MCQs

MRCP, Saudi Bord , Arab Bord
           
 
 
 

 

 

 

 

 

 

 

 

 

 

 
 
Nephrology
 
 

 
 

1  .  2  .  3  .  4  .  5  .  6  .  7  .  8

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 Item 1

 

A 50-year-old man is evaluated for poorly controlledhyper­tension. His blood pressure has been elevated for 12 years and remains between 150/105 mm Hg and 170/105 mm Hg despite the use of multiple medications. He also has poor exercise tolerance and fatigue and often falls asleep in the afternoon. Medications are atenolol, 50 mg/d; amlodipine, 10 mg./d , and hydrochlorothiazide, 25 mg/d.

On physical examination, blood pressure is 168/110 mm Hg. He is obese and appears plethoric. The remaing of the examination is normal.

 
Glucose 

102 mg/dL (5.66 mmol/L)

Urea 20 mg/dL (7.14 mmol/L)
Creatinin

1.4 mg/dL (123.79 mmol/L)

Na 140 meq/L (140 mmol/L)
K 

3.9 meq/L (3.9 mrnol./L)

Bic

25 meq/L (25 mmol/L)

Cholesterol 

220 mg/dL (5.69 mmol/L)

Triglycerides

190 mg/dL (2,15 mmol/L)

HDL

37 mg/dL (0.96 mmol/L)

 

Q Which of the following is the most likely cause of this patient's resistant hypertension?

A)
Renovascular hypertension
B)
Primary hyperaldosteronisrn
C)
Pheochromocytoma
D)
Type 2 diabetes mellitus
E)
Sleep apnea syndrome

 

----------------------------------------Answer

 

MKSAP

14

2007
 
Cardiology
Nephrology