Block 2; Week 3

Question 1

What does a loud abdominal bruit indicate?

Answer 1

Some sort of blockage. Could be renal artery stenosis.

Question 2

What are the 2 types of renal artery stenosis & which patient populations are they usu seen in?

Answer 2

Fibromuscular RAS–>usu in younger ppl, easier to treat

Athersclerotic RAS–>usu in older ppl, harder to treat b/c goes to kidney disease!

Question 3

T/F If you have a stent put in to solve RAS…you no longer need to be on anti-hypertensive meds.

Answer 3

False.

Usu you still need these meds.

Question 4

What do unilateral & bilateral RAS lead to?

Answer 4

Unilateral RAS–>Renovascular HTN

Bilateral RAS–>Renal Failure

Question 5

What do ACE inhibitors do to preload & afterload?

Answer 5

They decrease both. b/c they prevent vasoconstriction.

Question 6

T/F Beta blockers inhibit renin release.

Answer 6

True.

Question 7

What are 4 ways to measure RAS that are non-invasive?

Answer 7

Plasma Renin Activity
Renal vein renin measurements
Doppler Ultrasonography
Magnetic Resonance Angiography