiography is most likely to show which of the following? 

Question 4 of 5

5. A 56-year-old man with poorly controlled hypertension undergoes renal imaging, which reveals asymmetry in kidney size; the right kidney is significantly smaller than the left. Which of the following best explains the mechanism of hypertension in this patient? 

Question 5 of 5


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