Audio Qbank – HY USMLE Q #492 – Endocrine / Cardiovascular

A 22-year-old woman comes to the physician for a follow-up examination following a blood pressure measurement of 160/100 two weeks ago. Repeat measurement today is 158/100. MR angiography of the renal arteries confirms a diagnosis of fibromuscular dysplasia. Serum studies and MR angiogram are shown:

Sodium                                                                            140 mEq/L
Potassium                                                                        4.2 mEq/L
Bicarbonate                                                                      25 mEq/L
pH                                                                                     7.40

Which of the following is most likely to be seen in this patient?