kingusmle
Forum Elite
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52 yo man is found to have hypertension.systolic bruit is heard over left renal artery.Angiography shows 96% occlusion of left renal artery,right renal artery is normal.which of the following describes the most likely response of treatment
a.decreased renin ,dec angiotensin 1 after administration of loop diuretic
b.dec renin following administation of angiotensin converting enzyme inhibitor.
c.inc renin and dec angiotensin 1 after loop diuretic
d.inc renin after ACEI
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| ssrpk
Forum Fanatic
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d.inc renin after ACEI
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| drmohamed811
Forum Senior
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I THINK IT MAY BE (B) dec renin following administation of angiotensin converting enzyme inhibitor
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| ssrpk
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can't be because ACE inhibitor results in increase renin....and ace in hibitors are not suitable in this instance as they would badly affect the renal hemodynamics in the stenosed kidney...
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| peraspera
Forum Elite
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I do agree with ssrpk
ACE inhibitors block enzyme, so everything upstream will be increase. renin is incr., angiotensin 1 incr., angiotensin2 decr. aldosteron decr., bradykinin incr.
it's D
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| kishmed
Forum Newbie
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can we give ACEI to this pt?
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