qst - doc499 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: qst - doc499 (/showthread.php?tid=633692) |
qst - doc499 - ArchivalUser - 11-22-2011 A healthy 27-year-old woman comes for a routine health maintenance examination. Her blood pressure is 185/90 mm Hg. Examination shows no other abnormalities except for hypertensive retinopathy. Serum studies show a sodium level of 140 mEq/L, potassium level of 4 mEq/L, and creatinine level of 1.1 mg/dL. A complete blood count, serum catecholamine levels, and urinalysis are within normal limits. At two subsequent visits, her blood pressure is 190/100 mm Hg and 182/96 mm Hg, respectively. Which of the following is the most appropriate next step in diagnosis? A ) 24-Hour urine collection for measurement of creatinine clearance B ) 24-Hour urine collection for measurement of 17-hydroxycorticosteroid and total 17-ketosteroid levels C ) Measurement of serum aldosterone level D ) Magnetic resonance angiography of renal vessels E ) CT scan of the abdomen 0 - ArchivalUser - 11-22-2011 E, 0 - ArchivalUser - 11-22-2011 sorry, typing error, i'll go with D, always check for renal pathology in young women with hypertension thats not episodic, plus she has no signs of adrenal adenoma either. 0 - ArchivalUser - 11-22-2011 EE. Maybe ADPKD |