USMLE Forum Archives - USMLE Step 2 CK - HTN 1
HTN 1
bingousmle - 06-20-10 07:12
A 72-year-old white female, previously well controlled on a once-daily combination pill containing atenolol 50 mg and hydrochlorothiazide 25 mg, presents with a rise in her blood pressure to 170/110. You add 5 mg of lisinopril, and her creatinine rises from 1.1 to 1.9. What do you suspect?
A. Nonadherence
B. Hypertensive nephrosclerosis
C. Hyperaldosteronism
D. Atherosclerotic renal artery stenosis
E. Pheochromocytoma
bingousmle - 06-20-10 07:12
A 72-year-old white female, previously well controlled on a once-daily combination pill containing atenolol 50 mg and hydrochlorothiazide 25 mg, presents with a rise in her blood pressure to 170/110. You add 5 mg of lisinopril, and her creatinine rises from 1.1 to 1.9. What do you suspect?
A. Nonadherence
B. Hypertensive nephrosclerosis
C. Hyperaldosteronism
D. Atherosclerotic renal artery stenosis
E. Pheochromocytoma
The correct answer and explanation will be available after you answer.
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#2
Re: HTN 1
bingousmle - 06-20-10 07:54 My answer is: d.
The decline in renal function after addition of an angiotensin-converting enzyme inhibitor, is most suggestive of bilateral renal artery stenosis due to atherosclerosis
#4
Re: HTN 1 babbu5508 - 06-20-10 13:10 My answer is: d.
the use of Angiotensin converting enzyme inhibitors in a case of unilateral renal artery stenosis would deteriorate the condition.
#14
Re: HTN 1 moyoha - 06-29-10 13:47 The answer d id odd. It should be as Bilateral atherosclerotic renal artery stenosis.
Thanks
#15
Re: HTN 1 bingousmle - 06-29-10 14:22 
posted by moyoha on 06-29-10 13:47
The answer d id odd. It should be as Bilateral atherosclerotic renal artery stenosis.
Thanks
The answer d id odd. It should be as Bilateral atherosclerotic renal artery stenosis.
Thanks
hi moyoha.. yeah i agree with you but among the given choices i think renal artery stenosis sounds the best.. do you think option b is more corrrect?
#17
Re: HTN 1 sudha2015 - 04-18-11 04:26 My answer is: b.
well controlled on a once-daily combination pill containing atenolol 50 mg and hydrochlorothiazide 25 mg, presents with a rise in her blood pressure to 170/110. You add 5 mg of lisinopril, and her creatinine rises from 1.1 to 1.9
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