01-24-2009, 02:49 AM
13.) A 37-year-old woman with a 2-year history of hypertension comes for a follow-up
examination; her hypertension has worsened despite treatment with a low-sodium
diet and a ß-adrenergic blocking agent. She has a history of rheumatic fever and
Graves' disease treated with 131I. Her blood pressure is 160/106 mm Hg, and
pulse is 80/min. Serum studies show:
Na+ 135 mEq/L
Cl“ 100 mEq/L
K+ 3.4 mEq/L
HCO3“ 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Creatinine 0.8 mg/dL
Urinalysis is within normal limits. Renal ultrasonography shows a left kidney with a
markedly irregular contour; it is 2.8 cm smaller than the right.
where is the pathology?
A) Adrenal cortex
B) Adrenal medulla
C) Aorta
D) Renal arteries
E) Renal glomeruli
F) Thyroid gland
examination; her hypertension has worsened despite treatment with a low-sodium
diet and a ß-adrenergic blocking agent. She has a history of rheumatic fever and
Graves' disease treated with 131I. Her blood pressure is 160/106 mm Hg, and
pulse is 80/min. Serum studies show:
Na+ 135 mEq/L
Cl“ 100 mEq/L
K+ 3.4 mEq/L
HCO3“ 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Creatinine 0.8 mg/dL
Urinalysis is within normal limits. Renal ultrasonography shows a left kidney with a
markedly irregular contour; it is 2.8 cm smaller than the right.
where is the pathology?
A) Adrenal cortex
B) Adrenal medulla
C) Aorta
D) Renal arteries
E) Renal glomeruli
F) Thyroid gland