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NBME form2, q5
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Author6 Posts
  #1

For each patient with secondary hypertension, select the most likely location of the abnormality.





A) Adrenal cortex



B) Adrenal medulla



C) Aorta



D) Renal arteries



E) Renal glomeruli



F) Thyroid gland



11. A 27-year-old woman comes to the physician because of muscle weakness and cramps for 2 weeks. She has been taking a β-adrenergic blocking agent for hypertension for 2 years. She had chronic lymphocytic thyroiditis (Hashimoto's disease) 1 year ago. Her blood pressure is 160/108 mm Hg, and pulse is 60/min. Serum studies show:



Na+ 140 mEq/L

Cl– 110 mEq/L

K+ 2.2 mEq/L

HCO3– 30 mEq/L

Urea nitrogen (BUN) 20 mg/dL

Creatinine 1 mg/dL



Magnetic resonance angiography of the abdomen shows normal findings.


  #2

a?

  #3

A. adrenal cortex

  #4

I agree , A

  #5

why cant this be D

  #6

( A ) hyperaldosteronism







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