USMLE Forum - Largest USMLE Community

A clinic patient who has a diagnosis of polycystic
kidney disease has been doing research on the Internet.
She is asymptomatic and has no significant family history.
She asks you for screening for intracranial aneurysms.
You recommend which of the following?
A. Head CT scan without contrast
B. CT angiogram
C. Cerebral angiogram
D. Magnetic resonance angiogram
E. No further testing

eee only scrren if f/h of brain bleed

eee

E is the answer

why thrombolyser. Is there any explanation posted?

Intracranial aneurysms are present in 5 to 10% of asymptomatic
patients with ADPKD. Screening of all ADPKD patients is not recommended.
Any presenting symptoms or a family history of subarachnoid hemorrhage or sudden
death should prompt further screening with magnetic resonance angiography (MRA) or
CT angiography or consideration of cerebral angiography.