HY USMLE Q #1091 – Hypertension

A 70-year-old woman comes to the physician for a routine health maintenance examination. She has a 20-year history of hypertension managed with hydrochlorothiazide. Two months ago, her blood pressure was 145/80. Today, her blood pressure is 190/100. Fundoscopic examination shows AV nicking. A left carotid bruit is heard. Which of the following is the most likely explanation for this patient’s findings?

  Conn syndrome
  Cushing syndrome
  Essential hypertension
  Pheochromocytoma
  Renal artery stenosis

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