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Medicine All India exam 5d8ca7c2

A 20 year old female presents with a blood pressure of 160/110 mm Hg. Clinical examination reveals a bruit in both flanks. Which of the following statement about this patient is not true?

A
Enalapril may deteriorate renal function
B
Most definitive diagnostic procedure is contrast enhanced angiography
C
Condition is nearly always bilateral
D
Surgical intervention may be used
High-Yield Explanation
20 year old female presenting with high BP and abdominal bruit on both flanks possibly point to a diagnosis of renal aery stenosis secondary to fibromuscular dysplasia. All the choices given are almost correct, among the choices given 'c' would be a better choice. Because it is usually bilateral and not nearly always bilateral. Ref: Harrison's 18/e p2375, 17/e p1811-1812

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