Renal Vascular Diseases

Question 1

The most common cause of secondary HTN

Answer 1

Renal artery stenosis

Question 2

Function of angiotensin

Answer 2

Generalized arteriolar constriction

Question 3

Function of aldosterone

Answer 3

Increase Na and water retention

Question 4

The most common cause

Answer 4

Atherosclerosis

Question 5

Common cause in younge female

Answer 5

Fibromuscular dysplasia

Question 6

Atherosclerosis is usually (bi or one side)

Answer 6

One side 
(Bi in 1/3 of cases)

Question 7

Fibromuscular dysplasia is usually bi or one side

Answer 7

Bilateral in 50% of cases

Question 8

The most common Clnical feature

Answer 8

Sudden onset of HTN with no family history

And refractory to multiple anti HTN

Question 9

What sounds you are going to hear ?

Answer 9

Abdominal Bruits

Question 10

Gold standard investigation

Answer 10

Renal arteriogram

Question 11

Other investigation done

Answer 11

Labs
Duplex Doppler US
MRA

Question 12

State of potassium

Answer 12

Hypokalemia due to aldosterone

Question 13

When to do US

Answer 13

Renal failure patient who can’t use renal arteriogram for them

Question 14

When to do MRA

Answer 14

Renal failure patient who we can’t do US for them